On the one hand the reproductive health literature is thickly studded with information on the dangers of sexual expression. On the other hand the health benefits of sexual behaviour are addressed nearly never in the literature of gynaecology, fertility & obstetrics, nor in that of sexology. Meticulously searching the literature we come across an increasing amount of data on how various facets of sexual behaviour can positively influence conception, pregnancy and other aspects of reproductive health. In some way the same goes for sexology. However, even our profession usually doesn’t actively address the benefits of sexual expression. Regarding fertility, we know that various elements of ‘good sex’ can enhance conception. Regarding pregnancy, a period with regular oral or vaginal exposure to the future fathers’ sperm diminishes the risk for pre-eclampsia. Both regular intercourse and orgasm are associated with a reduced risk of preterm delivery. Mutual sexual pleasure during pregnancy is three years after delivery associated with a more stable relationship. Regarding gynaecological health, sexual activity and orgasm during menstruation have a potentially protective effect against endometriosis and orgasm is a good way to reduce the pain of menstrual cramps. Regarding sexology, there is an element of truth in the old adage “Use it or lose it!”. Sexual activity is both preceded and followed by an increase in the testosterone level. Instead of focussing on sexual dangers and dysfunctions, the apparent association between sexual expression on the one hand and physical, sexual and relational benefits on the other hand should be a strong reason for health politicians and sexologists to actively address the positive aspects of sexual behaviour.
Conflict of Interest: None disclosed
Financial Support/Funding: None disclosed
Recorded: Sydney, Australia, April 2007
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