In addition, a therapist can encourage older persons to accept these changes as normal and make the necessary adaptations so that sexual relationships can be enjoyable in later years. One suggestion by researchers are slower but longer sexual activity which includes longer foreplay, more intense stimulation of the genitals, and the use of lubrication gels. Communication skills are also recommended so that couples can learn what gives their partner the most pleasure and satisfaction. Another researcher suggests that some elderly couples may want to develop appropriate substitutes within their sexual relationships, especially for those who have ill health that results in sexual difficulties. The fear of loss of physical attractiveness may also be a concern that is not revealed until therapy for a small majority of older couples.
Research data show that older people prefer someone of their own age as a preferred sexual partner.
Other examples suggested are sexual positions which take into account physical needs, oral stimulation, non sexual relationships, psychological stimulation including fantasy sharing, and mutual masturbation. Sexual consequences of disability. A counseling guide for physicians. The cross-cultural and historic context. The activating effect of L-Dopa treatment on sexual functions and its experimental background.