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. Author manuscript; available in PMC: 2021 Jan 11.
Published in final edited form as: Curr Sex Health Rep. 2020 Oct 29;12(4):381–388. doi: 10.1007/s11930-020-00278-0

Table 2.

Sexual problems and treatments in aging men and women

Sexual problems Treatment
Men
 Erectile dysfunction

  • Lifestyle modifications similar to those for cardiovascular disease (e.g., exercise, smoking cessation, improved diet)

  • Testosterone replacement therapy (e.g., injections, topical agents, intranasal spray)

  • Phosphodiesterace-5 inhibitors (e.g., sildenafil)

  • Intracavernosal injections

  • Vacuum-assisted erection devices

  • Penile prosthesis

  • Stem cell therapy
 Hypogonadism (decreased libido)

  • Testosterone supplementation

  • Topical/transdermal, parenteral, intramuscular, oral preparations
Women
 Decreased libido

  • Estrogen replacement and testosterone replacement therapy

  • Selective estrogen receptor modulators

  • Phosphodiesterase-5 inhibitors (e.g., sildenafil)

  • Nutritional supplements (e.g., ArginMax)
 Vulvovaginal atrophy (e.g., dyspareunia)

  • Topical agents, e.g., vaginal lubricants during sexual intercourse

  • Estradiol vaginal creams

  • Sustained-release estradiol vaginal ring

  • Oral estrogen

  • CO2 laser therapy (e.g., MonaLisa Touch)

  • Selective estrogen receptor modulators