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Third, declines in immigration have reduced population momentum by limiting the number of young adults of reproductive age who are moving to the United States and starting families. The number of women ages 25 to 44 increased by 35 percent (from 31.8 million to 42.9 million) from 1980 to 2017, but is projected to increase by only 15 percent between 2017 and 2060 (to 49.3 million). Slower growth in the number of women of reproductive age, in combination with falling fertility rates, is resulting in fewer births and children relative to the number of older adults in the population.
Women live longer on average than men in the United States and in nearly every country in the world. But in the United States, the gender gap among older adults has shifted during the past century. At the turn of the 20th century, there were 102 older men (ages 65 and older) per 100 older women. By 1990, the sex ratio among the older adult population had fallen to 67, its lowest recorded level.5 Since then, the sex ratio among adults ages 65 and older has rebounded and is projected to increase to 81 by 2020 and to 86 by 2060.
Female hypoactive sexual desire disorder (HSDD) may occur in up to one-third of adult women in the US. The essential feature of female HSDD is a deficiency or absence of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty. The evaluation of female HSDD generally requires careful and thoughtful consideration of the patient and the multitude of factors that impact on the various components of adult female sexual desire. Several female reproductive life experiences may uniquely affect sexual desire. These events include menstrual cycles, hormonal contraceptives, postpartum states and lactation, oophorectomy and hysterectomy, and perimenopausal and postmenopausal states. Sexual dysfunctions in women have strong positive associations with low feelings of physical and emotional satisfaction and low feelings of happiness. Thus, female HSDD can greatly impact on quality of life. In this article, treatment options are discussed with special attention to significant reproductive life events that may impact on sexual desire in adult women. Depending on the particular phase of reproductive life that a woman is experiencing, different recommendations are made. Various options in the treatment of HSDD in women include lifestyle changes, treatment of coexisting medical or psychiatric disorders, switching or discontinuing medications that could impact on sexual desire, hormone therapy and marital therapy. Clinical trials are presently underway to assess medications that may potentially benefit female patients with HSDD.
Older men who had sex once a week or more were much more likely to experience cardiovascular events five years later than men who were sexually inactive, the study found. This risk was not found among older women.
For women, it was a different story. Female participants who found sex to be extremely pleasurable or satisfying had lower risk of hypertension five years later than female participants who did not feel so.
Despite stereotypes to the contrary, many older women have active sex lives into their 70s, a new poll shows. But health concerns, including menopause symptoms, often get in the way of intimacy, according to the new results from the University of Michigan National Poll on Healthy Aging.
Even so, only 44% of women with menopause symptoms have discussed treatment with their health care provider. Among those who did receive treatment, 88% felt their symptoms were managed somewhat or very well.
Meanwhile, women over 50 who have other health issues, or who say their mental or physical health are fair or poor self-reported, were more likely to report less satisfaction with their sex lives. And 1 in 4 women over 50 said their partner's health interfered with their own ability to be sexually active.
"Women over 50 who experience menopause symptoms or other health concerns that interfere with sexual activity should absolutely speak up to their health care providers and find out what their options might be," said Morgan. "Often women and their partners overlook the intertwined nature of physical and mental health, and sexual health and the ways menopause-related symptoms can have an impact on sexual activity. It's important to understand what your treatment options are, and which ones might be appropriate for your needs and goals."
Menopause symptoms affected 84% of the women in the past year, with 35% saying that they'd experienced four or more symptoms from a list of eight symptoms. Sleep problems (56%) and weight gain or slow metabolism (55%) were the most common, followed closely by reduced sexual drive (48%). Hot flashes and night sweats affected 41%, mood swings and irritability were reported by 38%, urinary tract infections by 16% and smaller percentages reported other symptoms.
"In all, 28% of women over 50 told us that their menopause symptoms interfere with their ability to be sexually active, and there was not a major difference between the two age groups," she said. "Meanwhile, other types of health problems interfered with the sex lives of 17% of these women. Women reporting menopause symptoms or health problems were less likely than other women to say their satisfied with their level of sexual activity."
The poll finds that 43% of women over 50 say they've been sexually active in the past year, using the poll's definition of caressing, foreplay, masturbation, or intercourse. The percentages were higher among those aged 50 to 64 compared with those aged 65 to 80 (53% vs. 30%) and those who are married or have a partner compared with those who do not (58% vs. 26%).
The poll also shows that 52% of older women who are not sexually active said they're satisfied with their sexual activity, compared with 74% of those who are sexually active. Among those who aren't sexually active despite having a partner, 50% said they were satisfied with the level of intimacy in their relationship.
"We've found in previous AARP research that women don't know as much as they should about the conditions leading up to menopause and healthcare providers are not proactive in initiating the conversation about this life transition," said Teresa A. Keenan, Ph.D., Director of Health Security Research, AARP Research. "As this new report notes, it's important for women to feel empowered to take control of their own health and to initiate discussions with their health care provider, including discussions around sex and intimacy, to contemplate potential treatment options. With many years of post-menopausal life ahead, their concerns are too important to ignore."
The poll report is based on findings from a nationally representative survey conducted by NORC at the University of Chicago for IHPI, and administered online and via phone in January and February 2022 among 1,206 women age 50-80. The sample was subsequently weighted to reflect the United States population. Read past National Poll on Healthy Aging reports and about the poll methodology.
This paper is the first to show that excess mortality among adult women can be partly explained by strong preference for male children, the same cultural norm widely known to cause excess mortality before birth or at young ages. Using pooled individual-level data for India, the paper compares the age structure and anemia status of women by the sex of their first-born and uncovers several new findings. First, the share of living women with a first-born girl is a decreasing function of the women's age at the time of the survey. Second, while there are no systematic differences at the time of birth, women with a first-born girl are significantly more likely to develop anemia when young (under the age of 30) and these differences disappear for older women. Moreover, among those in the older age group, they appear to be significantly better off in terms of various predetermined characteristics. These findings are consistent with a selection effect in which maternal and adult mortality is higher for women with first-born girls, especially the poor and uneducated with limited access to health care and prenatal sex diagnostic technologies. To ensure the desired sex composition of children, these women resort to a fertility behavior medically known to increase their risk of death. The observed sex ratios for first births imply that 2.2-8.4 percent of women with first-born girls are' missing' because of son preference between the ages of 30 and 49. 041b061a72