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Understanding your body is an important part of sexual health, but sexual health also involves being comfortable with yourself and your sexual desires. It means having healthy relationships with others. Sexual health can also mean learning to identify and leave violent or abusive relationships and learning to cope with the after effects of such relationships.

Sexual health involves many things, including: knowing about your body and how it works; understanding the physical, social and emotional changes that come with puberty, pregnancy and ageing; keeping yourself and others safe; and finding information and support when things go wrong, such as an unplanned pregnancy or sexually transmitted infection.

As part of our comprehensive strategy to improve the sexual health of the population, the Department of Health is working to reduce the prevalence of sexually transmitted infections and HIV, reduce unintended pregnancies (particularly teenage pregnancies) and improve the range, access to and quality of service provision. On these pages you will find more information and guidance on sexual health including contraception, abortion and STIs and HIV.

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During your teens you become sexually mature. If you’re a girl, you develop breasts and begin to get your period. If you’re a boy, your penis and testicles become larger. If you have sex, you could get pregnant or get someone pregnant. Whether you choose to have sex or not, it is a good idea to know about safe sex and how sex affects your health. Besides pregnancy, having sex puts you at risk of getting a sexually transmitted disease, such as herpes or genital warts, or HIV, the virus that causes AIDS.

Teens don’t need a sexual predator to introduce them to online pornography. It comes to them through porn spam on their e-mail or by inadvertently clicking on a link to a porn site. Through pornography, young people get a twisted view of what constitutes normal relationships. In fact, pornography is directly related to sexual abuse, rape, and sexual violence.

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Cold sores, also called fever blisters, are small wounds that appear on the lips or around the mouth. These sores seemingly appear at random and can be both painful and embarrassing. The reality is that the herpes simplex virus (HSV) causes cold sores.

Most people find the connection between herpes and cold sores to be very alarming, but it is not. There are two types of herpes simplex virus, HSV-1 and HSV-2. HSV-1 usually causes cold sores and is found in most people. HSV-2 usually causes genital herpes and is much more rare. Sometimes HSV-2 does cause mouth herpes and HSV-1 can cause genital herpes, but it is uncommon and not seen very often.

The HSV-1 virus is usually transmitted through contact with a contaminated fluid such as kissing, or it can spread through sneezing, coughing, or touching a cold sore. The HSV-1 virus is often spread from parent to child when the child comes in contact with an item that a parent with a cold sore has touched or used. The first time a person is infected with the HSV-1 virus is called the primary herpetic stomatitis and usually does not result in a cold sore. The virus can lie dormant for many years. Most people come into contact with the HSV-1 virus by the time they are five years old but do not get their first cold sore until after puberty.

Cold sores usually go away on their own over the course of a week to ten days. They do not leave scars and often do not recur for many years. The cold sores often burst open after a few days and expel a clear fluid before drying up and disappearing.

For some people, cold sores are too painful or embarrassing to be left alone to simply disappear independently. For these people, there are OTC and prescription medicines to speed up the healing process. Cold sores are a painful nuisance that nearly everyone experiences. There is no prevention for cold sores, but there are many treatments available to make the experience as easy as possible.

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Herpes is a viral infection caused by the Herpes Simplex Virus. There are two strains of this virus- HSV-1 and HSV-2 and they cause two variants of the disease, oral and genital herpes.

While there is no cure for herpes, the illness itself can be shortened by anti-viral drugs like acyclovir. The outbreak of this disease is marked by blisters that appear on the body or on and in the mouth in case of oral herpes, and genital areas in case of genital herpes. The blisters can be very painful and the constant itching can be prevented by these drugs.

Oral herpes is highly prevalent in small children. To help relieve the discomfort of cold sores, people should give their children cold liquids. Avoid juices with high acidic content such as orange juice or lemonade because the acidic content will cause a greater burning sensation rather than help to relieve irritability.

Also, when someone is in great pain from herpes, applying ice cubes on the sores can provide relief. It is difficult to stop children from rubbing or scratching the sores when they feel itchy. One way to prevent this is to keep them busy. This is possible by indulging them with games and puzzles to keep their hands and mind busy and so away from the sores.

There are two types of treatment available for genital herpes, episodic treatment and suppressive treatment. Episodic treatment is for the infected person to take when there is an outbreak of an episode of the disease. The episodic treatment consists of the use of anti-viral drugs such as FAMVIR to relieve the pain and discomfort.

The HSV-2 virus, after an attack, usually lies dormant in the nearby nerve cells for a certain period and then gets reactivated, after which another attack occurs. Suppressive therapy is a continuous daily therapy that an infected person undergoes to prevent further attacks of the disease. The suppressive treatment helps minimize the frequency and severity of the attack.

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Herpes, both oral and genital, is caused by the Herpes Simplex Virus. While oral Herpes is caused by HSV-1, genital Herpes is a sexually transmitted disease caused by the HSV-2 virus.

The common symptoms for both oral and genital herpes include the appearance of sores on the body. These sores appear on different parts of the body. In case of genital herpes, they appear on the genital area. In oral herpes, they appear on or in the mouth.

Most people infected with oral herpes are not even aware of the fact that they have the disease. This is because people usually don’t associate these blisters or soars with herpes. These soars usually last for a few weeks and then gradually dry out.

Oral herpes is an infectious disease that can spread by touching, kissing, or sexual contact. It is prominent amongst children because they pass on the disease to the non-infected children also.

Herpes can also be passed from adults to children through a simple good night kiss. Oral herpes is usually not frightening and can be controlled by treatment and preventive measures, but for a person with an impaired nervous system, it can prove to be fatal.

People can take some precautions to prevent further spread of herpes. Frequent and washing and avoiding touching infected areas are two good ideas. Also, remember that you need to take precautions with infants because their nervous systems may not be able to cope with the pressure of the disease. Adults with babies should avoid cuddling or touching them till the symptoms subside.

Oral herpes can be painful if people don’t take the necessary preventive measures. One measure is to take anti-viral tablets. Generally, herpes recurrence will not happen if you take medication. The other thing is people should try to remain stress free because higher stress levels prolong the disease.

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Herpes, both genital and oral is caused by the Herpes Simplex Virus. There are two strains of this virus, HSV-1 AND HSV-2. HSV-1 is known to cause oral Herpes, while genital herpes is caused by the HSV-2 virus.

The common symptom for these two diseases is the appearance of blisters and sores on the body; the difference lies on the part of the body they appear. In case of oral herpes, they appear on the lips, in and on the mouth. In genital Herpes, the sores appear on the genital area inside the vagina or on the cervix in the women and on the penis in the males, as also in the urinary tract of both men and women.

Herpes lesions first appear as small red burns then mature into blisters that later become sores. After a few weeks, these sores dry up and heal without scaling.

The first attack of the Herpes virus is called the primary episode. The symptoms appear within two to ten days of the infection and last for about two to three weeks. The first most noticeable symptom of the disease is the itching that the infected person feels when the sores appear. In case of oral herpes, the gums become red and swollen, and in some cases, the tongues develop a white coating.

Other symptoms of oral herpes include fever, muscle ache, difficulty eating, and feeling of irritability. It is important to remember that both oral herpes and genital herpes are infectious diseases.

In both variants of the disease, in most cases, there are no visible symptoms, or even when there are sores and blisters, people generally don’t identify them with herpes. Therefore, infected people unintentionally transfer the disease through physical contact- be it touching, kissing, or sexual activity.

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Sexually transmitted diseases have risen to record high despite high profile advertising campaigns aimed at young people.

Almost 400,000 new infections were diagnosed last year - a six per cent increase on the previous year - and the highest since records began.

Half of all new cases were found in young people aged 16 to 24, despite them only accounting for 12 per cent of the population, prompting calls for them to be screened every year.

Casual sex and having multiple partners are driving the rate of sexually transmitted infections higher than ever and it is time people started taking responsibility for their own health, Government scientists said.

In 2006 the Government launched a high profile advertising campaign showing young people together in nightclubs and bars displaying the names of sexually transmitted infections like Chlamydia and gonorrhoea on their clothes to get the message across that it is not easy to tell who has an infection and that condoms should be ‘essential wear’ for a night out.

But despite this infections are rising faster.

The Health Protection Agency recommended all young people should be tested for Chlamydia every year as part of the national screening programme.

But Government targets to test just 15 per cent of 16 to 24-year-olds last year was missed and a significant increase in testing is needed.

Gwenda Hughes, from the Health Protection Agency Centre for Infections, said: “Young people are disproportionately affected by sexually transmitted infections. This is because they are more sexually active, have more sexual partners, they have a tendency to have overlapping sexual partners and they are more likely to have casual sex partnerships.”

Professor Peter Borriello, Director of the Agency’s Centre for Infections, said even though young people have the most infections it is still a minority of that age groups. He said most young people do abide by the safe sex message.

“We really should applaud and be proud of the way young people do overcome some of these problems and do take responsibility and don’t come away with a sexual infection.”

Around one in ten 16 to 24-year-olds is thought to be infected with Chlamydia, which is the most prevalent infection.

The HPA report said while just one in eight of the population are aged 16 to 24 years old, this age group accounts for around half of all newly diagnosed STIs in the UK including 65 per cent of all new Chlamydia cases, 55 per cent of all genital warts and 50 per cent of gonorrhoea infections diagnosed in specialist clinics last year.

Some of the increase is down to more sensitive tests being used which detect cases that would not have been picked up before and more people coming forward for testing, but this cannot account for all of the rise.

There were 397,990 new sexually transmitted infections diagnosed in genito-urinary clinics last year.

The biggest rise was in genital herpes which has risen by 20 per cent in one year to reach 26,062 new cases in 2007. Chlamydia rose by seven per cent to reach 121,986 new cases and genital warts rose by seven per cent to 89,838 new diagnoses.

New cases of gonorrhoea and syphilis dropped slightly.

Chris Plummer of the sexual healthcare charity British Pregnancy Advisory Service, said: “It is difficult to assess the true picture of sexually transmitted infections, because part of the increase in diagnosed infections is undoubtedly due to improvements in access to STI screening, which has been targeted at 16-24 year olds. However, simply advocating condom use and better sex and relationships education does not seem to prevent young people spreading infections- nor does suggesting that they should abstain from sex.

“Getting young people screened and treated with an accessible, discreet and quick service is the answer.”

Shadow Health Minister Anne Milton, said: “The Government has been shamefully complacent about tackling public health problems like sexually transmitted infections, and these latest statistics show the cost of their failure.

“Chlamydia accounts for almost a third of new infections, proof that the Government have let down young people with their dithering and delays to their Chlamydia screening programme.

“Their fifteen per cent target was modest and they’re still nowhere near meeting it. Meanwhile we’re seeing thousands of new Chlamydia infections every year, with the potential to leave patients with very serious health problems.

“The Government urgently need to get their screening programme back on track.”

Health minister Dawn Primarolo said: “It is a concern that the number of diagnoses of levels of sexually transmitted infections have increased - but these figures must be set in context.

“There has been a 16% increase in the number of people accessing sexual health clinics since 2006.

“That means more people are being screened and therefore detected. It also means more people than ever before are getting the information, tests and advice they need.

“Rapid treatment and detection cuts the risk of transmitting sexually transmitted infections.

“If this increased access is maintained, it could have a significant impact on the control of sexually transmitted infections.”

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