Painful intramuscular injections of long-acting penicillin remain the mainstay of treatment for syphilis. They are distressing to clients and caregivers and are thought to interfere with treatment acceptance, especially if more than one dose is required. We present a novel method of delivering the same penicillin treatment into the fat, which obviate the need for multiple doses and is associated with less reported pain – a potential gamechanger to improve syphilis treatment adherence and care cascade ..read more

Since the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic in December 2019, coronavirus disease 2019 (COVID-19) has already had a widespread impact on fertility. This study comprehensively assessed the effects of SARS-CoV-2 infection on the testis, semen parameters, sex hormone levels and erectile function, and discussed possible transmission routes during sexual intercourse and the effect of vaccination on male fertility. It provides a reference for maintaining male reproductive health under the background of normalised prevention and control of COVID-19 ..read more

The International Society for STD Research (ISSTDR) STI/HIV 2023 World Congress hosted a participatory designathon. Global experts and practitioners attending an international sexual health conference were tasked with engaging in a design-thinking, participatory crowdsourcing event to create innovative solutions for improving the control of sexually transmitted infections. This manuscript reports the processes, challenges, and successes of the designathon ..read more

Sexting is common among adolescents and is largely considered a part of contemporary adolescent and young adult relationships. However, receiving non-consensual sexts can have adverse mental health effects, despite little known about the effects on sleep. This study found that receiving non-consensual sexts was associated with lower sleep duration among girls and young women, underscoring the needs for greater awareness of this behaviour among health and mental health professionals ..read more

The incidence of sexual assault continues to rise in Australia. However, there is a paucity of literature examining the nature of assault and subsequent management for victims of all genders. The findings of this large, retrospective clinical audit determined that the nature of assault differs between male and female victims, with varying detail of clinical documentation. There is need for a standard primary care protocol for clients presenting with acute sexual assault ..read more

Telemedicine, involving the use of technologies for remote healthcare services, was used by health care providers in Mexico to facilitate access to HIV prevention services, including pre-exposure prophylaxis. From their experiences, it became evident that telemedicine improved access to HIV-prevention counselling and enhanced time management for providers; at the same time, they struggled with inadequate infrastructure and concerns about privacy. They advocated for clear guidelines to establish procedures and provide support when delivering pre-exposure prophylaxis services remotely ..read more

Even in the modern day, people living with HIV (PLHIV) are often subjected to poorer physical and mental health outcomes. Such health outcomes were identified in this case series, whereby six patients were noted to be experiencing significant stress, anxiety and medication side effects from electing to receive cheap, suboptimal HIV treatments to remain below Australian visa medical cost thresholds. These findings reinforce the need to review Australian migration laws which currently discriminate against PLHIV ..read more

Sydney Sexual Health Centre (SSHC) piloted MyCheck, a direct-to-pathology pathway that facilitated bloodborne virus/sexually transmissible infection testing at participating pathology collection centres located across New South Wales. This qualitative study sought to understand perspectives of acceptability of the MyCheck intervention among SSHC clients and providers’. The MyCheck intervention was perceived by both SSHC clients and staff as an acceptable bloodborne virus/sexually transmissible infection testing pathway. However, further work is required to address stigma experienced by some cl ..read more

Bacterial vaginosis is the most common cause of vaginal discharge in reproductive age women, yet little is known about it in postmenopausal women. This survey of Australian postmenopausal women found that women continue to report bacterial vaginosis after menopause, it affects their quality of life, and it is associated with sexual activity. Women of all ages are susceptible to bacterial vaginosis, research should not be limited to younger women, and developing an appropriate testing method should be a research priority ..read more

This study used data sourced from Twitter to characterise social media conversations about syphilis. Accurate medical information was limited, whereas tweets about personal experience generated the most engagement. Coupling medical resources and personal experiences may support public health education on social media ..read more