My mission in life is to help promote good sexual health – no matter what your sexual preferences are, including ones which some may feel uncomfortable talking about.

Last year I got into big trouble with a family-oriented newspaper when I answered a reader's question about how to engage in safe anal sex. However, I continue to ensure that my patients and readers are informed about their sexual health and well-being.

This week I came across some worrying statistics. A new study has shown that swingers have higher rates of sexually transmitted infections (STIs) than prostitutes!

The average age of swingers is 45 and over the period of a year, 10.4 percent of swingers that sought medical treatment were diagnosed with either Chlamydia or gonorrhea – compared with just five percent of female prostitutes.

This shows me that the older generation is still very much uninformed about STIs and how to practice safe sex.

The study defines swingers as "straight couples who regularly swap sexual partners and indulge in group sex at organized meetings". There are a number of these clubs in various cities in South Africa, and although their outward appearance may be glamorous – swimming pools, Jacuzzi's, state-of-the-art bars and entertainment – couples shouldn't be fooled into thinking that they can neglect their sexual health.

Remember that in about 70 percent of cases, Chlamydia doesn't present with any symptoms but can have very damaging effects including pelvic inflammatory disease, ectopic pregnancy, infertility and an increased chance of becoming infected with HIV if exposed to the virus.

Gonorrhea can cause serious and permanent health problems in both women and men and can spread to the blood or joints. This condition can be life threatening as people with gonorrhoea are also more susceptible to HIV.

If you’re interested in swinging, then please ensure that you and your partner are protected. At the very least, use condoms. I recommend that organisers of swingers parties require attendees to undergo HIV testing beforehand to further ensure the safety of the participants.

If you've been to a swingers party and are worried about your health, visit a doctor as soon as possible to ensure these diseases are treated before they cause permanent damage.

Enjoy your sexual expression, but always put your health and well-being first!