Exploration of Cognitive Changes in Aging Individuals with Dementia

DEAR ABBY: I am concerned about a dear friend who has a diagnosis of mild dementia. She has no family here. Her closest relatives are four hours away, and she has minimal contact with them. She was widowed 40 years ago and hasn't dated.

She always said she had no interest in that. She is deeply involved in our community and has a wide, varied circle of friends. My concern is that while she has always been active in different events -- the arts, music, adult ed classes -- she is now VERY interested in men.

She has spoken to me about her desire for a sexual relationship. She's 82. I am at a loss about what to tell her and worried about the consequences if she does find a man willing and able. I feel strongly that her desire is a personality change as a result of dementia.

Any advice would be appreciated. -- DIFFERENT NOW IN IOWA DEAR DIFFERENT: Your friend is well enough that she is active in your community. Talk further with your friend about this. She doesn't have to worry about a pregnancy, but STDs among seniors have more than doubled in the United States in the last decade.

Syphilis, gonorrhea and chlamydia are all on the rise. Lack of knowledge and low condom use are driving these statistics. Seniors have a right to a sex life if they wish, but they should be well informed before starting one.

Urge your friend to speak with her gynecologist before starting any intimate relationship.