In this paper we will discuss about sexuality in people with dementia, trying to show difficulties that arise and that affect the patient, his or her partner, the family and the geriatric institute if the patient lives there. Five clinical cases are described and deeply analyzed. Many times psychotropic medications are central in the treatment plan for people with dementia and some kind of sexual difficulty; but this is not enough. We think that it is necessary to combine pharmacologic approaches with others from human sciences that fit with our patients' difficulties.

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