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Friday, January 31, 2025

Sex And The Suburbs – Holly talks with a sexual health expert

  • Join Holly as she searches east Auckland for love and connection.

Holly chats to Dr Mataroria Lyndon from Tend Healthcare.

Do you see many patients still very reluctant to talk about “down there” issues?

“Absolutely, and it’s completely understandable. Many people feel hesitant to talk about issues ‘down there’, whether it’s out of embarrassment, not feeling comfortable to disclose or talk about these issues with their health provider, or just not knowing where to start. But I want to reassure them there’s no need to feel uncomfortable. We see a wide range of concerns in this area and it’s part of what we do every single day. People’s health and comfort are our top priorities and we’re here to listen and provide support, no matter the issue. You’re not alone in feeling this way, and we’re here to help in a safe and respectful environment.”

The Institute of Environmental Science and Research (ESR) has some concerning data around infectious syphilis cases – an overall increase of 45 per cent, with the biggest increases in the 30-39 and 50-plus age groups. Meanwhile, rates for under 24s have decreased. So much for being young, dumb and full of… enthusiasm. Do you think older New Zealanders are doing well enough at practicing safer sex?

“The rise in syphilis cases among older age groups is definitely concerning. It highlights the need for more awareness around safer sex practices, regardless of age. While younger people often receive more education on sexual health, it’s just as important for older Kiwis to stay informed and take steps to protect themselves. Sometimes there’s a misconception that sexually transmitted infections (STIs) only affect younger people, but as the data shows that’s not the case. It’s never too late to practice safer sex, and things like regular STI checks, using protection, and open conversations with partners are key. We’re here to provide support, advice, and testing for anyone who needs it, no matter your age.”

Women have, until recently, been absent or underrepresented in clinical trials, so we know less about how well certain treatments work on women. Do you think we’re starting to do better?

“You’re absolutely right. Historically, women have often been underrepresented in many clinical trials, which means we haven’t always had a clear understanding of how some treatments affect women specifically. This lack of representation has impacted our knowledge of how various conditions present in women and how they respond to different medications or treatments. Thankfully, we’re seeing progress. More and more, clinical trials are recognising the need to include women, underrepresented groups, and consider gender differences in research. There’s also growing awareness around conditions that predominantly affect women, such as endometriosis and polycystic ovary syndrome (PCOS), which have been under-researched for far too long. At Tend, we’re committed to continuing the conversation around women’s health and providing resources and support so that women feel empowered to take control of their well-being. We’re hopeful with ongoing advocacy and initiatives like our Te Wiki Hauora Wāhine (Women’s Health Week), we can keep moving in the right direction.”

Dr Mataroria Lyndon: “At Tend, we have free health coaches and health improvement practitioners for our enrolled patients who can help guide healthier lifestyles and behaviours.” Photo supplied Unsplash.com Max van den Oetelaar

I’m all about love and connection, and lately I’ve been reading about great results that have been seen with social prescribing – a proactive approach that can involve referring patients to arts, sports, social or service organisations. What are your thoughts on using the strength of community to promote well-being?

“I love that you’re exploring social prescribing! It’s such a powerful approach to healthcare that looks beyond just medical treatments and taps into the strength of community and connection. There’s a lot of evidence showing that feeling connected and involved in activities like arts, sports, or community groups can have a huge impact on overall well-being, both mentally and physically. When we think about hauora (health and well-being) holistically, it’s clear that being part of a supportive community can help reduce feelings of isolation, manage stress, and even improve chronic conditions. It’s great to see healthcare moving toward this more proactive, whole-person approach, where the focus isn’t just on treating symptoms, but on nurturing the social and emotional sides of health as well. Whether it’s getting involved in community events, volunteering, or simply finding new ways to connect with others, these relationships can really enhance well-being. At Tend, we have free health coaches and health improvement practitioners for our enrolled patients who can help guide healthier lifestyles and behaviours. Our clinicians are always open to exploring ways to help patients thrive – not just by addressing their medical needs but by encouraging a more connected, fulfilling life.”

Are there any ways you would like to see patients advocate better for themselves?

“Absolutely. One of the most important things patients can do is feel empowered to ask questions and be an active participant in their care. Healthcare works best when it’s a partnership, and that means understanding your health, options, and what feels right for you and your whānau. If something isn’t clear, don’t hesitate to ask for clarification or more information, whether it’s about a diagnosis, care plan, or even the steps for managing your condition at home. With the Tend app, our patients have access to their health records, test results, regular medications and more. This is our way of supporting our patients to take control and literally have their healthcare in the palm of their hands. Another way patients can advocate for themselves is by speaking up about their symptoms, even if they seem small or unrelated. You know your body better than anyone and sharing concerns can give us a fuller picture to provide the best care possible. Lastly, taking the time to prepare for appointments by writing down questions or concerns can help make the most of your time with your care team. Clinicians are trained to listen and support you, and we encourage everyone to feel confident in advocating for their health.”

To write to Holly, send an email to holly@times.co.nz

Yours in love,

Holly

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