In terms of behavioral strategies that patients can use, health care providers don't have to be experts in human sexuality to discuss options. Patients should be reminded that basic changes in diet and exercise and cessation of alcohol use or smoking have a positive impact on libido and sexual functioning. For men, testosterone levels are highest in the morning, so scheduling sexual activity in the morning can be helpful. Testosterone levels can also rise in anticipation of sexual activity and after engaging in it, which supports the idea that being more sexually active will help one remain more sexually active. If an elder is suffering from arthritis, a hot bath prior to sex can loosen joints and increase comfort for an hour or so.
Prolonged foreplay can enhance sexual arousal in both men and women.
Stroke victims can work with a physical therapist to find a footboard or use other strategies to increase mobility. Making changes in sexual positions can also help partners adapt to various disabilities. Vaginal dryness is very common and can be remedied by allowing more time for the woman to get aroused and by using lubricants that are available over the counter. Kegel exercises can be utilized to strengthen the muscles of the vaginal floor, which can enhance sensation and orgasm. Again, communication is a huge key to decreasing a sense of failure, anxiety or pressure.