STIs in Adults Over 60: Interview with Dr. Elisa Morrocchi
2 September 2025
Sexual activity doesn’t stop with age—in fact, having sex after 60 can strengthen relationships, boost self-esteem, and support overall physical and mental well-being by reducing stress. And it’s not just long-term couples: more and more older adults are resuming sexual relationships after separation, divorce, or the loss of a partner.
However, alongside these benefits come certain risks. In recent years, data show a rise in cases of HIV and other Sexually Transmitted Infections (STIs) among people over 60, with reported incidence extending into the 80s.
We spoke with Dr. Elisa Morrocchi, a gynecology specialist at UPMC Salvator Mundi International Hospital, to learn how adults over 60 can protect their sexual health—without giving up pleasure or quality of life.
Dr. Morrocchi, What Are Sexually Transmitted Infections (STIs)?
Sexually Transmitted Infections (STIs), also known as Sexually Transmitted Diseases (STDs), are a group of infectious conditions caused by viruses, bacteria, parasites, or protozoa. They are primarily transmitted through sexual contact and exposure to bodily fluids.
However, transmission isn’t limited to sexual activity. In some cases, STIs can be passed from mother to child during pregnancy or childbirth, through infected blood transfusions, or via improperly sterilized needles or surgical instruments.
STIs represent a significant global public health concern, particularly affecting younger populations. Some of the most common STIs include:
- Chlamydia
- Hepatitis A, B, and C
- Gonorrhea
- Genital herpes
- HIV
- Human papillomavirus (HPV)
- Syphilis
- Trichomoniasis
Are STIs Really on the Rise Among Adults Over 60?
Yes, recent years have seen a noticeable increase in Sexually Transmitted Infections (STIs) among people over 60. This trend is partly linked to rising life expectancy: according to the World Health Organization (WHO), the number of individuals over 60 is expected to double by 2050. With age comes a higher incidence of chronic illnesses, but that’s not all—STIs, traditionally viewed as a concern for younger populations, are increasingly affecting older adults as well.
A study published in The Lancet Healthy Longevity revealed that while HIV and other STI cases declined or remained stable in the general population between 1990 and 2019, older adults saw a different trend. In 2019 alone, there were over 77,000 new cases of HIV among seniors, along with nearly 26.5 million new cases of other STIs in the same age group.
Why Are Some Adults Over 60 at Risk for STIs?
The risk of contracting a Sexually Transmitted Infection (STI) in adults over 60 is influenced by several factors. On one hand, aging weakens the immune system, making the body more susceptible to infections. On the other, biological, psychological, cultural, and social factors also play a role. Many older adults believe that STIs only affect younger people or those with multiple partners, and often choose not to use condoms.
In recent decades, rates of separation and divorce have increased, while marriage rates have declined—leading to a growing number of sexually active individuals over 60, often with different partners. This age group is also less likely to undergo STI screening, as they are typically excluded from standard prevention programs. Another factor to consider is the widespread availability of erectile dysfunction medications and access to the sex industry, which in some countries has contributed to the spread of HIV and other STIs among older populations.
Doctor, What Are the Symptoms of STIs in the Over-60 Population?
The symptoms of sexually transmitted infections (STIs) in older adults are similar to those observed in younger individuals and vary depending on the type of infection and mode of transmission. For example, STIs contracted through oral sex may cause symptoms in the mouth and oropharyngeal area.
Common signs include:
- Pain during sexual intercourse
- Pain or burning during urination
- Testicular pain or swelling
- Sores or lesions in the mouth or genital area
- Pelvic pain
- Frequent urge to urinate
- Abnormal genital discharge
- Genital or anal itching
- Genital or anal warts
When Should Adults Over 60 Get Tested for STIs?
Many older adults feel embarrassed about requesting an STI test—but they shouldn’t. Sexuality is a natural part of life, and getting tested is a meaningful act of care for oneself and others.
It’s advisable to speak with a trusted healthcare provider, who can recommend the most appropriate tests. These may include HIV, gonorrhea, and syphilis screenings, urine and blood tests, oral and/or genital swabs, and physical examinations to check for sores, irritation, or discharge.
Common diagnostic tests include:
- Urine and blood tests.
- Oral and/or genital swabs.
- HIV, gonorrhea, and syphilis screenings.
- Physical examination to assess for sores, irritation, or discharge.
Some infections may take anywhere from a few days to several months to appear in test results. For this reason, a healthcare provider may recommend repeating the test after a certain period.
How Can Adults Over 60 Prevent STIs?
Prevention remains the most effective way to protect sexual health at any age. Key recommendations include:
- Use condoms during all types of sexual activity (vaginal, oral, and anal); this significantly reduces the risk of transmission.
- Avoid oil-based lubricants, which can damage latex condoms.
- Remember that condoms do not eliminate risk entirely; some infections, such as genital warts, can be transmitted through areas not covered by a condom.
- Talk openly with your partner about protection, past testing, and previous sexual relationships.
Transparent communication and appropriate precautions allow individuals to enjoy a safe and confident sex life—even after age 60.
If you’re experiencing symptoms or would like a check-up, you can schedule an appointment with a specialist at UPMC Salvator Mundi International Hospital to assess your risk and access the most appropriate diagnostic tests.