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While rates of syphilis, chlamydia, and gonorrhea have reduced in recent years, they're still expanding in the population. Some of the explanation for this growth is the use of medications for vaginal dryness or erectile dysfunction. These medications can make an older adult more sexually active than they normally would, but also cause them to more liable to STIs. Older adults won't have enough education to avoid contracting these infections or to use barrier coverage. A variety of sexually transmitted diseases affect women of every age, but women of reproductive age are at a better risk. The World Health Organization estimates that 376 million new cases of STIs will be clinically determined all over the world in 2019. Some of these illnesses affect transgender and gender minority women. These women often engage in commercial sex and condom-less anal receptive intercourse. Studies show that transgender women have higher rates of bacterial STIs than men. These women usually tend to increase chronic pelvic pain and infertility. Sex with older adults is also a risk factor for lots STDs, adding syphilis and gonorrhea.

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