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Cases of gonorrhoea in England have reached record highs, while syphilis cases are at the highest level since just after the Second World War, according to the UK Health Security Agency (UKHSA). Gonorrhoea diagnoses rose to 82,592 in 2022, an increase of 50.3% compared to 2021, while infectious syphilis cases increased to 8,692 in 2022, the largest annual number since 1948. As well as gonorrhoea and syphilis, it’s important to be aware of the risk around all sexually transmitted infections (STIs) including chlamydia, genital herpes, genital warts and HIV. As Dr Hamish Mohammed, consultant epidemiologist at UKHSA, pointed out: “STIs aren’t just an inconvenience – they can have a major impact on your health and that of any sexual partners.” Here, sexual health experts talk through what you need to know about STI prevention, testing and treatment… 1. Anyone can potentially get an STI “Don’t think that because you haven’t caught one in the past – or because you only sleep with people that you don’t think have STIs – that you are immune, because the truth is that no one is,” Sarah Mulindwa, a specialist sexual health nurse who is working with Lovehoney, told PA Media. Regardless of gender, sexual orientation, whether you have lots of partners or you’re in a monogamous relationship, anyone can potentially get an STI. And they affect all age groups, too. “There’s no upper age limit on getting an STI,” Julie Bowring, consultant gynaecologist in sexual and reproductive health at London Gynaecology, added. The number of common STIs caught among the over 65s in the UK increased by 20% from 2017 to 2019, according to the Local Government Association. This may in part be due to differences in health awareness. “When that generation of patients were at school, they didn’t get quite as good and comprehensive sexual health education as we get now,” Bowring said. “And if you look at all the media campaigns for sexual health infections, it’s usually targeted at a younger demographic.” 2. Not all contraceptives protect against all STIs “It’s a common myth that when you’re on regular contraception, you might have protection against STIs,” said Bowring. “I think that can sometimes be missing in information that’s given to patients when they start contraception.” While birth control methods such as the pill, coil or IUD will protect against unintended pregnancy, they won’t protect against STIs. “Condoms [or dental dams] are the only effective method of protecting against STIs if you are sexually active,” said Mulindwa. “And even then, only when you use them correctly: wearing one to cover the whole length of the penis, and using from start to finish of sex, including during oral, anal, or vaginal penetration.” 3. Symptoms can vary greatly With a wide range of symptoms that vary in severity, STIs can sometimes be difficult to spot. “Certain STIs, such as chlamydia for example, might not even present any symptoms in the person that has it,” Mulindwa explained. “If you are experiencing any form of discomfort in and around your genitals, then it is imperative that you get tested right away.” Other signs may include an unusual discharge from the vagina, penis or anus; pain when peeing; lumps or skin growths around the genitals or anus; a rash; unusual vaginal bleeding; itchy genitals or anus; and blisters, sores or warts around these areas. “It can be quite difficult for women to sometimes know when a symptom might be STI related,” added Bowring. “It could be their periods, it could be something non-STI related. If there is a risk of infection and you have noticed a change in either your discharge or your pain, then it is worth getting checked out.” 4. Routine testing is a good idea Because some infections don’t result in any symptoms, routine testing is important. “If you’ve changed partner then it’s a good idea, if you haven’t had STI screening, to attend your local service to get that done,” Bowring advised. Home testing kits are also available with swabs and finger-prick blood tests. “It’s recommended that you screen at least every six months for the most common infections – chlamydia and gonorrhoea – and yearly for blood tests to screen for HIV, syphilis, and hepatitis C,” Mulindwa added. “Depending on your risk factors, you may need to screen more frequently.” 5. Treatments are available STIs are extremely common and there’s no need to feel embarrassed or ashamed if you do catch one, and treatments are available. “The majority of STIs are curable, and even those that aren’t – for example, herpes – have treatments available to manage outbreaks,” said Mulindwa. “Some STIs like chlamydia are treatable with a course of antibiotics, and others require creams and ointments.” 6. Options for people with HIV have come a long way Thanks to scientific breakthroughs, providing they have access to treatment, most people with HIV will not develop any AIDS-related illnesses and can live full lives. “There are now options available that can stop HIV reproducing in the body and prevent you from passing it on, as well as drugs designed to prevent infection if you have been exposed,” said Mulindwa. “People who are HIV positive and are undetectable (which means the level of the virus is very low) are unable to pass it on even when they have unprotected sex.” A relatively new drug called Pre-Exposure Prophylaxis (PrEP) – designed to reduce the chance of contracting HIV – can be helpful for people who may be at increased risk. Health professionals at NHS sexual health clinics can talk you through the options for preventing and managing HIV. 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Unsure how to approach a sensitive health conversation with your partner? While there shouldn’t be any shame around health issues, it can feel tricky raising concerns about your partner’s health – especially if it involves something perceived as being ‘embarrassing’ or sensitive. This can particularly apply to men: a survey commissioned by the app myGP last year found one in four men (23%) refuse to seek medical advice about a health issue due to embarrassment. But, what if you’re the partner of a man who may need to tackle a health issue, but you’re nervous about how to bring the topic up? First off, men’s health and sexual function specialist Dr Anand Patel, advisor to Eroxon, says being able to have these conversations in relationships is important. “It is the unsaid conversations that cause the most stress in relationships,” says Patel. “If you have a partnership where you can communicate your needs and stresses on a regular basis, you are probably going to have a really functioning relationship.” So, whether you’re in a heterosexual or same-sex relationship, how do you go about it? “These talks are important to have in a kind manner,” says Patel. “Don’t blindside them, don’t catch them off-guard. It is about helping with the health of each other.” As Men’s Health Week (June 12-18) begins, here are three common men’s health problems, and advice on how to talk to your partner about them… Toilet habit changes Have you noticed that your partner’s toilet habits have altered? Patel says this could include them “having difficulty passing urine, running to the toilet all the time, or getting up a lot in the night” to pee. This can be very common, particularly as men get older, and it is often linked to the prostate (a small gland, located near the bladder, which helps make semen). An enlarged prostate can affect urination, and while this is usually caused by a harmless condition called benign prostate enlargement (BPE), it can sometimes be a symptom of cancer so it’s important to get it checked out by a doctor. Plus, there are treatments that can help – it isn’t something men need to just live with. But how do you raise the conversation if someone seems reluctant to talk about it? “I would suggest having an idea in your head of what you want to say. Speak in a private place, where they have not just got back from work or are rushing out,” says Patel, who suggests approaching it by saying: ‘Can we catch up about something that has been on my mind?’ “Keep an even tone, even if you are annoyed you are being kept up at night. This might be a bit embarrassing, signpost that, then discuss how it affects you and explain you are worried about them.” Erectile dysfunction Erectile dysfunction (ED) is very common and often nothing to worry about if it only happens occasionally and there’s an obvious cause. But sometimes it can be more of a frequent problem – and Patel says it’s important for people to be able to talk about it in relationships. He explains: “It could be a sign of health issues. Perhaps due to anxiety, depression, work, grief, stress, or a health condition” – such as diabetes or a heart problem. Erectile dysfunction can be a sensitive topic, however. When it comes to discussing it with your partner, Patel suggests: “Pick a good place and time – not after sex. Signpost that it is not a blame thing. Explain that you still enjoy what you do together, but have noticed differences. Ask how he is feeling and whether the problem is something you can work on together. Say what you need to say, but do it kindly.” Remember, GPs hear about ED all the time and there are lots of effective treatments. “Many current treatments don’t involve the partner at all; he shuffles off and deals with it, be it through tablets or a pump,” says Patel. “Whereas if you are able to engage with foreplay, you can use something to improve the situation together, such as Eroxon [treatment gel]. The topical nature of the gel means you can get your partner fully involved with some manual stimulation too.” A lump on their testicles You are having sex with your partner and come across a lump. Now what? “Perhaps don’t say there is a lump when you are having sex – bring it up another time soon after, and don’t delay,” suggests Patel. However, he stresses that this “could be an urgent conversation”. Patel adds: “Maybe it is [a lump] they have known about for years that is nothing to be worried about, but you should ask. Once you have said something, be quiet and give them some time. They could be feeling angry, embarrassed, shocked, or confused about how you might feel. If they say they don’t want to speak to a doctor, try to work out why. Make it clear you are worried.” A lump doesn’t always mean cancer. However, this is a possibility – testicular cancer is the most common form of cancer in men aged between 15-49, according to the NHS – so it’s important to get any unusual lumps and bumps checked out quickly. Testicular cancer be often be successfully treated, but detecting it early does help. “Sometimes you have to mention cancer to make someone take an issue seriously,” says Patel. “You may want to be kind, but you cannot avoid the fact they might have a problem.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Prince William responds after three guardsman collapse during UK heatwave Chanel’s classic 1926 little black dress added to fashion exhibition in Scotland 6 innovative self-tan products to help you get your best-ever faux glow

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Jonnie Irwin has opened up about why he hasn’t told his three children that he has terminal cancer. The A Place in the Sun presenter, 49, publicly revealed his diagnosis in November 2022 after his lung cancer spread to his brain. However, his young sons, who he shares with wife Jessica Holmes, do not know that their father is dying. Irwin says it would be difficult for them to understand his situation at this age: his eldest son Rex is four-and-a-half, while twins Rafa and Cormac are turning three this month. In a new interview with Hello! magazine ahead of Father’s Day, Irwin said: “I keep being asked, ‘Are you going to tell them?’ but tell them what? “It would be horrible news that they’d have to get their heads around. And it would confuse the hell out of Rex – he’s got a shocking enough day coming. Let’s bury our heads in the sand for as long as possible.” In the meantime, Irwin and Holmes are trying to give their children a sense of normalcy by continuing to teach and play with them. Holmes described the presenter as a “great dad and a big kid himself”, adding: “All the boys gravitate to him when they want to show off and get his attention. They’re aware that Jonnie needs his rest and can’t always jump up and play football for hours, but they’re more than happy snuggled up on the sofa, watching a movie. “Story time is a big thing at bedtime and that is something I know Jonnie treasures with them.” In November, when Irwin first revealed his diagnosis, he said Rex “doesn’t need to know” about his illness yet. “We make fun of my hair – he calls it my ‘spiky head’ – but as far as he’s concerned, his dad is normal and why would I shatter that innocence?” Earlier this month, Irwin was admitted to hospital to be “monitored” as his treatment continues. He shared in an Instagram post that he was admitted to keep an eye on a “changeover in my pain management regime”. In an appearance on the OneChat podcast by insurer AIG Life, Irwin said he had been close to dying “at least twice”. “You lose your memory, you lose your patience. I have got a very short temper. It’s not made me a better person, that’s for sure,” he admitted. However, Irwin emphasised that he prefers to think of his situation as “living with cancer, rather than dying from cancer”. Read More A Place In The Sun’s Jonnie Irwin admitted to hospital amid terminal diagnosis Jonnie Irwin says he’s been ‘close to death’s door twice, at least’ Jonnie Irwin says going public with terminal cancer diagnosis was day he began ‘living again’

Joining the Dent family in 1985, our microwave had somewhat of a bad start. It arrived, fresh out the box from Comet, in the midst of an argument. My mam had not greenlit the purchase of this cumbersome stainless-steel cube, with a vivid orange door, that Dad and I were loading onto her already packed kitchen worktop. She did not share our enthusiasm for this magical, space-age item we’d seen on BBC’s Tomorrow’s World and knew would take our snacking into the future. She was mainly outraged at the whopping £100 sum I’d cajoled Dad into spending. “I don’t trust it,” said Mam, reeling off a list of concerns, including microwaved innards, catastrophic explosions and partially cooked food giving us rampant salmonella. The truth was a little less exciting: I remember us loading the first maris piper inside, pricked all over with a fork, blasting it on HIGH for seven minutes, hoping for a crisp, fluffy jacket spud, only to find a rock-hard lump with a thin, waxy skin that hissed and spat from the holes. “See? Useless!” said Mam. My dad and I were sheepish. But as the weeks went on, Mam’s attitude to the microwave softened. For a start, it was saving her a fortune on gas as we almost stopped using the hobs for tinned spaghetti, soup, baked beans, tinned custard. Plus, the defrost button meant we now had access to all those mystery items she’d deep-frozen months back. Potato became a thing of joy as we discovered “micro-mash” (real potato, already peeled, mashed and frozen). Mam and Dad worked, so now my brother Dave and I could rush home from school and warm up glamorous microwave meals we’d begged Mam for on the big Friday shop. Macaroni cheese in a plastic tray! Microwave chips in a box! We learned how to heat food thoroughly, stopping halfway to give it a stir, before lazing on the couch, watching Miami Vice with our microwave chicken chow mein, feeling like we were fully living the dream. Nowadays, I try to limit my intake of such shiny-packeted E-number-filled joys; but still, I can’t live without my small, sleek, silver microwave. Life is too short to use a pan for frozen peas or spaghetti hoops; and how would I live without a quick 800W blast to thaw and separate veggie sausages before hurling them in the air fryer, or to defrost frozen mince before whipping up a quick chilli? Some foodie types are snobbish about the microwave; I see it as a loyal friend who has had my back for over 30 years Watt’s on the menu? Make the most of your microwave to conjure up clever meals that save on time and energy use. These ingenious recipes are from Ocadolife. Easy perfect rice with smoked trout and broad beans If you have trouble boiling rice on the hob, you’re going to love this method. It’s super-easy and yields flawless results every time. Here, it’s teamed with a summery combination of pink fish, vibrant herbs and a zingy dressing. Serves: 4 Hands-on time: 15 mins | Total time: 20 mins, plus standing (based on an 800W microwave at full power) Ingredients, available from Ocado: 250g basmati rice, rinsed 500ml hot vegetable stock 300g frozen broad beans Zest and juice of 1 unwaxed lemon, plus extra wedges for squeezing 1 garlic clove, crushed or grated 2 tbsp olive oil handful of flat-leaf parsley, roughly chopped Small bunch of dill, roughly chopped 2 x 100g packs M&S Scottish Loch Trout Flakes Method: 1. Put the rice in a large microwave-safe bowl. Pour the stock over the rice; stir well. Cover (if using microwave-safe wrap, pierce to let the steam escape); sit the bowl on a microwave-safe plate to catch drips and microwave for 12 mins. Remove; leave to stand, covered, for 10 mins. 2. Meanwhile, put the broad beans in another microwave-safe bowl with a few splashes of water, cover with a microwave-safe plate and blast for 2 mins. Remove, tip into a colander and refresh under cold running water until cooled; drain well. 3. Stir the broad beans into the rice, with the lemon zest and juice, garlic, olive oil, most of the herbs and plenty of seasoning. Fold through the trout. Divide between 4 plates and scatter over the remaining herbs. Serve with lemon wedges for squeezing. Per serving: 428cals, 1 veg portion, 10g fat (2g saturated), 22g protein, 59g carbs, 2g sugar, 7g fi bre, 1.7g salt Saucy supper silky aubergine and courgette noodles Microwaving cooks food from the inside out, so you can say goodbye to spongy aubergines and hello to beautifully soft flesh that soaks up the marinade as it cooks. Serves: 4 Hands-on/total time: 20 mins (based on an 800W microwave at full power) Ingredients available from Ocado: 2 aubergines, each cut lengthways into 8 pieces 100g egg noodles 1 large courgette, peeled into ribbons Large handful of coriander, roughly chopped 1 red chilli, sliced 1 tbsp sesame seeds, toasted For the marinade: 4 tbsp soy sauce 3 tbsp rice wine vinegar 1 tbsp sesame oil 2 garlic cloves, crushed or grated 3cm piece ginger, grated 1 tbsp miso paste 1 tsp caster sugar Method: 1. Combine all the marinade ingredients in a large microwave-safe bowl. Add the aubergine; toss to coat. Cover (if using microwave-safe wrap, pierce a couple of times to let the steam escape); microwave for 12 mins, stirring halfway, until cooked through. 2. Meanwhile, put the noodles in a heatproof bowl and cover with boiling water. Leave to stand for 3 mins or until tender. Put the courgette ribbons into a sieve, then drain the noodles over them – the residual heat will soften the courgette slightly. 3. Divide the noodles and courgette between 4 plates. Top with the aubergines, spooning over any remaining sauce. Scatter over the coriander and chilli, sprinkle with the toasted sesame seeds and serve immediately. Cover leftovers and chill for up to 2 days. Reheat in the microwave until piping hot. Per serving: 357cals, 1 veg portion, 5g fat (1g saturated), 13g protein, 60g carbs, 9g sugar, 9g fibre, 3.4g salt, £1.37 per portion Smoky bean chilli with cornbread and crispy bacon With no frying odours or splattered grease, bacon in the microwave is almost too good to be true – especially teamed with this delicious chilli and cheesy cornbread. Serves: 4 Hands-on time: 20 mins | Total time: 30 mins (based on an 800W microwave at full power) Ingredients available from Ocado: Six rashers dry-cured smoked streaky bacon For the cornbread: 2 tbsp unsalted butter, plus extra for spreading (optional) 5 tbsp plain flour 5 tbsp fine cornmeal or polenta 1 tsp baking powder 1 tbsp caster sugar 2 medium eggs, lightly beaten 6 tbsp natural yoghurt 1 green chilli, finely chopped (optional) 50g cheddar, finely grated For the chilli: 150g soffritto mix (we used Cook With M&S Frozen Soffritto Base, defrosted) 1 garlic clove, crushed or grated 2 tsp ground cumin 2 tsp smoked paprika 1 tsp dried oregano 1 tbsp olive oil 2 x 400g tins mixed beans, drained (splash of liquid reserved) 350g passata To serve (optional): Soured cream Handful of coriander, leaves picked 2 salad onions, chopped Method: 1. For the cornbread, put 1tbsp butter into each of 2 large mugs (preferably straight-sided). Microwave for 20 secs or until melted. Carefully swirl the butter around in the mugs so it greases the sides, then tip the excess out into a mixing bowl. Set the mugs aside. 2. Add the remaining cornbread ingredients to the bowl, reserving a little of the grated cheese. Season well, then stir until combined. 3. Divide the mixture equally between the 2 mugs and sprinkle over the remaining cheese. Microwave them separately for 1½-2 mins or until risen and springy. Run a knife around the edge of the cornbread to loosen; turn out onto a wire rack to cool. 4. For the chilli, put the soffritto, garlic, spices, oregano and oil into a large microwave-safe bowl. Cook for 3 mins, stirring halfway. 5. Add the beans (and a splash of liquid), passata and seasoning to the bowl; stir well. Cover (if using microwave-safe wrap, pierce a couple of times to let the steam escape), and cook for 5 mins, stirring halfway. Leave to stand while you cook the bacon. 6. Put 2 sheets of kitchen towel on a microwave-safe plate and lay the bacon in a single layer. Cover with another sheet of kitchen towel. Microwave for 1 min, then check to see if it’s crisp and starting to curl. If not, continue cooking in 20-sec bursts, being careful not to burn it. Break into shards. 7. Uncover the chilli (open it away from you to avoid the steam) and ladle into bowls. Top with a dollop of soured cream, the coriander and salad onions (if using), and the bacon. Serve with the cornbread, buttered if you like, for scooping. Leftover chilli will keep covered and chilled for 3 days. The cornbread is best eaten on the day of cooking. 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In a number of scenes in 2001’s Bridget Jones’s Diary, our heroine – a thirtysomething singleton played by Renée Zellweger – squashes the skin of her lower torso into an array of Lycra shapewear, all in an attempt to make herself appear slimmer. When Hugh Grant’s Daniel Cleaver sets his eyes on her high-wasted, nude-coloured underpants in one memorable scene, Bridget blushes with embarrassment. “Well, hello mummy,” Daniel purrs. At the time of the film’s release, control shapewear – or tummy-tucking underwear designed to smooth its wearer – was marketed predominantly at people like Bridget, someone who was told by society she was “fat” or undesirable unless she had a flat stomach. Today, though, shapewear is branded differently, marketed to young women as a sexy, must-have fashion accessory. Shapewear products are not only promoted as stomach-smoothing fixes, but for anyone who wants a narrow waist or their figure to resemble a contoured, Kardashian-style hourglass. Skims, Kim Kardashian’s self-owned shapewear brand that she founded in 2019, sells viral sculpting bodysuits geared towards achieving this particular body shape. They start at £70. Since the launch of Skims, as with anything that a member of the Kardashian clan wears or makes, fast fashion knock-offs have swelled the market. Online retailer PrettyLittleThing, which has a murky track record of contributing to a harmful cycle of fast fashion, sells duplicates of the Skims viral bodysuit for around £20. They also sell waist trainers – a corset-style casing worn underneath clothes to aggressively teach your waist to be narrow – for just £12. “Doll cinch your waist in an instant with this waist trainer,” the item’s description reads. The product has boning to make it stiff and restrictive. Venture onto TikTok and you’ll find viral dresses with Spanx-style shapewear, designed to minimise the width of a person’s waist and accentuate their bottom, built into the clothing itself. While Skims is not solely responsible for this recent boom in shapewear, it has contributed to transforming how we view it – Bridget’s “granny pants” are now glamorous and aspirational. For the brand’s latest collection, for example, buzzy British singer-songwriters Raye and PinkPantheress were enlisted to promote it, along with viral Bronx rapper Ice Spice. The resulting campaign wouldn’t look out of place in the pages of Vogue. What this marketing tells us is that fashion isn’t just about the garments you wear, but the apparently malleable shape of the body on which they’re worn. Early shapewear emerged in the 16th century, not as a trend or body sculpting device, but for practical support. Karolina Laskowska, a lingerie designer and director of the underwear archive The Underpinnings Museum, tells me that the primary purpose of shapewear back then was to support the body much in the same way that a contemporary bra is made to support the breasts today. “A pair of stays [a corset style bodice] would have offered bust and back support for women who worked,” she explains. “These styles were more functional and supportive, rather than trend-driven.” The beginnings of the shapewear we see today were first seen in the Sixties, when the invention of Lycra, a synthetic-based elastic fibre, allowed for stretchier fabrics. What Laskowska dubs the grandparent of modern shapewear was the “Little X Girdle” by a British brand called Silhouette. “It was a turning point for a shift from traditional structured corsetry into elasticated shapewear,” she says. The item was a seamless, pull-on girdle – an elasticated corset extending from waist to thigh – and was eventually licenced to sell in over 32 countries as turnover increased exponentially. We then saw the evolution of more comfortable, everyday shapewear, like those made by Spanx, an American brand founded in 2000. They’re so uncomfortable, but they’re so afraid of what others will think about them due to their body size Victoria Kleinsman By contrast, modern shapewear is now geared towards sculpting the body to appear differently underneath clothes. And now, fast fashion is getting involved, too. But lingerie designers like Laskowska are increasingly worried about the consumer physically “hurting” themselves with badly made undergarments. “We’ve seen fast fashion adopt corsetry and shapewear trends but it’s not made to fit the human anatomy, since it’s made to be as cheap as possible,” she says. She adds that people could “injure” themselves with elasticated shapewear if they buy a size too small, meaning they could potentially restrict their blood’s circulation. Victoria Kleinsman, a self-esteem expert and body love coach, works with women between the ages of 13 to 60, and says that she’s seen how her younger clientele are feeling the pressure to wear shapewear in order to conform to the cult of thinness. Some clients have bought pantyhose with built-in cushioning to make the bottom look larger and perkier. Others will wear layers of shapewear to sculpt the body, particularly the waist and stomach, to look slimmer or flatter. To Kleinsman, wearing modern shapewear allows people to apply an “IRL [Instagram] filter” to their bodies. She speaks to women each day who are “crying” to her on Zoom calls because they’re worried about what their bodies look like. “It’s to the point when it’s boiling hot weather [but] they’re wearing spandex shapewear and tights, and they’re so uncomfortable, but they’re so afraid of what others will think about them due to their body size.” The expert fell into her line of work after she struggled with an eating disorder – she also wore a waist trainer when she was dealing with her own body image issues. “I would go to the gym wearing it because apparently you ‘sweat more’ and therefore lose ‘water fat’,” she says. “Which is b******! It’s physically painful to your physical body and even more painful to your emotional and mental well-being.” Kleinsman doesn’t think that this type of elasticated shapewear has anything to do with fashion and it should not be marketed as such. “It’s really dangerous,” she tells me. “Shapewear gives you a fake ‘confidence’ but then underneath it all when that comes off, then, who are you?” The popularity of Skims and their various knock-offs doesn’t seem likely to decline any time soon, but Kleinsman is hopeful that more women will soon have epiphanies about the shapewear revival. “Fatphobia and body image trauma is still the norm,” she sighs. “There has never been more [appropriate] a time for us to embrace our natural bodies.” Read More ‘The models are skinnier than ever’: Has London Fashion Week stopped caring about body diversity? 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