Physiological aging in older women it is not necessarily the cause of a change in their sexual attitudes. The organic changes, during concomitant illness, is often known to be the cause of sexual dysfunction, when present. Psychosocial factors are also very important in determining sexual dysfunction. Successful management of sexual dysfunction in older women is totally dependent on clinical history, physical examination of genitalia, personal interview. A multidisciplinary team approach is required for otimal management of sexual problems in elderly women.