A milestone is defined as a significant stage or event in the development of something. NG23 is not a milestone document but another millstone around the neck of a profession that is trying to maintain the trust that patients have in it.. NICE needs to choose its words carefully. A 'sound bite' can often bite you back.
They may be not perfect, but condoms are currently the only way to stem the tide. Once older couples are in a monogamous relationship, they can have a joint sexual health screening at a genitourinary clinic and if the results are clear they can ditch the condoms, because an infection can only be contracted if there is one present.
There are moments in a woman's life, when at any age she can feel her sexual needs are unfulfilled for various reasons. Low libido could be due to anaemia, caused by iron loss during periods or a loss of libido often happens after the trauma of childbirth, with many women too exhausted to think about sex!
Going back to university at 50+ was never going to be easy. One day I was talking to my tutor, discussing aspects of my thesis, when a hot flush struck. Blood sped to my face, increasing pressure alarmingly like a kettle on the boil. My face bubbled with sweat. The discussion stopped abruptly and my mind went blank.
The term "Menopause" is frequently associated with thoughts of flushes, sweats and the dilemma of whether or not to take HRT. In addition, fluctuations in hormone levels during the peri-menopausal phase causes changes in messaging in the brain, which can lead to mood swings, irritability, loss of confidence and depression.