ABSTRACT

This chapter challenges phallocentric, ageist discourses about older people's sexuality by critiquing the idea that sexual rights in older age are synonymous with the right to access medical intervention to continue youthful and normative forms of sexuality. It traces the emergence of phallocentric discourses and their influence on sexuality and ageing. The chapter presents the perspectives of medical specialists to examine how decisions about 'the legitimate patient' are made, showing how understanding access to treatment for age-related erectile decline (ARED) as the cornerstone of seniors' right to sexuality actually limits their sexual expression. It examines how Viagra has affected older women's sexuality, especially in terms of gendered power imbalances. The chapter emphasizes the importance of addressing psychological and relationship factors that impact on erectile function and partner interest in sex. It explores the ways in which a cultural perspective enables masculinity, sexuality and Viagra to be understood differently and focuses on Viagra and heterosexuality.