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Issues of sexuality in the elderly.

CASE 1 A vibrant, robust 75–year-old widower visits his doctor for a routine check-up. As the doctor reviews the patient’s pillboxes, he notices a small Tylenol bottle with a large ‘V’ inscribed on it. The patient explains, “That’s for my lady friends in Florida.” The perplexed doctor’s look evoked further explanation: “My urologist gave me viagra for when I’m in Florida, I have a few lady friends that I visit with.” During the summer, the patient lives with his daughter in Rhode Island, which doesn’t allow for much privacy. In the winter, he lives alone in his condominium in Florida, giving him plenty of opportunity for sexual intimacy with his lady friends. This healthy and physically active elderly gentleman remains sexually active with the help of medications to treat his mild erectile dysfunction (ED). CASE 2