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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.

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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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Almost half (48%) of high school teens say they have had sex–an increase of 2% between 2005 and 2007, according to data released by the Centers for Disease Control and Prevention. During the same time period, the proportion of high school teens who say they used a condom the last time they had sex decreased 2%.

Sex education: Talking to your teen about sex:

You understand the importance of sex education. But don’t count on classroom instruction alone. Although the basics may be covered in health class, your child might not hear or understand everything he or she needs to know. That’s where you come in. Awkward as it may be, sex education is a parent’s responsibility. By reinforcing and supplementing what your child learns in school, you can help your child.

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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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Why me!, is the plaintive cry of a woman going through a Miscarriage. Not every ovulation results in pregnancy, and not every pregnancy results in childbirth. Miscarriage is the frustrating aftermath of ovulation having misfired. It is for women to rebuild and restart if they are really serious about conceiving, as Ovulation after Miscarriage is a possibility. This is based on the premise that she is not infertile due to presence of HPV or human papilloma virus.

In a healthy woman with a normal menstrual cycle, ovulation is inevitable. If a Miscarriage was spontaneous, without any prolonged or complicated bleeding, it will not have any bearing on ovulation. The reason for delayed ovulation could be that during pregnancy the body is producing HCG, a hormone of the pituitary gland that suppresses production of other hormones to stimulate ovulation. With use of basal body temperature or cervical mucus monitoring to find out the most fertile period, you can return to a normal cycle of ovulation.

It is important to check with infertility experts to determine the cause of Miscarriage before losing hope or getting pregnant again. Miscarriages due to natural factors are sidelined, unless there are three in a row. Some women prefer an early next pregnancy, but this can be a physically and emotionally draining experience. Ovulation occurs within 2 weeks after a Miscarriage. Keep this in mind, as a Miscarriage dislocates the hormonal system. The body is gearing up to carry a baby and then, whoom! there is no need to continue doing so, as not enough progesterone hormone is being produced to line the uterus and nourish a fertilized egg. The cause was a sudden shift in hormones and its effect on normal or regular ovulation and menstrual cycles.

Nearly one in 200 women goes through a Miscarriage, and it is more common in women above age 35 or with more than one fetus. Certain health problems, such as diabetes, high blood pressure, rubella or German measles, herpes simplex or under-active thyroid gland increase the risk of Miscarriage. Some women experience a faster return to normal cycles, while others have to wait, and it is this waiting period that requires patience and taking precautions.

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Herpes, both oral and genital, are highly communicable diseases caused by the two strains of the Herpes Simplex Virus: HSV-1 and HSV-2. Genital herpes is transmitted sexually and is rarely transmitted from a pregnant mother to her unborn child, but could prove fatal for the unborn infant if it is transmitted.

It is possible, though unlikely that someone can transmit the virus through the placenta during pregnancy. If this happens, chances of the baby being born with a defect or a miscarriage increase.

The transmission also depends upon the stage of pregnancy in which the primary episode of herpes sets in. If the women had primary genital herpes during the first trimester, then there are less chances of the baby being infected. This is because it usually takes the body three to four weeks to buildup antibodies against the virus.

So if herpes happens at the onset of pregnancy, the body gets enough time to build up the immune system. As a result, these antibodies are also passed onto the baby. Generally, mothers can have a normal vaginal delivery.

But this is not so if the woman gets the infection in the second or third trimester of pregnancy. If the blood tests confirm that the women has never had herpes before the experts will recommend a caesarian delivery. This is because at these stages, the body does not get enough time to build up the immune system and the chances of transmission are extremely high.

It is easier to prevent herpes than it is to cure it. The highest risk to an infant comes from an infected mother who contracts HSV-1 or 2 during pregnancy and the best way to avoid this is by preventing this situation. Since Genital Herpes is a sexually transmitted disease, steps should be taken to ensure that you don’t transmit herpes during this crucial time.

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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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Genital herpes is transmitted sexually by the HSV-2 virus. The primary symptoms of the disease are the blisters or sores that appear on the genital area. Other symptoms of the disease include a constant pain in the legs, buttocks or the genital area. Women have to put up with the discomfort of a vaginal discharge. Infected people get a feeling of pressure or fullness in the abdominal area.

Genital Herpes is caused by the Herpes Simplex Virus, (HSV). There are two strains of this virus the HSV-1 and HSV-2. While HSV-1 causes oral herpes, genital herpes is caused by the HSV-2 virus. Generally, people do not have the symptoms of the disease or even if they do, they are minimal. As a result, most people do not realize that they have herpes.

The common symptoms of this disease include blisters around the genitals or the rectum. When blisters break, sores or ulcers remain. These sores contain the HSV-2 virus, and when these sores burst, people become infected with genital herpes. The virus is also released from skin that does not appear to have been broken

As said, most infected people don’t realize they have herpes, but if the signs and symptoms occur during the first outbreak, then they can be very severe. The first outbreak generally occurs within two weeks after the virus is transmitted and is called the primary episode. It usually takes about three to four weeks for the sores to heal. People affected for the first time, can further expect around another 4 to 5 outbreaks in a year. With each outbreak, the severity decreases.

Genital herpes can also be transmitted from affected pregnant woman to her baby, especially during the primary attack. If the virus is transmitted through the placenta, it can cause fatal diseases in the baby. Also herpes can prove extremely painful to people with suppressed immune systems.

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Cold sores are caused by a virus, the herpes simplex virus or HSV. There are two kinds of herpes simplex virus, called type 1 and type 2. While both types can cause cold sores, type 1 is the variety usually responsible. Type 2 HSV is found in genital herpes and is much more rare than type 1 HSV.

HSV-1 is the most common cause of cold sores. Most people are exposed to HSV-1 between the ages of three to five. There are many ways that a person can become infected by HSV-1, including among them coming into close contact with a person who has a cold sore, ingesting contaminated fluids that have been sneezed or coughed into the air, or by coming into contact with objects that a person with a cold sore touched or used. Although most people are first infected with the HSV-1 virus early in life, they do not get their first cold sore until after puberty. Once someone is infected with HSV-1, the virus remains with them for the rest of their lives.

HSV-2 is much less common than HSV-1. It primarily causes genital herpes. HSV-2 usually only affect body parts that are below a person’s waist, but in rare cases, it can cause a person to get cold sores.

Once a person is infected with HVS-1, a number of things can cause cold sores. A bad cold, a case of the flu, or any sort of disease that affects the immune system can lead to the appearance of cold sores. Extremely chapped or sunburned lips can increase the chance of a cold sore outbreak. Women who are pregnant or menstruating also have an increased risk of cold sores.

But cold sores are not just caused by physical factors. Emotional stress or prolonged upset is another factor that can bring about a cold sore outbreak. Another factor that has been seen to increase the risk of an outbreak is physical stress or fatigue. All of these stress factors weaken the immune system, making it more difficult for the body to fight the outbreak.

Many people experience cold sores only a few times in their life, while others have them much more regularly. There is no cure for cold sores. And with so many different causes that people have no control over, treatment and therapy by trained professionals are often the best ways to manage troublesome outbreaks.

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Do you remember herpes? You’ll need to be of a certain age to conjure the particular memory I have in mind, which is of the spasm of sexual anxiety that went round when the disease first really made it into the public consciousness, after the incidence of infections leapt in America. Yikes, I can remember thinking. Weeping sores (routinely described as “agonising”), no prospect of a cure, the perpetual moral duty, ever after, to inform prospective sexual partners of your potentially hazardous condition.

It was attended by the whole paraphernalia of a modern media health scare – first person confessions by “anonymous” sufferers, dire predictions of future spread. And then herpes was upstaged by a much more frightening disease – Aids effortlessly taking top billing as spectre at the orgy. And for a while you could have been forgiven for thinking that herpes wasn’t a problem any more.

It wasn’t true, of course. A recent study by New York City’s health department suggested that an astonishing 26 per cent of the city’s adult residents are infected with the herpes virus and the ailment also turned out to be well represented in the Midlands study which has just revealed that sexually transmitted infections are on the rise among older people. Genital warts took the top spot, apparently, accounting for nearly half of the cases, but herpes came second in driving patients over the age of 45 to attend their local genito-urinary clinic. These people were certainly old enough to remember the public health campaigns that attended the first big wave of herpes infections – before it got pushed into the small print of the health warnings – but it didn’t seem to have done much to protect them.

I couldn’t help wondering whether there might be a psychological connection, in fact – between the endemic wariness of disease that such health campaigns attempt to promulgate and the kind of irrational relief that occurs when the gloomier predictions don’t seem to be borne out. Could it be that sexually transmitted infections among over-45s have increased because these patients have survived at least two big sexual disease scares and – unfortunately for them – wrongly assumed that it is safe to unclench?

The Health Protection Agency speculated that at least one possible cause for the doubling of infections was that as the fear of pregnancy disappears, it takes with it one of the most powerful motives for condom use. The other possibility, of course, being that older people are not having more unsafe sex than they used to – just having more sex full stop, an increase in activity that you would expect to bring a proportionate increase in infections.

I suspect it is the latter – and it isn’t just the arrival of Viagra and online chat rooms that have done it (as some reports suggested) but a sustained and unyielding behavioural campaign that dwarfs the impact of sporadic health education programmes. The latter we’re inclined to forget as soon as the advertising fades from the mind, assisted by the human instinct to ignore unpleasant truths. But nobody could have missed the diffuse lobbying operation which exists to persuade us that it is our duty to have more sex, more often and later in life than our parents did.

The social obligation to have sex responsibly – intermittently conveyed by educational campaigns – is barely audible beneath the blizzard of messages, in commercials, fiction and the general culture, which encourage us simply to have sex, and imply that retirement from the game isn’t any longer an option.

How very big of you, Jane

“Doing TV commercials has allowed me to take stage roles for which I’m paid very little,” said Jane Horrocks, left, in a recent newspaper interview. Give us a break, Jane. The logic of this seems to be that if Tesco hadn’t come calling, Horrocks would have been forced wistfully to turn down leading roles on the London stage, which seems implausible to say the least.

I wonder what her fellow actresses will make of her suggestion that accepting excellent parts in interesting plays constitutes a kind of charitable outreach programme.

The truth is surely exactly the other way round: doing the stage roles allows her, with a clear conscience, to take advertising jobs which earn her a small fortune.

* People rightly dislike the idea that politicians are just a set of pre-programmed responses, and yet politicians seem deeply reluctant to abandon the set plays of political life. The other day, for example, David Cameron greeted the result of the Henley by-election by pointing out that it had been “disastrous” for Labour. Thanks for that insight, Mr Cameron. Even our dog understood that much. Wouldn’t it have been more entertaining, just for once, to sidestep the clichés?

If I had been Mr Cameron, I would have congratulated my own candidate on his victory and then smiled sympathetically and said that, in the circumstances, the Labour candidate had really done awfully well. Indeed he should be congratulated, given his party leader’s recent poll ratings, on staying 223 votes clear of the UKIP candidate.

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