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With record levels of gonorrhoea and syphilis cases reported by the UK Health Security Agency, it’s important to take sexual health seriously – and not just for young people. In fact, the number of common sexually transmitted infections (STIs) among over-65s increased by 20% from 2017 to 2019, according to the Local Government Association. This is why if you are sexually active, regular testing is necessary whatever your age – even if you don’t have any symptoms. “Sexual health check-ups are important because STIs can be silent but can also have significant health implications,” says Dr Priyanka Patel, consultant ambulatory gynaecologist at London Gynaecology. “STIs such as chlamydia can affect female fertility, and STIs such as HIV weaken the immune system.” To mark Sexual Health Week (September 11-17), Dr Patel talks through some key points about STI screening… How often should you have an STI check? “You need to have an STI check whenever you have a new partner, especially if you’re not using condoms, or think you were exposed to an STI,” says Patel. “Everyone should have an STI screen, including an HIV test, every year if having sex without condoms with new or casual partners.” Testing is also advised for anyone who develops possible symptoms. These may include unusual discharge from the vagina, penis or anus; pain when peeing; blisters, sores, lumps or skin growths on the genitals or anus; itching or a rash. What will you be asked at a check-up? You can find your nearest sexual health clinic via the NHS to book an appointment. Many sexual health services now offer free self-sampling kits to order online for people who don’t have any symptoms and want to do a check-up at home. “Men may have to hold their urine before testing, but women do not need to do anything in particular to prepare,” Patel says. “You will be asked about your sexual history, partners, contraceptive use and general health. You will be asked for details about your recent sexual partners and types of sex you have.” These questions may feel personal or intrusive but are important to ensure the correct tests are done. Remember, taking care of your sexual health is about being safe and empowered and healthcare professionals are there to help. What tests are done? “The testing will depend on the answers you give about the types of sex you have,” says Patel. “Vaginal, throat and anal swabs may be done – these will be used to test for chlamydia and gonorrhoea.” To do this, the clinician rubs a cotton bud inside the area for a few seconds. A blood sample will be taken to test for syphilis and HIV. Patel continues: “If you have symptoms, then the clinician will usually carry out a speculum examination to look at the health of the vagina and cervix.” How do you get STI test results? The way your results are delivered varies between clinics, and they will advise when you should expect to hear back. “Most will send results via a text message or give you a number to call for results,” says Patel, while some have a ‘no news is good news’ policy, meaning if you don’t hear anything then you’ve got the all-clear. For home testing kits, you’ll get a notification to say your samples were received and results are usually sent via text message. “If you test positive for an STI, they will arrange for treatment and offer support,” Patel explains – which goes for both clinic and self-sampling. She adds: “It’s important to notify partners of any positive results and the sexual health clinic can also assist in anonymous partner notification.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 9 arthritis myths we all need to stop believing Prince Harry spotted at Windsor Castle on anniversary of Queen’s death How the weather can change the way you dream

A derailment of an Amtrak train in Montana that killed three people in 2021 was caused by a poor track conditions at the accident site, federal investigators said in a final report on the accident

At the beginning of the season, a mere 10 races ago, Lando Norris endured an opener of excruciating torment in Bahrain. With his stricken McLaren impacted by a “pneumatic pressure leak”, the Brit valiantly took the chequered flag in dead last after pitting an astonishing six times throughout the race. It was, simply, a shambles. But that now seems nothing but a distant memory, four months on in the safe haven of the British Isles. Most observers did not raise an eyebrow when McLaren announced a number of upgrades to their car ahead of the Austrian Grand Prix last week. It is the phase of the season where every team is changing parts in search of that extra tenth or two of speed. Usually, by way of natural progression, the improvement is gradual. Yet out of an abyss of doom to start 2023, the papaya have come storming back into contention. The signs were there in Austria when Norris qualified third on the grid. Race-pace on that occasion last week was his downfall. But this time, what a sparkling Silverstone weekend it proved to be for Norris and his team-mate Oscar Piastri. One-lap pace on a Saturday? Tick. Backed up by enhanced speed on Sunday? Another tick. If it wasn’t for a mid-race safety car, it would have been a first double podium since Monza two years ago for McLaren, with Piastri unfortunate to not grasp his first top-three in F1 after finishing fourth. But it was Norris who was the star of the show at Silverstone. On paper the slowest out of the British triumvirate, with Lewis Hamilton and George Russell sporting the might of Mercedes, cautious optimism was the talk of the day heading into the British Grand Prix. Saturday was a statement. Norris had top-tier pace throughout all three qualifying sessions and for a moment, it seemed he’d grabbed pole position before Max Verstappen, inevitably, snatched it from him. Still, a front-row start. And inspired by a record 160,000-strong crowd on Sunday, Norris reacted quicker at lights out, storming down the inside past the previously irrepressible Red Bull. Such was McLaren’s raw speed to start, Piastri also almost steered his way past Verstappen. But a McLaren was out in front: Lando Norris was leading the British Grand Prix. Yet there were still 52 full laps to complete. And while Norris could do nothing to defend against the might of the Red Bull DRS on lap five, the pace of the MCL60 – so named to celebrate 60 years since the team was founded by Bruce McLaren – remained impressive. Both Norris and Piastri, in scenes unfathomable a month ago, were keeping Mercedes, Ferrari and Aston Martin behind them with ease. But the mid-race safety car changed the complexion behind Verstappen. Hamilton benefited, leapfrogging Piastri, and was on quicker soft tyres compared to Norris’ hard compound. Right on the heels of his former team. But right then, lap 39, was the coming-of-age moment. Under pressure down the Wellington Straight, Norris positioned his car exquisitely on the inside of the racing line, with Hamilton surging around the outside. He remained inches in front around Brooklands and stayed cool down at Copse Corner, scene of that infamous Hamilton-Verstappen crash two years ago. A lap later, the same scenario presented the same result. Hamilton noted afterwards that the McLaren was like a “rocketship” in high-speed corners. This time at Copse, Norris was on the outside but stayed firm on the throttle, whizzing around in front and remaining ahead of the Mercedes. Hamilton never got so close again. A much-deserved and highly-impressive second place for Norris; his joint best-result in Formula 1. And although a first win for the 23-year-old remains elusive for now, McLaren’s pace – while particularly suited to this track, in juxtaposition to the next race in Hungary – was striking. Those positive steps, so long nothing but cliches rattled out in the media, have finally been taken by Zak Brown and his team at Woking. That top tier of four teams in F1 in 2023, with Aston Martin’s arrival at the start of the season, has briskly become five. Read More Max Verstappen storms to British Grand Prix victory with two Brits on the podium Toto Wolff admits Mercedes will soon have ‘no choice’ but to switch focus to next year ‘I laugh at the bad comments’: Lando Norris on dealing with online abuse and a ‘tough’ year on-track

Formula 1 returns after a four-week summer break with the Dutch Grand Prix at Zandvoort this weekend. Max Verstappen claimed his eighth grand prix victory in a row last time out in Belgium and now returns to his home track, where he won last year and on its return to the calendar in 2021. The Dutchman is cruising to a third F1 world championship this season and currently holds a 125-point lead to Red Bull team-mate Sergio Perez. Dutch Grand Prix PREVIEW: Can anyone beat Max Verstappen? Lewis Hamilton endured a difficult weekend in Belgium and at Zandvoort will be looking to claim a first race win since Saudi Arabia in December 2021. The Mercedes star is one point behind third-placed Fernando Alonso in the championship. Ferrari’s Charles Leclerc claimed the final podium spot at Spa-Francorchamps which moved him up to fifth in the standings, level on points with Mercedes’ George Russell, while McLaren’s Lando Norris will be targeting a third podium in four races. Follow live practice updates with The Independent Read More Daniel Ricciardo ruled out of Dutch Grand Prix Lewis Hamilton gives blunt response to Felipe Massa’s legal action over 2008 F1 title Charles Leclerc gives gloomy prediction on how quick Ferrari will catch Red Bull

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Among the most prominent of blooming plants that are seemingly everywhere in California this year following an unusually wet winter is the highly flammable wild mustard that threatens to fuel wildfires

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Idris Elba has revealed that he’s been in therapy for the past year because of “unhealthy habits” affecting his personal life. The British actor, 51, recently opened up about his mental health on the Changes with Annie Macmanus podcast. Speaking on the podcast released on 2 October, Elba said that he’s been in therapy for about a year. “In my therapy I’ve been thinking a lot about changing,” he said. “It’s not because I don’t like myself or anything like that. It’s just that I have some unhealthy habits that have just really formed.” “I work in an industry that I am rewarded for those unhealthy habits,” Elba added. The Luther star admitted that he’s “a workaholic” and explained how taking on new work projects has had a negative impact on his daily life. “I’m a workaholic. I’m an absolute workaholic,” he said. “And that isn’t great for life, generally. Nothing that’s too extreme is good. Everything needs balance.” However, The Wire star acknowledged that the entertainment industry rewards “someone that can go: ‘I’m not going to see my family for six months.’ And I’m in there grinding and making a new family and then leave them.” Despite admitting that he’s a workaholic, he noted that what makes him most “relaxed” is surprisingly working. Elba, who often moonlights as a DJ, went on to share that his at-home studio only further fuels his workaholic tendencies. He continued: “I could work 10 days on a film, underwater sequences holding my breath for six minutes, and come back and sit in [the studio] and [feel relaxed], more so than sitting on the sofa with the family - which is bad right? “This is the part where I’ve got to normalise what makes me relaxed, it can’t be all work,” he added. In 2020, a study of 2,000 UK office workers found that four in 10 British adults admitted that they’re workaholics. The study showed that one in six workers frequently spends more than 11 hours a week working when they are away from the office, such as checking emails and making calls. Plus, only three per cent of workers surveyed said they leave work on time every day. In the study, some of the signs of a workaholic included never taking a lunch break, working on weekends, and always being the last one to leave the office. Ignoring family can also be a sign of working too much, as one in five adults admitted they’d take a work call or check emails while with their family. Elba is married to Canadian model Sabrina Dhowre. The two began dating in 2017 and were engaged in February 2018. They tied the knot on 26 April 2019 in Marrakesh. He is also the proud father to two children. Elba shares daughter Isan, born in January 2002, with ex-wife Kim Norgaard and son Winston, born in April 2014, with ex-girlfriend Naiyana Garth. Read More Idris Elba says ‘disgusting’ race discourse put him off James Bond role David Beckham explains why he never sought therapy after 1998 World Cup match left him ‘depressed’ Dove Cameron opens up about feeling ‘incredibly suicidal’ to destigmatise depression Having an overweight pet could cost owners over £1,000 in vets’ bills What you need to know about depression during menopause – as Carol Vorderman opens up Linda Evangelista describes relationship with Gerald Marie as a ‘MeToo marriage’