Over-70s still sexually active…But STIs are on the rise

The majority us probably think that people tend to lose all trace of a sex life as they get older, and certainly the thought of our grandparents being intimate would be the last thing on our mind…but it seems more and more people into their 70s, 80s and beyond, are maintaining fairly active sex lives.

The findings of a recent study suggest that adults over the age of 70 are having sex at least twice each month. In addition to this, rates of sexually transmitted infections (STIs) such as syphilis and genital warts seem to be spiralling amongst older people.

Reporting in ‘The Conversation’, Sharron Hinchliff, Senior Lecturer, School of Nursing and Midwifery, University of Sheffield, argues that sex amongst older adults should be more openly discussed, given the statistics.

She says: “A report published earlier this year found that those with a sexual partner tended to rate their quality of life as higher than those without one, although some studies have placed greater emphasis on relationship status and social engagement. When I interviewed a number of over-50s about their (heterosexual) sex lives for a qualitative study, I found that many who were still in sexual relationships rated them as very or extremely important.

The reasons for the participants’ emphasis on sex included strengthening their relationship with their partners but also pleasure. For some women, sex had improved with age, which they related to feeling more relaxed because they had more sexual experience and no longer feared becoming pregnant.”

Sharron also argues that sexual health campaigns tend to primarily focus on the younger demographic, as these are the ones at risk from not only sexually transmitted infections, but unplanned pregnancies following the failure to use condoms.

Between the years 2009 and 2013, STI rates within the the over-45s increased across different diseases, with an 11% rise in genital warts amongst men aged 45-64, and a staggering 500% rise in syphilis cases for women over the age of 65. According to Sharron, “The majority of diagnoses of all STIs in the older age groups were in men, but gonorrhoea and syphilis were highest among heterosexual women and men who have sex with men.”

She continued: “As a result, some sexual health campaigns are now being aimed at older people.
This year’s Sexual Health Week in the UK is focused on sexual pleasure and well-being – and one of the campaign’s five strands is aimed at educating professionals and the public about the sexual well-being of older people.

Campaigns that promote sexual pleasure are new, even though the idea of incorporating pleasure into sexual health materials is not.

Young people in the UK are only just seeing such messages so it’s great that the sexual pleasure of older people is now being recognised too. But infectious disease is only one factor that can affect pleasure and well-being.

Long-term conditions and some sexual difficulties are more likely to be diagnosed in our 50s or later.
These include erectile dysfunction, which affects around 30 per cent of men aged 65-74, and uncomfortable vaginal dryness, experienced by 20 per cent of women in the same age group.”

Previously, it could be assumed that the older generation may struggle to meet prospective new partners for sex, particularly after experiencing poor health or becoming widowed, but Sharron sheds light on this.

“There is evidence that some older people are embracing technology and going online to meet potential partners for a sexual relationship. One survey found that 38% of people aged 50-59 and 37% of those aged 60-69 had met their partners online.

We should perhaps also reconsider what we think about as sexual activity when it comes to older people. For one thing, many older people engage in masturbation for sexual pleasure, countering the notion that it is a sexual act pursued only by the young. But there is also evidence that ideas about what activities count as sexual become broader as we age. For some, actions such as playing footsie under the breakfast table can give the intimacy that sexual activity previously had.

While research into the sexual well-being of older people is growing, there are gaps that wait to be filled, particularly the ways that ageing intersects with gender identity, sexual orientation, social class, disability and ethnic group. Exploring these areas will develop our understanding of sexual pleasure in older age, and better inform services for those to whom sex is important.”

Pensioners given sexual health advice as STIs increase

The thought of anybody who happens to be over the age of about 50 having sex, may be unthinkable to some people, but shock horror, it does happen! In fact due to advancements in healthcare, increasing gym memberships and people starting to look after themselves better compared to recent years, there is a new age of fit, sexually-active over-60-year olds who are giving the younger generation a run for their money.

This shift towards a young mentality has prompted one council to launch their first ever sexual health strategy, kicking-off last week and which also happened to fall during Sexual Health Week, which we covered here.

It is Croydon Borough Council who is the concerned party, and has now created a ‘sex at 60’ leaflet, warning OAPs about the dangers of casual sex with multiple partners. Labour Councillor Maggie Mansell argued this action was necessary as pensioners are generally more ‘fitter’ and ‘active’ now than ever.

When speaking to a local Croydon newspaper, the Councillor said, “The over 60s are fitter and more active than previous generations. They started their sex lives after the pill and before Aids and did not get used to using condoms. The over-60s do not need contraception but they do need modern advice.”

She advised the council on the importance of the pamphlet, so that the over-60s are warned that regardless of age, the dangers of sexually transmitted infections (STIs) are still very high if they engaged in unprotected, casual sex.

The need for action may stem from a particular 2010 report released from the Health Protection Agency (HPA), which documented a gradual increase in the number of people in their 50s, 60s, 70s and 80s having sex with new partners from the year 2000.

The same report also stated how all five major STIs had seen a rise within older people. In particularly those aged 45 to 64 years of age had seen the biggest increase in herpes, syphilis, chlamydia and genital warts between 2000 and 2009. This same age group had the second largest increase in gonorrhoea, bettered only by the over-65s, which alone proves that everybody can contract an STI; it is not just teens who are at risk like so many assume.

In what could empathise how the problem seems to be escalating, the HPA found that cases of syphilis in 45 to 64-year-olds spiralled ten-fold from a mere 52 in 2000, reaching 503 in 2009. In the over-65s, cases of the same STI more than quadrupled from just 7 in 2000 to 32 in 2009.

Now the borough’s new sexual health strategy will hopefully bring these figures down. Key figures in the schemes admit whilst the plans were mainly aimed at younger people in the community, provisions would be made to cover all ages. Some of the new plans include widening the provision of condoms through pharmacists for the under-25s and other ‘high-risk’ groups, delivering sexual health drop-in clinics at various colleges, increasing the number of pharmacies providing sexual health services and increasing the number of centres that offer chlamydia screening and free treatment.

Tory Councillor Margaret Mead, the cabinet member for adult services and health, commented on the plans for better sexual health, saying, “This strategy is about improving the health and well-being of communities and ensuring residents have the knowledge to make the right choices regarding their sexual health. We also aim to encourage people to change their behaviour for their own personal well-being and for the benefit of making the most effective use of healthcare budgets.”

Medical Specialists Pharmacy is not surprised by the actions of Croydon Council. Increasing rates of STIs in older people is a topic we have looked into several times in the past such as earlier this year and even back in 2011. The government needs to tackle this lax attitude as it seems to be that people over the age of 40 seem to think they are immune to picking up an STI. However, it is not just a young person’s game; anyone is at risk! The HPA stats are understandable and we personally have experienced a huge number of patients of a surprising varying age range requesting everything from Clamelle chlamydia test kits, to chlamydia medication Azithromycin, the herpes antiviral medication Valtrex and condoms!