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A lot of people have the idea that people who have reached the third age stop having sex, even it was the theme of the 9 o’clock soap. Where did this thought come from and how true is it?

Aging is usually characterized by changes in sexuality. This included, in general, a decrease in interest and the quality of the performance of sexual relations. Note that a decrease does not mean a complete cessation. This is not part of normal aging and the cause must be investigated.

Yes. It is very common to visit the doctor’s office, not necessarily for the treatment of diseases, but seeking an improvement in the performance of activities of daily living and, in this sense, sex is no exception.

It is a question to which there is no single answer. Each case is a case and each relationship is a relationship. I would say that the main difference is related to the couple’s greater maturity from an emotional point of view and also from a relationship point of view. At the same time, he is faced with the situation, which sometimes conflicts with the progressive decline in functionality that he had when he was younger.

In sexual life, there are many prejudices and “taboos” brought from a lifetime, which seem to an unimportant layperson, but in practice they are very real and have a great impact on sexual life. And, as was highlighted in the question above, performance and physical vigor decrease and this is also reflected in sexual practice. I like to say that an elderly person who has an active sex life usually has very good health, because it implies a minimally good functioning of all his physiological systems, it implies a good emotional balance and also in an environmental situation favorable to good practice. Imagine that, if for a young person, a minimum disturbance in any of the above conditions (biological, psychological and social), there is already a fall or even impossibility in sexual intercourse, for the elderly the impact of any change, however small, is much bigger.

It depends on the importance that sex has in her life. I like to say that sex is a problem, if it causes some kind of discomfort for the patient. If it doesn’t, it shouldn’t be treated as a problem. So, if the lack of sex bothers you, it should be investigated and treated. If it doesn’t bother you and it doesn’t cause any major problems in your life, it doesn’t need to be treated. The pros and cons will vary according to the situation of each sexuality disorder. If the person is exposed to some type of illness or if it negatively affects their relationship, either due to lack or excess of sexual activity. Everything must be individualized. The recommendation is that it should always be carried out safely.

The first step is to check whether this complaint is part of normal aging or not. In not doing, which is the reality most of the time, one must investigate and treat the cause (s) of the problem. In the vast majority of times, they are faced with treatable causes and frequently, the problem is not in one of the people, usually being something that needs action in the couple.

The same as someone in another age group, with the particularity that given the higher prevalence of diseases in this age group, the use of any supplement or medication related to sexual practice should be carried out with the knowledge and under the guidance of a qualified professional for such.

For women, with the drop of estrogen after menopause, there is a reduction in vaginal lubrication and blood circulation to the genital region. This implies a need for more prolonged stimulation in the arousal phase and also a more gentle mobilization of the entire genital region (especially the clitoris) to achieve the degree of lubrication and arousal necessary for a satisfactory relationship. During orgasm, shorter and less intense contractions occur, but age does not imply a total absence of orgasms. Many older women still experience multiple orgasms.

Men, in turn, evolve with the maintenance of sexual interest, despite a decrease in the frequency with which they perform. The fact is, the way they viewed sex throughout their lives is what usually determines the way they behave towards it in old age. Objectively, there is a decrease not only in behavior, but also in relation to the stages of sexual intercourse. The erection takes longer to start and ejaculation tends to occur later. Orgasm tends to be less in intensity and duration, and the latency period, or refractory period (the time it takes to be fit for a new relationship after having had one), tends to be longer. Anyway, erectile dysfunction is not part of natural aging, and is usually caused by either a health problem or an adverse effect of some treatment (prostate surgery, for example).

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