Sexually transmitted infections among geriatric population.

The inclusion criteria of the study were all patients over 60 years of age referred to STI clinic, regardless whether the final evaluation demonstrated an STI or not. So how do we logically label every genital complaint as an STI? Several of the presenting complaints were rather nonspecific to warrant inclusion in a cohort of STI patients. For example, genital itching was the presenting or associated complaint in 20 patients. Possible etiologies of genital pruritus are numerous. In the absence of associated genital lesions, or presence of a causative sexually transmissible organism, it is most likely that STIs were the etiology in only a small fraction of patients. Similarly, one patient each with fluid‐filled lesions (site not mentioned), burning micturition, rash over palms and soles, inguinal swelling had VDRL positivity (dilution not given), final diagnosis has not been mentioned, although none of the patients were eventually diagnosed as secondary syphilis. Cervical and urethral discharge contributing to vaginal discharge and without finding any pathogen is unusual. Cervical discharge in a woman aged 60 years or more in the absence of an infectious cause is a matter of concern and cannot be left at that. Similarly, the basis for confirmation of diagnosis of late latent syphilis and pelvic inflammatory diseases has not been elucidated.