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In previous generations, there was a strongly held belief that women lose interest in sex after menopause.This belief does not appear to persist today, as revealed by data from recent studies.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 the 2009 survey, 48% of the respondents who were single and dating reported having sexual intercourse at least once a week.Nearly 6 in 10 agreed that sexual activity is important to a good relationship.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.

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.The survey results reflected a trend toward more open attitudes about sex than in the two previous surveys of 19.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.Risky dating behavior, often leading to risky sexual behavior, is a growing public health concern because it contributes to the high incidence of sexually transmitted infections (STIs).These behaviors have been the focus of many national educational initiatives targeting persons at greatest risk—typically those in their late teens or 20s.

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