This methodology piece used co-creation methods to engage middle-aged and older adults, including disabled individuals, in shaping inclusive sexual health services in England. Working alongside community leaders, the team co-designed workshops and interviews. Reflections highlighted key strengths – shared decision-making, co-leadership and co-facilitation – as well as challenges, such as accessibility, recruitment and time constraints. The findings demonstrate the value of co-creation in sexual health research, and call for further work across diverse populations to support inclusive service development.

This article belongs to the collection: Sexual health among older adults: A multi-disciplinary collection.

Information about contraceptive options is important for informed decision making. We conducted an online survey with 1745 Australian women aged 18–45 years to understand their information needs about contraceptive implants and intrauterine devices. We found women considering using these contraceptive methods have clear information needs, that may not be met by traditional information sources.

To date, there has not been a study that statistically summarised the prevalence rates of problematic pornography use (PPU) across different studies. This meta-analysis found an overall PPU prevalence rate of 13.00% across 22 studies. This prevalence rate was higher than other forms of behavioural additions (e.g. gambling disorder), suggesting that PPU is an important public health issue that warrants greater clinical and research attention.

The use of saliva as a lubricant during sexual activities among men who have sex with men (MSM) is understudied. We found that MSM who use saliva are more likely to engage in solo masturbation and kissing, and when using saliva as a lubricant, they first apply their saliva via their hands. This study adds to the growing body of knowledge on saliva use during sexual episodes, aiding the development and promotion of safe sexual practices among MSM.

Using antibiotics preventatively could significantly reduce STIs in gay and bisexual men, but it may also contribute to the development of antimicrobial resistance. This presents a public health ethics dilemma: how should we weigh the benefits of STI control against risks to health both in the immediate future and to future generations? Two authors tackle this issue, presenting arguments for and against doxycycline post-exposure prophylaxis, using an influential public health ethics framework.

Using antibiotics preventatively could significantly reduce sexually transmissible infections in gay and bisexual men, but it may also contribute to the development of antimicrobial resistance. This presents a public health ethics dilemma: how should we weigh the benefits of STI control against risks to the health of future generations? Two authors tackle this issue, presenting arguments for and against doxycycline post-exposure prophylaxis, using an influential public health ethics framework.

Alongside partnership, adaptation is one of the enduring themes of the Australian response to HIV. This article presents a case study to examine the factors that influence the effectiveness of peer navigation programs for people living with HIV run by community organisations in partnership with providers of clinical care. Its findings guide the improvement of service and policy systems and similar programs aimed at empowering better treatment outcomes and quality of life for people living with HIV.

As the COVID-19 pandemic placed pressure on health services and limited accessibility, ‘off-label’ recommendations suggesting extended use periods for long-acting reversible contraceptive (LARC) devices emerged internationally. Despite these recommendations, typical usage patterns were maintained in Australia, with extended use periods observed in less than 10% of LARC users. As these extended use periods have since been made permanent in regulatory documents and clinical guidelines, targeted education for providers and consumers will be required to support uptake and consistent implementation.

Latent syphilis, a hidden infection with no symptoms, has surged globally, yet current treatments often rely on uncertain disease staging. This study reveals that a simple antibody test (nontreponemal immunoglobulin M) can identify active infections, showing patients with positive immunoglobulin M take longer to recover and need tailored therapies. By personalizing treatment based on antibody levels, doctors can reduce unnecessary antibiotic use, especially in vulnerable groups, such as older adults, improving care and easing healthcare burdens.

Social media is increasingly being used to recruit participants to social research. Here, we provide a practical guide to using social media to recruit for sexual and reproductive health research, and include examples throughout from our own studies. We outline our triumphs and pitfalls in using this recruitment strategy, the challenges we have faced and the lessons we have learnt.