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And for sexually active people in middle age, there is often a significant lack of knowledge.” For now, until sexual health education is more widely available, there are plenty of support services including GPs, well woman/well man sexual health clinics and the Guide Clinic at St James’s Hospital.

The IFPA offers free advice, and there are plenty of online services such as Healthy

“Our advice would be that the first thing to consider when starting with new partners is to ensure you have safer sex with condoms.” But condoms don’t protect against everything, so the recommendation from the IFPA would be that if in sexual relationships you need to have testing twice a year.

“Obviously the people I see are a self-selecting group who are sexually active and attending our services, but certainly I would see a lot more people in the 50-plus [group] who are openly talking about their wants and needs and their problems with it, which is great,” explains Henchion.

But emerging from a marriage or long-term relationship where the partner may have had other sexual partners means that STD screening is imperative.

“Discovering an unfaithful partner is a really common reason that we see older women coming to our clinics for screening,” says Henchion.

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Amid constant talk of falling fertility as we age, many women are confused about their contraception needs.The recommendation is that anyone who is sexually active needs regular screening.This seems to be something that many women feel unable to do.This lack of knowledge about sexual health needs is apparent not just in the number of unplanned pregnancies in older women, but the rise of STDs in that age group as well.According to Henchion, advice from GPs can sometimes vary in quality and quantity, and so any sexually active woman over the age of 40 needs to seriously consider both her health risks and contraception needs.

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