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A digital illustration depicts an elderly couple holding hands. Beside them, the text reads "STI RISK IN OLDER ADULTS." In the bottom right corner, there is an image of 10 almonds. The background is light blue with a white circular backdrop behind the couple, highlighting the rise in STIs among older adults.

Why STIs Are On The Rise In Older Adults

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Three Little Words

Sexually Transmitted Infections (STIs) are often thought of as something that predominantly plagues younger people… The truth, however, is different:

❝Rising divorce rates, forgoing condoms as there is no risk of pregnancy, the availability of drugs for sexual dysfunction, the large number of older adults living together in retirement communities, and the increased use of dating apps are likely to have contributed to the growing incidence of STIs in the over-50s.

These data likely underestimate the true extent of the problem as limited access to sexual health services for the over 50s, and trying to avoid the stigma and embarrassment both on the part of older people and healthcare professionals, is leading to this age group not seeking help for STIs.❞

~ Dr. Justyna Kowalska

Read more: Managing The Rise In STIs Among Older Adults

That said, there is a gender gap when it comes to the increased risk, for example:

❝A retrospective study from the USA involving 420,790 couples aged 67 to 99 years, found that widowhood was associated with an increased risk of STIs in older men, but not women❞

~ US Dept of Health & Human Services

Source: CDC: | Sexually Transmitted Disease Surveillance

Is abstinence the best preventative, then?

It is inarguably the most effective, but not necessarily the best for everyone.

This is because for most adults, a healthy sex life is an important part of overall wellbeing.

See also: Mythbusting The Big O

Even in this case there is a gender gap in:

  • the level of importance placed on frequency of sexual interactions
  • what act(s) of sexuality are held to be most important:

❝Among sexually active men, frequent (≥2 times a month) sexual intercourse (P < .001) and frequent kissing, petting, or fondling (P < .001) were associated with greater enjoyment of life.

Among sexually active women, frequent kissing, petting, or fondling was also associated with greater enjoyment of life (P < .001), but there was no significant association with frequent intercourse (P = .101).

Concerns about one’s sex life and problems with sexual function were strongly associated with lower levels of enjoyment of life in men and to a lesser extent in women.❞

~ Dr. Lee Smith et al.

Source: Sexual Activity is Associated with Greater Enjoyment of Life in Older Adults

If you have the time to go into it much more deeply, this paper from the Journal of Gerontology is much more comprehensive, looking also at related lifestyle factors, religious/political backgrounds, views on monogamy or non-monogamy (of various kinds), hormonal considerations, the impact of dementia or other long-term disabilities that may affect things, widowhood, and many other elements:

The National Social Life, Health, and Aging Project: An Introduction

What’s the best preventative, then?

Regular health screening for yourself and your partner(s) is an important key to preventative health when it comes to STIs.

You can Google search for a local STI clinic, and worry not, they are invariably discreet and are well-used to everybody coming in. They’re just glad you’re being responsible about things. It’s also not their job to judge your sexual activities, even if it’s something you might have reason to wish to be secretive about, try to be honest there.

Secondly, most of the usual advice about safe sex still goes, even when there’s no risk of pregnancy. For example, if there’s at least one penis involved, then condoms remain the #1 barrier to all manner of potential infections (we know, almost nobody likes condoms, but sometimes the truth isn’t what we want to hear).

Lastly, if there’s at least one vagina involved, then please for the love of all that is holey, do not put anything there that could cause a yeast infection.

What can cause a yeast infection? Pretty much anything with sugar, which includes but is not limited to:

  • Most kinds of food that Cosmo-style “liven things up in the bedroom” advice columns might suggest using (including fruit, honey, chocolate sauce, whipped cream, etc)
  • Hands that are not clean (watch out for bacteria too)
  • A mouth that has recently been eating or drinking anything with sugar in it, and that includes many kinds of alcohol, as well as milk or hot drinks that had milk in

Yeast infections are not nearly so serious as the STIs the other measures are there to avoid, but they’re not fun either, so some sensible policies in that regard are always good!

On a related note, see also: How To Avoid UTIs

Recap on the single most important part of this article:

At all ages, it remains a good health practice—unless one is absolutely celibate—to regularly get oneself and one’s partner(s) checked for STIs.

Take care!

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