In 1975, the World Health Organization (WHO) made the following declaration,
"There exist fundamental rights for the individual, including the right to sexual health and a capacity to enjoy and control sexual and reproductive behavior in accordance with a social personal ethic:
-- freedom from fear, shame, guilt, false beliefs and other factors inhibiting sexual response and impairing sexual relationships
-- freedom from organic disorders, disease and deficiencies that interfere with sexual and reproductive function
Despite this viewpoint, and more than two decades later, many challenges remain to achieving the vision of sexual health espoused in this declaration. Sexual health, particularly for men and women age 40 and older has only recently been openly discussed. Poor understanding regarding the underlying causes of problems with sexual health, lack of viable treatment options, and the stigma associated with discussing these problems among this age group were an impediment to progress.