Abstract
Many older adults are sexually active and may be engaging in activities that put them at risk for STDs or HIV, so obtaining a sexual history from older adults is important for assessing risk.
CNS syphilis can be difficult to diagnose; test for it in patients with neurologic findings and a positive syphilis serology.
Gonorrhea and Chlamydia are uncommon among older adults, but herpes seroprevalence is higher in older adults than in younger age groups.
Vaginal complaints in older women are more likely to be caused by normal physiologic changes (atrophic vaginitis) than due to STDs.
HIV/AIDS is an increasing problem in those over age 50; routine screening is now recommended up to age 64.
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Calvet, H. (2009). Sexually Transmitted Diseases. In: Norman, D., Yoshikawa, T. (eds) Infectious Disease in the Aging. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-534-7_29
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