Sexual and Reproductive Health

A sweeping survey of tens of thousands of women across England has found that about one in four report living with at least one serious reproductive health issue. The findings, drawn from responses collected in 2023 from roughly 60,000 participants, point to a broad burden of conditions ranging from heavy menstrual bleeding and chronic pelvic pain to infertility and menopause-related symptoms. The scale is described by researchers as the most comprehensive look yet at the prevalence and impact of reproductive health problems in England, and they emphasize that the numbers likely reflect not just medical diagnoses but also the social and economic barriers that push people away from timely care.

A wave of recent research is highlighting something many men have long overlooked: the pelvic floor — a group of muscles at the base of the pelvis — may play a crucial role in sexual function. Studies across urology and physical therapy show that problems with these muscles can contribute to erectile dysfunction, premature ejaculation, and other sexual health concerns. Importantly, targeted pelvic floor exercises and physical therapy are emerging as promising, non-drug options for men grappling with sexual performance challenges. In Thailand, where conversations about sexual health can still feel uncomfortable, these findings could shift how physicians talk with patients, how clinics screen for underlying issues, and how men approach their own wellness.

A sweeping review spots gut bacteria at the heart of sexual health, proposing that the trillions of microbes living in our intestines influence desire, performance, and reproductive function. The idea is simple but powerful: a balanced gut ecosystem may support healthier hormones, lower inflammation, and clearer communication along the gut–brain–reproductive axis. On the horizon are therapies that steer the microbiome—probiotics, prebiotics, and even fecal microbiota transplantation—as potential tools to improve sexual health outcomes. For Thailand, where metabolic health, stress, and lifestyle choices intersect with intimate well-being, this research points to a new frontier in public health, clinical care, and everyday wellness.

A recent study led by researchers at Rice University suggests that hormonal birth control does more than prevent pregnancy. In a diverse group of 179 women, scientists found that hormonal contraceptives may influence how the brain processes emotions and how memories of emotional events are formed, stored, and accessed. The findings add a new layer to the ongoing conversation about contraceptive choices, mental health, and everyday life—topics that touch millions of women around the world, including many in Thailand.

A startling finding from an international clinical trial shows that bacterial vaginosis, a common vaginal condition, can be transmitted through sexual contact with men, and that treating male partners alongside women dramatically reduces recurrence. In the study’s 12-week follow-up, recurrence dropped from about six in ten women when their partners were not treated to roughly one in three when both partners received therapy. The result has jolted long-held assumptions in sexual and reproductive health and raises immediate questions for Thai clinics and families dealing with BV, a condition already known to be widespread and often stubbornly recurrent.

A wave of recent research is drawing fresh attention to how hormonal birth control might shape women’s emotional experiences. Across several studies published in the last couple of years, scientists are reporting that hormonal contraceptives can influence mood, emotional processing, and even memory in some users. The findings are nuanced: not all users are affected, and the magnitude and direction of effects vary by formulation, dosage, individual biology, and life circumstances. For Thai readers, where contraception plays a central role in family planning and women’s health, these discoveries unfold in a context of expanding access to contraception, ongoing conversations about mental health, and a culture that values both personal autonomy and community well-being.

A new study examining dating app use and sexual activity among young adult college students in Northern Texas finds a meaningful association between having used dating apps and engaging in condomless sex, as well as having multiple sexual partners in the past year. The research also highlights how campus health clinics play a pivotal role in sexual health services, from screening for HIV and STIs to counseling and prevention education. While the study focuses on a single campus in the United States, its findings raise important questions for Thai universities and public health officials about how digital dating platforms are shaping youth sexual health in Thailand’s university communities.

Global research on stroke is increasingly recognizing that sexual health is not a peripheral issue but a core component of long-term recovery. A 2025 topical review in a leading cardiovascular journal argues that sexual function and intimacy deserve routine attention from health care professionals during stroke rehabilitation, offering practical recommendations to guide clinicians. The study highlights that sexual health impacts relationships, mental well-being, and overall quality of life, and it urges care teams to normalize conversations about sexuality as part of comprehensive stroke care. For Thai readers, this perspective arrives at a moment when Thailand faces ongoing challenges in delivering holistic rehabilitation to a growing population of stroke survivors, many of whom live in families navigating cultural norms around privacy, modesty, and caregiving.

A growing body of research suggests that even modest rises in blood sugar can take a toll on men’s sexual health, potentially signaling deeper metabolic trouble long before a diabetes diagnosis. For Thai families juggling work, care for aging parents, and the pressures of modern life, the message is simple: blood sugar control is not just about long-term heart or eye health—it can affect intimate well-being and relationships today. In Thailand, where diabetes and prediabetes are increasingly common among working-age men, this link matters as a public health alarm and a personal call to action.

Gonorrhoea, one of the oldest known sexually transmitted infections, is making a noticeable comeback in many parts of the world, and health experts warn that the era of quick, simple fixes could be fading. The latest discussions around the STI highlight not only increasing case numbers in several regions but also a troubling pattern of drug resistance that could complicate future treatments. For Thailand, where sexual health education, stigma, and access to care intersect with cultural norms and family dynamics, the resurgence carries particular relevance. The story here is not just about a microbe that causes infection; it’s about shifting public health challenges, the tools we have to fight them, and how Thai communities can respond with practical, stigma-free action.

A new fertility approach called Restorative Reproductive Medicine (RRM) has entered the public conversation as clinics promise to restore the body’s natural ability to conceive, offering what proponents call a gentler, more holistic alternative to in vitro fertilization. Yet behind the glossy marketing lies a storm of questions about evidence, safety, and regulation. For Thai families facing infertility, the stakes are personal: hopes for a child collide with concerns about cost, clarity, and whether these therapies are truly proven.

A devastating sexually transmitted infection once nearly eliminated by modern medicine has returned with alarming force across developed nations, while antibiotic-resistant strains of gonorrhea create unprecedented treatment challenges that threaten to overwhelm healthcare systems and devastate vulnerable populations worldwide.

Syphilis infections have surged dramatically across numerous high-income countries, with public health agencies documenting relentless increases since the early 2000s that show no signs of abating. This resurgence represents a catastrophic failure of prevention programs and reveals dangerous gaps in sexual health education, testing accessibility, and treatment coordination.

A dual STI crisis is emerging in Thailand, threatening hard-won gains in sexual and reproductive health. Syphilis cases are climbing again, while antibiotic-resistant gonorrhea challenges current treatment norms. Public health officials warn that urbanization, changing social patterns, and evolving sexual behavior could accelerate transmission among high-risk populations.

According to international surveillance, these trends require immediate attention. The consequences are grave: syphilis can harm pregnant women and unborn babies, and drug-resistant gonorrhea risks turning a previously manageable infection into a persistent health burden for individuals and the health system. Thailand must respond with streamlined testing, effective treatment, and culturally sensitive outreach.

A common sexually transmitted infection has returned to many countries.
The infection can cause serious illness, birth complications, and social harm.

Syphilis rates have risen again in several high-income countries.
Public health agencies report steady increases since the early 2000s (BBC report).

The BBC released a short explainer titled “The STI that’s back and all you need to know”.
The video highlights rising syphilis numbers and growing concerns about resistant gonorrhoea (BBC video).

Sexually transmitted infections are rising among older Europeans. This trend could affect Thailand through travel and ageing demographics.

Health authorities report rising diagnoses of gonorrhoea, chlamydia, and syphilis in people aged 45 and older. The trend appears across the UK, France, Denmark, and the EU (ECDC, UKHSA) (ECDC syphilis report 2023; UKHSA STI data tables 2014-2023).

The number of common bacterial STI diagnoses in Britons aged 65 and over rose sharply from 2014 to 2023. UK figures show 576 diagnoses in 2014 and 1,649 in 2023 for gonorrhoea, chlamydia, and syphilis combined (UKHSA data).

As Thailand’s population ages and international travel resumes post-pandemic, a troubling trend emerging across Europe demands immediate attention from Thai health authorities. Sexually transmitted infections are surging among Europeans aged 45 and older, presenting a clear warning for Thailand’s own rapidly aging society.

Recent surveillance data from European health authorities reveals alarming increases in bacterial STIs among older adults. In the United Kingdom alone, diagnoses of gonorrhoea, chlamydia, and syphilis in people over 65 nearly tripled between 2014 and 2023, jumping from 576 cases to 1,649 cases. This dramatic rise reflects a continent-wide pattern that has caught public health experts off guard.

Aging populations and increased international travel are shaping new health risks for Thailand. Recent European data show rising sexually transmitted infections among adults aged 45 and older, a pattern that could foreshadow similar trends in Thailand as it becomes an aging society and welcomes more visitors and students from abroad.

Data from European health authorities indicate that gonorrhoea, chlamydia, and syphilis diagnoses among people over 65 nearly tripled from 2014 to 2023 in the United Kingdom, rising from 576 to 1,649 cases. The European Centre for Disease Prevention and Control notes that adults aged 45 and above now account for about one-third of syphilis cases across the European Union. This shift challenges traditional assumptions about who is at risk for STIs and underscores the need for inclusive prevention.

A federal jury in Northern California has found Meta liable for illegally collecting and using highly sensitive reproductive health data from users of the Flo Health period‑tracking app to run targeted advertising, a decision that legal experts say could reshape how consumer health apps handle data worldwide. The verdict held Meta responsible under the California Invasion of Privacy Act and the Confidentiality of Medical Information Act for receiving reproductive and menstrual information sent by the Flo app between 2016 and 2019, and comes after settlements with other defendants and a 2021 Federal Trade Commission action against Flo Health (Fierce Healthcare).

A California federal jury has found Meta liable for secretly harvesting intimate reproductive health data from millions of users worldwide, including Thai users of the Flo Health period-tracking app. The verdict marks a watershed moment for digital health privacy and has broad implications for Thailand’s data protection landscape.

Lead with Impact: The verdict centers on data collected between 2016 and 2019, when Meta allegedly gathered details such as menstrual cycles, pregnancy status, sexual activity, contraception choices, and fertility struggles without explicit consent. This ruling reinforces that reproductive health information requires the highest privacy protection, aligning with Thai cultural emphasis on dignity and modesty in health matters.

In a groundbreaking verdict that sends shockwaves across Asia’s digital health landscape, a California federal jury has held Meta liable for secretly harvesting intimate reproductive health data from millions of women worldwide—including thousands of Thai users of the popular Flo Health period-tracking app.

The Billion-Dollar Privacy Breach That Changed Everything

The landmark ruling emerged from what began as a quiet class action filed by eight women but exploded into a massive legal reckoning involving millions of users across 190 countries, including Thailand. Between 2016 and 2019, Meta systematically collected and exploited the most intimate details of women’s lives: menstrual cycles, pregnancy status, sexual activity, contraceptive choices, and fertility struggles.

Florida lawmakers are debating a bill that would require parental consent for minors to receive treatment for sexually transmitted infections (STIs), contraception and even to complete certain school health surveys — a proposal critics say comes as teen STI rates in the state are at their highest in more than a decade and could push vulnerable young people away from lifesaving care. The bill, SB 1288, advanced through a Senate Pre‑K‑12 committee in late March after heated testimony from sexual‑assault survivors, public‑health advocates and clinicians who warned that removing confidential access risks higher rates of untreated infections and unintended pregnancies — outcomes that public‑health research links to policies that restrict adolescent confidentiality in sexual and reproductive health services (Florida Phoenix; Tallahassee Democrat). The debate in Florida is a stark reminder for Thailand that policy changes limiting adolescents’ confidential access to STI testing, treatment and contraception can have measurable public‑health consequences — especially where sex education is inconsistent and cultural stigma around adolescent sexuality remains strong.

Throughout Florida’s legislative chambers, a devastating assault on teenage healthcare privacy unfolds that sends urgent alarm signals to Thailand, where rising adolescent STI rates and entrenched cultural barriers already prevent thousands of vulnerable young people from accessing lifesaving reproductive health services during their most critical developmental years. Florida lawmakers advance dangerous legislation requiring parental consent for minors seeking sexually transmitted infection treatment, contraceptive services, and basic school health survey participation—creating potentially fatal obstacles to medical care precisely as teenage infection rates surge to crisis levels unseen since 2008, threatening to drive the state’s most at-risk adolescents away from essential treatments that could prevent permanent reproductive damage, preserve future fertility, and literally save lives.

A contentious push in Florida to require parental consent for minors seeking treatment for sexually transmitted infections, contraception, and basic school health services has ignited a tense debate about adolescent privacy. For Thai readers, this case highlights how policy choices around confidential care can shape health outcomes for young people in communities where stigma and limited sex education already hinder access to vital services.

Public health experts warn that stripping away privacy protections can drive teens away from essential care. Survivors of sexual assault and frontline clinicians testified that confidential services often determine whether at-risk youth seek STI testing, contraception, or mental health support. Opponents argue parental involvement safeguards family oversight, but health advocates emphasize that mandatory consent can impede timely treatment and worsen health disparities.

A profound healthcare emergency affecting breast cancer survivors worldwide has been exposed through comprehensive international research revealing that nearly ninety percent of women who successfully overcome cancer subsequently experience severe sexual health complications that remain systematically ignored or inadequately addressed by their medical care teams. This alarming gap in post-treatment support proves especially devastating for Thai women, where complex cultural sensitivities surrounding intimate health discussions intersect with healthcare system limitations to create compounding barriers that prevent survivors from accessing the holistic recovery support they desperately need to rebuild complete physical, emotional, and intimate wellbeing after their cancer journey. As Thailand’s breast cancer detection and treatment capabilities continue advancing, resulting in steadily improving survival rates, the urgent need for comprehensive survivorship care that addresses all aspects of women’s health becomes increasingly critical for ensuring that beating cancer truly means returning to full, satisfying lives rather than merely surviving with diminished quality of life.