Sexual health in postmenopausal women—a report of the meeting women of a certain age: the unspoken symptoms, held at the Royal College of Obstetricians and Gynaecologists, London, on March 11, 2008. A mix of health-care workers of differing backgrounds came together to raise awareness among colleagues in frank and open discussion of the sexual health issues that affect older women. This subject is not on the agenda for many consultations with older women, but as they say, the first step is acknowledging the problem. Doctors need to be aware of postmenopausal genital disorders and ask patients if they are living with any symptoms, because the patient might never ask.