This separation is fraught with difficulties: especially when both sexual health and HIV care are currently provided by the same healthcare professionals on the same premises.

BBC: Sexual healthcare 'at risk from NHS changes'

The health council says it operates the country's largest Title X system in the country, providing sexual and reproductive health care for more than 1 million Californians a year.

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For some people this may happen by being sexually experienced before they meet their potential spouse, but it's also about taking care of their sexual health, feeling good in their own skin, knowing what turns them on and off and being communicative about their needs, wants and desires.

CNN: Why you should talk about sex before marriage