In the aged women, beginning after the menopause, sexuality will be declining in a high percentage. The reasons are many: bad state of health, complaints, decrease of fitness, genital atrophy, gynecological operations, partner problems, and others. On the other side, sexuality can be maintained up to high age. In any case is the demand for affection, tenderness, love and sexual relations nearly ... [Show full abstract] always present, and its realization should not be inhibited. The sexual reactions are decreased and retarded. Therefore often a change of the role and behaviour pattern of the partners is necessary in the sexual contact. The partners should know their mutual problems and desires, show understanding and should adjust to each other. Counselling, behaviour therapy and treatment with sexual hormones can help to solve the problems.