A sad old man, other than the obvious definition, is what some female vaginas look like. This is because of there resemblance to a wrinkly old guys face. They can also be heading south some what like a pensioners face does.
As the middle aged women lifted her skirt to receive her smear test the doctor cried "ewww, it looks like a sad old man!"
by Likeable Guy August 31, 2009
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