Sometimes, however, fears of social disapproval and worries about unattractiveness or sexual performance may lead a couple to give up sexual activity prematurely. An understanding of the sexual problems of old people is badly needed, particularly in view of increased longevity. The physically and mentally handicapped are other groups whose sexual problems need special understanding. In many areas the last few years have seen an encouraging trend toward greater availability of specialist help. . Stages in Adult Sexuality Sexual activity among Western adults commonly corresponds to a four-stage pattern.
Premarital intercourse is common.
Embarrassment and secrecy about sexual activity disappear. Family, friends and media apply pressure to marry. The level of sexual activity is high. Many couples experiment with different sexual techniques. Birth of children may be followed by a decline in eroticism.