Sexual health in people with learning or intellectual disabilities

People with a learning disability (LD) or intellectual disability (ID) may be just as likely to be sexually active as their peers, but are less likely to receive appropriate sexual health education. Unfortunately, this is one of the factors contributing to the higher risk of sexually transmitted infections (STIs), pregnancy and sexual abuse amongst people with an LD/ID. A GP can help to advocate for and support patients with an LD/ID to make informed and safe decisions related to their sexuality. This article, based upon a clinical case scenario, highlights the sexual health education needs of people with an LD/ID, as well as issues around STIs, contraception and safeguarding.