ABSTRACT

You have been seeing an older female client over the past few months. She had separated

from her long-term partner a few months earlier, ostensibly because of low desire, which had

a devastating effect on the relationship. One day, she appears radiant, eyes sparkling, with a

girlish laugh you have never heard from her before. She tells you that she has met someone.

She compares the sex to riding a bicycle. Her body remembered exactly what it was supposed

to do. She did not even need lubricant. After congratulating her on this new development in

her life, you consider asking her if they have been using condoms or getting tested for sexu-

ally transmitted infections (STIs). Or do you even consider asking these questions?