Abstract
Sexually transmitted infections (STIs) among the elderly are an underrecognized yet growing public health concern. This review explores the epidemiological trends, risk factors, and healthcare barriers contributing to STI burden in the elderly population. Factors such as physiological changes, low condom use, limited sexual health education, and under-recognition by healthcare providers heighten vulnerability in this group. Stigma and discomfort around sexual health discussions further impede prevention and timely diagnosis. The review also examines implications of immunosenescence, polypharmacy, and comorbidities on STI susceptibility and outcomes. Older adults are often overlooked in public health interventions for such infections. Hence, addressing this gap requires age-inclusive sexual health policies, tailored screening guidelines, and greater awareness among clinicians and the public.