'You're as young as the one you feel' - Sexual Arousal in the Elderly Woman

Prof. Alessandra Graziottin

Sexual arousal encompasses three major aspects: a) central (mental) arousal, with a massive neurobiological activation of the sensory cortex, the amygdale and the cingulated gyrus which correlates with the feeling of being aroused; b) peripheral–non genital arousal; c) genital arousal. The biological basis of sexual arousal is gradually impaired by age. Menopause has a further detrimental effect, the earlier its onset, the stronger its impact, unless a well tailored hormonal therapy is initiated .

Conflict of Interest: None disclosed
Financial Support/Funding: None disclosed
Recorded: Sydney, Australia, April 2007

Alessandra Graziottin
Alessandra Graziottin
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Prof. Alessandra Graziottin

Alessandra Graziottin is currently Director of the Centre of Gynaecology and Medical Sexology at the H. San Raffaele Resnati in Milan, Italy. Since 2008, Dr Graziottin is Founder and President of the Alessandra Graziottin Foundation for the cure and care of pain in women Onlus. Dr. Graziottin has published: 16 scientific books (as author, co-author or editor); 60 chapters of scientific books; 60 refereed papers, 216 proceeding contributions and non refereed article. She is currently a member of the Editorial Board of Maturitas, Journal of Men’s Health and Gender, Current Sexual Health Reports, The Journal of Sexual Medicine, and referee of The Lancet, The Journal of Sex and Marital Therapy, Climacteric, Maturitas, The Journal of Sexual Medicine, The Journal of Endocrinological Investigation and The Journal of Gynaecological Endocrinology. 

After serving on the Board of the Italian Menopause Society from 1997 until 2001, as Vice President of the Female Sexual Function Forum, FSFF (2000-2001), and as President of the International Society for the Study of Women’s Sexual Health, ISSWSH (2001-2002), she is currently a board member of the following Scientific Societies: the Italian Society of Psychosomatic Obstetrics and Gynaecology (ISPOG), the European Society of Menopause and Andropause (EMAS), the Italian Society of Gynaecology of the Elderly (SIGITE) and the International Society for Sexuality and Cancer (ISSC). She also serves on the executive committee of the Italian Menopause Project (IMP). In June 2004 she was awarded the Honorary Membership by the Society of Obstetricians and Gynaecologists of Canada (SOGC).

As a leading expert and teacher in Gynaecology and Medical Sexology, she has given more than 720 lectures at international and national meetings and courses. In October 1998 she contributed as a board member to the First International Consensus Conference on Female Sexual Dysfunction (FSD), held in Boston. In 2003 she assumed this role for the Second International Consensus Conference on FSD, in Paris, France. In 2005-2006 she chaired the FSD Sub-Committee of the International Society for Sexual Medicine (ISSM). The pertinent proceedings have been published in: Porst H. Buvat J. (Eds), ISSM Standard Committee Book, Standard Practice in Sexual Medicine, Blackwell, Oxford, UK, 2006. She is currently member of the Ethical Committee of the International Society for Sexual Medicine (ISSM).

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WAS - World Association fro Sexual HealthSociety of Australian SexologiestsAustralian Centre for Sexual HealthashnAOFSCSEPI - Council of Sex Education and Parenthood (International)SASSM