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Individuals who are lonely sometimes replace actual sexual relations with the use of pornography.

This becomes important as pornography may negatively affect sexual performance over time.

Finally, low levels of testosterone for men and low levels of dopamine and serotonin in men and women can play a role.

For both genders, loneliness reduces the amount of time spent with other people and the opportunity for interactions with others and intimacy.

Metabolic conditions such as diabetes and obesity reduce sexual activity.In fact, diabetes hastens sexual decline in men by as much as 15 years.Large body mass and poor body image ruin intimacy, which is core to the opportunity for having sex.Shervin Assari does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.Sex has a strong influence on many aspects of well-being: it is one of our most basic physiological needs.

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Many older adults do not engage in sex because of shame and feelings of guilt or simply because they think they are “too old for sex.” However, it would be wrong to assume that older adults are not interested in engaging in sex.

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