Dementia »

… elsewhere on the site, are likely to have developed earlier in life with people who suffer from Vascular disease.

You might consider talking about these things now when you are well. In this way, should the worst ever happen, your partner(s) will be aware of your wishes and will feel more confident and able to deal with any difficulties which arise.

The issues which a partner/carer may have to contend with include the following:

Interest in sexual activity may diminish or end …

Stroke »

… of the brain damaged and the extent of the damage.

Older people and Stroke

Persons with Vascular disease or high blood pressure (hypertension), both of which can lead to stroke, may have experienced some degree of sexual difficulties caused by these. It is always important to report this type of physical change to your doctor as it may indicate an underlying cause which can be dealt with before it becomes more serious. This may even improve your chances of avoiding a stroke. With …

Unable to Orgasm (Anorgasmia) »

… As in men, the equivalent being erection, this may be the result of other conditions such as vascular disease or the impairment of the nervous system for various reasons.

Lack of lubrication and changes to the lining of the vagina can result from the menopause. Psychological factors which prevent the development of arousal or the experience of orgasm can be numerous too, and these are outlined in more detail under the Arousal section of this web site.

The physical causes may be …

Can’t Get / Keep an Erection »

… of both.

Physical (organic) causes of erectile dysfunction

These include:


Vascular: Anything that affects the flow of blood to the penis can result in erectile dysfunction. The main culprit tends to be atherosclerosis, the condition that narrows arteries and which can result in poor blood circulation, high blood pressure, heart disease and stroke. Atherosclerosis causes about half the cases of erectile dysfunction in men over 50. Also, the veins …