Abstract
We sought to 1) determine the prevalence of sexual activity and disorder symptoms; 2) identify sociodemographic and health factors associated with sexual activity; 3) describe views regarding seeking sexual healthcare services. Data on socio-demography, medical history, menopausal status, and sexual activity were obtained from 272 clinic attendees, ≥ 50 years old. Forty-one percent reported sex in the last 12months. The majority who did not have sex cited ‘no partner’ as the reason. Low desire and weak/absent orgasm were the most common disorders. Nine percent would not tell the doctor about a sexual problem if asked. Every 1 year increase in age was associated with 7% reduction in odds of sexual activity. Married women were 2.72 times as likely as unmarried women to report sexual activity. Needs of middle-aged and older women should be considered when designing and delivering sexual health services. Reluctance in seeking these services may warrant provider-initiated approaches.