Definition and diagnosis of sexuality in the XXI century

Background: Regardless of the relationship between aging and sexual dysfunction, most adults continue to be sexually active in their later years. Conditions such erectile dysfunction or hypoactive sexual desire disorder present one of many barriers to maintain a healthy sex life. Objective: This article links the concurrence between the social, cultural, political, and economic changes on a worldwide and historical level and the changes observed in sexuality. This review comprises from medical, biological and behavioral concerns to those of rights and social justice. To give an idea about the interests and trends of modem research on sexuality, the manuscript includes a review on the impact of contraception, public advertising, mass media and new technologies on sexuality and introduces the concept of sexual dysfunction. Discussion: Data suggest that broader cultural beliefs about appropriate sexuality are evident in general practice. Asking about sexual health remains a low priority for many doctors, particularly when it comes to older patients. Conclusion: The influence of all these previous concerns on the field of sexuality notion is particularly apparent in the development of concepts such as sexual health and sexual fights. These new concepts had an effect on researchers allowing them to describe connections between highly limited occurrence and global systems. Further education is needed to raise professional awareness about the importance of healthy sexuality in aging. (C) 2008 Elsevier Ireland Ltd. All rights reserved.