The results of our study indicate that 3.2% of youths had engaged in transactional sex at some point; half of them more than once. Male gender, poor mental health, sexual orientation, and number of sexual partners are the main characteristics associated with this group of youths. Sexual education and prevention campaigns should target this phenomenon.

Characteristics of places have been found to affect sexually transmissible infections (STIs) rates, with some evidence indicating that availability of alcohol within local areas may be associated with STI prevalence. We investigated potential associations between prevalent cases of chlamydia in young people in Australia and the availability of alcohol within their local area (residential postcode). We found little evidence of associations between alcohol availability and chlamydia, but observed significant associations between inconsistent condom use and chlamydia prevalence.

In recent years, increased social and scientific attention has been paid to individuals who discontinue gender-affirming treatments, commonly referred to as detransitioners. This report describes two individuals who decided to medically detransition following the reaffirmation of their transgender identity. The cases contribute to our still limited understanding of this phenomenon and encourage reflection on the best clinical practices for individuals with gender-related distress.

We provide evidence that reproductive-aged women are in support of testing, partner notification and treatment for chlamydia, but knowledge about expedited partner therapy (EPT) is low, with the exception of those working in the healthcare field.

Bacterial vaginosis is a common vaginal complaint among women of child-bearing age, with adverse effects on sexual and reproductive health. The existing diagnostic modalities are cumbersome and require skilled expertise. The aim of the study was to compare the gold-standard Nugent scoring method with Amsel’s clinical criteria and simplified, physician-friendly clinical criteria for diagnosis of BV.

Anal examination and proctoscopy are important skills needed to facilitate the diagnoses of rectal STIs and cancer in men who have sex with men. Sexual health clinician (25 doctors and 15 nurses) confidence was higher for anal examination vs proctoscopy (median Likert scores 4/5 vs 5/5, P < 0.05) and higher in doctors compared with nurses (5/5 vs 4/5, P < 0.008, 4/5 vs 2/5, P < 0.005) and related to years of experience (5/5 vs 4/5, P < 0.001, 3/5 vs 5/5, P = 0.007), and the barriers included lack of opportunities for training, concerns about patient reluctance and lack of available equipment. We need to increase the opportunities for training sexual health clinicians in anal examination and proctoscopy for MSM.