**12.1 Sexuality and spirituality**

*Quality of Life - Biopsychosocial Perspectives*

complex issue and requires sensitivity [35].

due to social pressure, they may feel trapped [36].

**11. Marriage after living together**

**11.1 Divorce**

**11.2 Remarriage**

**11.3 Families**

period to strengthen pelvic floor muscles. The eventual benefits of cesarean delivery

After marriage, couple's start taking one another for granted. At times when marriages happen due to social pressure, couple may start taking one another for granted after marriage. When marriage happens after a period of open relationship

The rates of divorce have increased in all age groups in the recent times. Life after divorce requires emotional, social and sexual adjustment. Individuals spending most of their lives in wedlock, finds it difficult to adjust to singlehood. Many people are so adjusted to think their adult life as couple, they take time to get used to singlehood. It is confusing and perplexing for people to learn divorced role. Divorce leads to decline in life style in some people while in others it may lead to sexual liberty. Spiritual values and Literacy levels determines the number and frequency of partners [36].

Multitude of factors influences the likelihood of remarriage. Younger the person,

The attitude of parents about sexuality has a significant impact on sexual wellbeing. Attitude of parents as well as siblings about nudity, masturbation, willingness to discuss about sex and homosexuality all contributes to the development of sexuality of an individual. Relationship of the parents with the individual as well as the partner also influences sexuality. Distorted intrafamilial relationship, lack of discipline, overcrowding, lack of warmth, unusual helplessness and withdrawal

Sexuality is an important aspect in Geriatric population. Elderly individuals look sexuality as a means of expression of passion, love, admiration and loyalty.

from society may lead to certain deviant sexual behavior [36].

**12. Sexuality in geriatric population**

there is more probability of remarriage. About 89% who separate under the age of 25 remarry, it decreases to 31% after 40 years. Shorter the duration of first marriage, there are more chances of remarriage. Other factors are the age at first marriage, younger a person at first marriage, more probability of remarriage [36].

The research makes it evident, that experiencing sexual satisfaction by pregnant women improves their self-esteem, facilitates mutual relationship between partners and tightens the marital bond. There are various factors that may be influencing the lack of dialog initiated by prenatal health-care providers with their pregnant patients and partners regarding sexual activity during pregnancy. For one, our society at large often deemphasizes the sexuality of pregnant women, finding the discussion of sex during pregnancy to be a taboo. Moreover, Hinchcliff et al. noted that prenatal care providers may avoid discussing sexuality proactively as it is a

on sexual function do not last longer than a few months after childbirth.

**58**

The popular belief is that sexuality and spirituality exists in opposition, but in reality spirituality and sexuality go hand in hand. If we look at different geographical areas, there is lot of literature in Chinese Taoist tradition about practices bringing Yin (Feminine) and Yang (Masculine) in harmony. In Indian literature there is mention about energy generated in the pelvic region moving upwards through chakras to the crown, where one enters the cosmic orgasm generated eternally by union of Shakti and Shiva. In psychotherapeutic perspective, people believe that sexuality is something sin and it should be removed or cured. What spirituality should do is to help these people move from the belief that sexuality is sin to enjoying it as an integrated energy for passionate living [37].
