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In the 2015 nationally representative, cross-sectional Study of Midlife Development in the United States, 2,116 women age 28-84 years answered questions regarding their sexual activity.

Although the proportion of women who were sexually active decreased with age, 59% of women aged 60 reported being sexually active in the previous 6 months.

In previous generations, there was a strongly held belief that women lose interest in sex after menopause.

Of note, the proportion of adults aged 45 who believed that people should not have a sexual relationship if they are not married fell from 41% in 1999 to 34% in 2004 and to 22% in 2009.More often than not, sexually active single older adults who are dating are not using condoms.In fact, among female respondents fitting this category in the 2009 AARP survey, only 32% reported using condoms regularly.Although some of these women came of age during the Sexual Revolution of the 1960s, their parents, from a more conservative generation, may not have discussed sex with them when they were children.Even today, HCPs do not routinely discuss sexuality and STIs with their older patients, whom they may view as asexual or not at risk for STIs.However, data regarding reportable STIs depict the extent to which the U. Although the incidence of both chlamydia and gonorrhea is much higher in younger adults, these infections have also increased among older adults.Between 20, chlamydia infections increased by about 52% and gonorrhea cases by more than 90% in adults aged 50 .However, women aged 50 or older today differ from women of previous generations with respect to both their attitudes toward sexuality and the availability of sexual partners as they age.An increasing number of single women in the 50 age bracket are dating and seeking romantic sexual partners.Postmenopausal women in particular may be at increased risk for acquiring HIV from an infected partner during heterosexual contact because of physiologic changes in the vagina.Thinner vaginal tissues and a reduced amount of vaginal lubrication may lead to abrasions or tears during sex that increase the chance that HIV will enter the bloodstream.

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