Sexually transmitted infections (STIs) have risen in the over-40 age group [ [1] Public Health England STI data for the UK; Number and rates of selected STI diagnoses in the UK, 2008–2012. December 2013http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1203348026613#5._STI_data_for_the_UK Google Scholar ] but health promotion is targeted at the younger population. Many infections may be asymptomatic, including HIV, syphilis, chlamydia and gonorrhoea [ [2] Royal College of General Practice and British Association for Sexual Health and HIV Sexually Transmitted Infections in Primary Care. 2013http://www.bashh.org/documents/Sexually%20Transmitted%20Infections%20in%20Primary%20Care%202013.pdf Google Scholar ]. Local data from the North East of England from 2012 showed that 37% of women newly diagnosed with HIV were over the age of 45, with 54% diagnosed late with a poorer prognosis. Women coming out of long-term relationships and entering new sexual relationships may not consider the risks of sexual infection or the need for condoms, due to having a long-acting reversible contraceptive (LARC), or sterilisation. Termination of pregnancy in women over 40 now exceeds the rate in the under 16 age group [ [3] Department of Health Abortion Statistics, England and Wales. July 2013www.gov.uk/government/collections/abortion-statistics-for-england-and-wales Google Scholar ].