Sex-Positive Epidemiology
Sex and pleasure are more intertwined than many think. Sex-positive epidemiology examines pleasure, satisfaction, and well-being in relation to sexual health. Jessie V. Ford and Julia C. Bond argue that focusing on the enjoyable aspects of sex can improve public health research and outcomes.
Research has shown some interesting connections between sexual activity and health:
- Lower orgasm frequency has been linked to a higher risk of all-cause mortality over a decade.1
- More frequent ejaculation in men has been associated with a decreased risk of prostate cancer.2
- Women who have sex weekly reduce their chances of early menopause by 28%.3
Challenges in this field include the subjective nature of measuring pleasure and determining causality between sexual pleasure and health. However, researchers are developing methods to address these issues.
Stigma can complicate discussions around sexual pleasure, but recognizing that people balance desire with risks can help form better research questions. Including pleasure in sexual health education and services tends to better reflect real-life motivations, leading to healthier behaviors.
Innovation in sexual health is growing. Various startups across Europe are doing groundbreaking work, from online courses enhancing relationship skills to apps improving couples' libido issues. These startups are breaking taboos and providing new solutions for sexual wellness.
The World Health Organization (WHO) has also aligned with this approach, emphasizing safe, consensual, and pleasurable sex in their resources and recommendations. The International Classification of Diseases now includes a chapter on sexual health, recognizing the importance of addressing emotional and psychological aspects.
By acknowledging the subjective nature of pleasure and its impact on overall health, we move toward more comprehensive sexual health systems that integrate the reasons people have sex into health interventions.

The Role of Sensuality in Sexual Pleasure
Understanding sexual pleasure involves considering the role of sensuality. Your five senses—touch, smell, sight, hearing, and taste—each contribute uniquely to the overall experience, creating a multi-layered sensation that heightens pleasure.
The Five Senses and Sexual Pleasure
- Touch: Often central to sensual experiences. Our bodies are incredibly sensitive to touch and pressure.
- Smell: Humans emit pheromones, chemical substances that can attract potential partners.
- Sight: A sultry glance or the sight of your partner's body can amplify arousal.
- Hearing: The soft whisper of your partner's voice or the rhythm of erotic music can elevate arousal.
- Taste: Sharing food or savoring the taste of your partner's skin can be deeply intimate.
The physiological and psychological aspects of sensuality are deeply intertwined. Physically, these sensations stimulate our nervous system, producing a cascade of pleasurable responses. Psychologically, they create a sense of comfort, trust, and intimacy.
"Incorporating sensuality into sexual experiences doesn't just improve physical pleasure; it fosters deeper emotional connections."
By embracing the full spectrum of our senses, we open the door to richer, more fulfilling sexual experiences. It enables partners to communicate effectively about their likes and dislikes, ensuring that both parties are satisfied.

Mindfulness and Sexual Pleasure
The brain plays a crucial role in how you experience pleasure. Mindfulness serves as a powerful tool to bring your mental and physical experiences into alignment during sexual activities.
Mindfulness Techniques for Enhancing Sexual Pleasure
- Focused Breathing: Take slow, deep breaths, consciously paying attention to each inhale and exhale.
- Body Scanning: Mentally scan your body from head to toe, noticing areas of tension or relaxation.
- Guided Imagery: Close your eyes and imagine a scene that brings you peace and happiness.
- Mindful Touch: Explore your partner's or your own body slowly, paying close attention to sensations.
Mindfulness encourages open communication. Being in tune with your body and mind makes it easier to express your needs and desires to your partner. This openness fosters trust and intimacy, ensuring both partners feel heard and satisfied.
Self-acceptance plays an important role in this process. Mindfulness encourages a non-judgmental awareness of the present moment, which includes an acceptance of yourself as you are. Let go of negative thoughts about your body or your sexual performance.
To put these techniques into practice:
- Set aside time for solo mindfulness exercises.
- Once attuned to your own body, incorporate these techniques into sexual activities.
- Practice mindful touch with your partner.
- Discuss your sensations and desires openly.
- Create a space where both of you can express yourselves freely and without judgment.
By being present, focusing on the physical and emotional sensations, and openly communicating with your partner, you can significantly enhance your sexual pleasure. Remember, it's about the rich, multisensory experience that involves your mind, body, and emotions working in harmony.

Sexual Health Interventions and Pleasure
Considering sexual pleasure when designing sexual health interventions is crucial for success. Acknowledging that people engage in sexual activities for enjoyment can improve the approach to sexual health programs. Organizations like the World Health Organization (WHO) and the Human Reproduction Programme (HRP) have highlighted this in their findings and recommendations.
A recent analysis from WHO and HRP underscores that sexual pleasure is vital in improving sexual health knowledge and promoting safer sex practices. This shifts the focus from risk-avoidance to embracing the pleasurable aspects of sex as part of health promotion. When sexual health programs integrate pleasure, they become more relatable and effective, aligning better with what motivates people to engage in sexual activities.
For example, traditional sexual health education often presents condoms solely as protection against STIs and unwanted pregnancies. However, integrating the concept of pleasure changes the narrative. Instead of portraying condoms as a necessary inconvenience, programs can highlight how they can enhance intimacy. This perspective shift can lead to higher adoption rates and more consistent use.
Comprehensive sexuality education (CSE) materials developed by WHO and partners emphasize that sex is a normal part of life, linked to giving and receiving pleasure. By addressing pleasure openly, these educational programs become more engaging and resonate deeply with learners. This is especially important for young people exploring their sexual identities and relationships for the first time.
WHO's recommendation to integrate pleasure into clinical practices through brief sexuality-related communication (BSC) is another step forward. BSC involves healthcare providers engaging patients in conversations about their sexual experiences, desires, and discomforts without judgment. This approach can make patients feel heard, reducing stigma and encouraging open dialogue about their sexual health.
Benefits of Pleasure-Inclusive Sexual Health Programs:
- Improved uptake of safer sex practices
- Better engagement with educational materials
- Reduced stigma around sexual health discussions
- More comprehensive and effective health outcomes
Programs that have embraced this holistic view have shown success. Studies indicate that interventions including discussions of sexual pleasure see better uptake of safer sex practices like condom use. This aligns with the WHO/HRP meta-analysis, which states that recognizing pleasure can significantly improve sexual health outcomes1.
The WHO's broader initiatives reflect this understanding. Including a chapter on sexual health in the latest International Classification of Diseases (ICD) recognizes the multifaceted nature of sexual health. This chapter focuses on the importance of pleasure, consent, and emotional well-being, helping healthcare providers better diagnose and treat a wide range of sexual health issues.
"Integrating sexual pleasure into sexual health interventions leads to better health outcomes."
A global research program coordinated by WHO and HRP is working on designing better survey instruments to assess people's sexual practices, behaviors, and health outcomes. This research aims to gather data that reflect real experiences, informing national programming to achieve comprehensive sexual well-being.
By viewing sexual pleasure as integral to sexual health, organizations like WHO and HRP are paving the way for more effective, inclusive, and empowering health programs. This approach acknowledges the holistic nature of sexual well-being and ensures that people's experiences and needs are central to health interventions.

Innovative Startups in Sexual Wellness
European startups are bringing fresh perspectives and advancements to sexual health and education. These companies are redefining sexual wellness with innovative solutions.
| Startup | Location | Focus Area |
|---|---|---|
| Beducated | Munich | Online sexual education courses |
| Blueheart Health | London | Couples therapy app |
| femtasy | Berlin | Female-centric audio erotica |
| Kama | London | Holistic sexual wellness |
| LVNDR | London | LGBTQIA+ healthcare services |
| MYHIXEL | Seville | Men's sexual health clinic |
| Mojo | London | Men's psychological sexual issues |
| Remi Health | Berlin | At-home STI testing |
| Roam | London | Sex-positive product design |
| Zults | London | Sexual health status tracking |
Beducated from Munich offers over 100 online courses taught by experts, covering topics from relationship skills to solo practices and kink/BDSM. Their platform aims to improve sexual knowledge and pleasure with affordable memberships.
London's Blueheart Health helps couples overcome libido issues and reignite desire through its app. Their science-backed courses and exercises aim to foster stronger connections.
Berlin-based femtasy provides female-centric erotica through audio streaming. This service empowers women to explore desires and fantasies safely.
Kama, from London, takes a holistic approach to sexual wellness. They promote the idea that sexual pleasure is integral to health and well-being, focusing on addressing stress through pleasure.
LVNDR in London redesigns sexual and reproductive healthcare services for LGBTQIA+ individuals. Their mobile-first digital clinic ensures inclusive and accessible healthcare for everyone.
Spanish startup MYHIXEL offers an online sexual health clinic for men. Based in Seville, they provide a platform for discussing sexual health, focusing on clinical consultation, sexual coaching, and fitness.
Mojo from London specializes in men's psychological sexual issues. They offer subscription-based access to therapies provided by professional psychosexual therapists.
Berlin's Remi Health simplifies sexual health management with at-home STI testing kits. Users can collect samples privately, send them to a German lab, and receive results and follow-up consultations online.
London-based Roam creates products supporting natural sexual exploration. Their commitment to fostering a sex-positive world is evident in their range of products designed to enhance sexual experiences safely and confidently.
Zults provides a secure way for users to track and share their sexual health status through a medical app. This London-based startup aims to make sexual health management private and straightforward.
These startups are providing innovative solutions to improve sexual health and education. They're making comprehensive sexual well-being accessible, inclusive, and a normal part of everyday life.


