Rape is a problem in retirement homes. Someone willing to have sex with you isn't social confirmation of desirability. Rape is a frequent problem with sleazy male CNAs/orderlies in nursing homes.  These are attacks mainly on demented, incontinent, unwilling patients who can't report what happens to them.  The fact that someone, somewhere is willing to have sex with you isn't proof of desirability.  "Alive, nominally human, and couldn't fight me off" is good enough for some sleazebags.  "Alive" is optional for others (as funeral homes must vet their workers for just this reason.)  And "human" isn't required for others. Self-worth isn't dependent on someone's willingness to have sex with you.  It's dependent on your behavior and actions.