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To improve sexual health, even in this charged political moment, necessitates going beyond biomedical approaches, and requires meaningfully addressing sexual rights and sexual pleasure. A world where positive intersections between sexual health, sexual rights and sexual pleasure are reinforced in law, in programming and in advocacy, can strengthen health, wellbeing and the lived experience of people everywhere. This requires a clear understanding of what interconnection of these concepts means in practice, as well as conceptual, personal and systemic approaches that fully recognise and address the harms inflicted on people's lives when these interactions are not fully taken into account. Bridging the conceptual and the pragmatic, this paper reviews current definitions, the influences and intersections of these concepts, and suggests where comprehensive attention can lead to stronger policy and programming through informed training and advocacy.

We explored the unique roles that body and genital image play in behavior-specific orgasm consistency, beyond overall sexual self-esteem. US adults (N = 599; 64% women) completed questionnaires online. Hierarchical regression analyses predicted orgasm consistency during receptive oral sex and penile-vaginal intercourse (PVI) with additional clitoral stimulation (WAS) and with no additional clitoral stimulation (NAS) for the woman. Body image, genital image, and gender were entered in later steps to assess model improvement above sexual self-esteem. Models accounted for age, sexual and racial minority identities, and current relationship status. Results indicated that genital image improved all models and predicted higher orgasm consistency across all behaviors for men and women. For orgasm during receptive oral sex and PVI–NAS, sexual self-esteem was no longer significant once genital image was included. Genital image was a stronger predictor of women’s versus men’s orgasm during PVI–NAS; no significant gender differences were found for oral sex and PVI–WAS. Body image was not significant in any models, contrary to expectations, suggesting role overlap with sexual self-esteem. Genital image appears to play a unique role in sexual pleasure beyond overall sexual self-esteem and body image.

IntroductionBlack women’s collective wisdom has informed Black women’s sexual development for decades. Yet, empirical collective wisdom regarding what is needed to reduce their experiences of sexual pain and enhance sexual pleasure has been omitted. This study fills this gap by centering the voices of Black women living in the Southern region of the USA who have experienced sexual difficulties.MethodsWe used thematic analysis to find themes across n = 21 in-depth interviews with Black women living in the Southern USA who consented to participate in a mixed methods study focused on Black women’s experiences of sexual pain and pleasure. We interviewed participants between January and March 2021.ResultsThere were five main themes: 1) Talk that talk, 2) On my mama and big mama, 3) Take me to church, 4) Put yourself first, and 5) What about the men?ConclusionsFindings of this study reveal a common desire among Black women who have experienced sexual pain to have safe spaces to talk about sexual health through multigenerational sister circles and in churches. Heterosexual participants also stressed the importance of sexuality education opportunities for Black men.Policy ImplicationsIt is important to understand the systems of oppression that present obstacles to Black women’s sexual development and sexual health knowledge acquisition. Equitable funding for Black women’s sexual health programs, and using multiplatform approaches to reach multiple generations and center the voices of Black women, are crucial to advancement.

The olfactory system contributes significantly to human social behavior and especially to mate choice and empathic functioning. In this context, previous research examining individuals with impaired olfactory function indicated an influence of the sense of smell on different aspects of sexuality. However, the applied samples, methods, and results are diverse and an involvement of confounding factors, such as breathing problems, depression or social insecurity cannot be ruled out. The present study examined the potential correlation between odor threshold in healthy participants and their sexual desire, sexual experience, and sexual performance. In 70 adults (28 male, 42 female; mean age 24.8 ± 4.1 years), odor threshold was assessed using the “Sniffin’ Sticks.” The participants also responded to a battery of questions on sexual desire (Sexual Desire Inventory), sexual experience (orgasm frequency, perceived pleasantness of sexual activities on a visual analogue scale) as well as sexual performance (frequency of having sex, average duration of sexual intercourse). Odor sensitivity correlated positively with sexual experience: Participants with high olfactory sensitivity reported higher pleasantness of sexual activities. Further, women with high olfactory sensitivity reported a higher frequency of orgasms during sexual intercourse. These findings were exclusively present for sexual experience; no significant correlations were detected for sexual desire or sexual performance. The experience of sexual interactions appears to be enriched by olfactory input. We discuss that the perception of certain body odors may contribute to the concept of sexual pleasure by enhanced recruitment of reward areas.

IntroductionSexual pleasure has been a neglected issue in sexual health policies. Emerging trends in public health, however, emphasize the importance of sexual pleasure in preventing negative sexual health outcomes.MethodsUsing data from the German Sexuality and Health Survey (GeSiD), we tested the assumption that sexual pleasure is associated with sexual health, including a special focus on the role of gender. Participants were interviewed about their sexual experiences and health between October 2018 and September 2019. The analytical sample included 3472 partnered and single women and men who had been sexually active with a partner in the past 12 months. We examined if sexual pleasure was associated with various sexual health indicators (i.e., communication about sexually transmitted infections (STIs), condom use, and absence of sexual problems).ResultsWomen reported less sexual pleasure than men. Results further indicate that sexual pleasure was associated with more sexual health indicators in women than in men.ConclusionsSupporting emerging trends in public health our results emphasize the importance of sexual pleasure in preventing negative sexual health outcomes.Policy Implications.To promote (especially women’s) sexual health, our results call for the implementation of comprehensive sexuality education programs that focus on more positive aspects of sex, such as sexual pleasure and agency.

Women with body image concerns are more likely to experience sexual difficulties (e.g., with arousal, lubrication, orgasm). However, the processes by which body image impacts sexual well-being are poorly understood. We theorized that women with negative body image are less likely to view sex in terms of reward, leading them to have weaker approach sexual motives (i.e., to pursue positive experiences such as pleasure). Rather, women with negative body image may have sex to avoid personal insecurities and negative emotions, leading them to have stronger avoidance sexual motives (i.e., to cope with negative affect or to avoid partner conflict). In turn, we theorized that stronger approach sexual motives may allow women to be more focused on erotic cues during sex, thereby enhancing sexual pleasure, whereas avoidance motives may lead to greater distraction, interfering with sexual pleasure. Women ( N  = 1619) were recruited from online venues and reported on their body image and most recent sex. We found that body dissatisfaction was associated with weaker self-focused approach motives and in turn more distraction. Additionally, body dissatisfaction was associated with stronger self- and partner-focused avoidance motives and in turn more distraction. In turn, more distraction was associated with less pleasure and worse sexual function. To the best of our knowledge, this is the first investigation of whether body image in women is associated with their sexual motives. Findings highlight the importance of sexual motives in explaining the link between body image and sexual pleasure and function.

That many older individuals continue to engage in various forms of sexual expression well into later life is now well established in the literature. To date, however, only a small body of qualitative research has examined older men’s experiences and understandings of sex in later life. Likewise, the ways in which older men’s discussions on sex may be used as an avenue for “doing” masculinity remain underexplored. Older men are particularly interesting in this regard, as they inhabit an increasingly subordinated position in relation to hegemonic masculine ideals because of their age. To what extent might this limit or, alternatively, open up the possibilities for sexual expression and subjectivity in later life? Drawing on a subset of findings from Sex, Age, and Me: A National Study with Australian Women and Men Aged 60 and Older, data from qualitative interviews with 27 Australian men were explored in this article. The first Australian study of its kind, we argue that older men who engage in heterosexual relationships draw on a diverse and complex array of discursive positions regarding sex, relationships, and masculinity in making sense of their experiences of sex in later life. Older men are a heterogeneous group, and their experiences and understandings of sex do not simplistically follow “decline” or “success” narratives of aging. The findings of this research build upon and extend emerging research illustrating the centrality of intimacy to older men’s sexual lives, while simultaneously highlighting the ways in which the body and discursive constructions of sex intersect to shape older men’s sexual subjectivities.

Compared to studies on sexually transmitted infections and pregnancy prevention, sexual pleasure has received limited attention in the adolescent sexual development literature. In the present study, we used data from 157 adolescents (66 females; 14 to 17 years old), with a partnered sexual experience in the past 12 months to explore adolescents’ sexual pleasure. First, we examined adolescents’ perceptions of pleasure during their most recent partnered sexual experience. We then used information about those sexual experiences to identify correlates of sexual pleasure. Adolescents’ reports of sexual pleasure were mixed. Although 17.8% reported their sexual experience was extremely pleasurable and 36.5% reported it was quite pleasurable, 26.6% indicated moderate pleasure, 13.1% a little pleasure, and 3.3% reported no pleasure. Sexual pleasure was primarily associated with aspects of sexual experiences that reflected socioemotional intimacy and desire. Specifically, cuddling with partners, emotional intimacy, and wantedness were all associated with greater sexual pleasure. Additionally, adolescents found sex more pleasurable when it occurred with a friend, but less pleasurable when it involved genital rubbing. Most sexual behaviors, having experienced orgasm, and the situational context of sexual experiences were not associated with sexual pleasure. Thus, specific sexual behaviors and orgasm may have less impact on sexual pleasure than feelings of emotional intimacy and desire. The diversity of perceived sexual pleasure and its associations with intimacy and desire suggest that, during adolescence, partnered sexual experiences are not primarily motivated by anticipated physical pleasure.

Purpose of the Review The World Health Association declared COVID-19 a pandemic more than 1 year ago. We conducted a systematic review of the literature on the topic of women’s sexual health during the pandemic, with a focus on sexual function and sexual pleasure. Our aim is to describe current findings and to discuss implications for women’s sexual health during this period. Recent Findings Thirty-four articles, from 18 countries, were identified. These studies addressed topics ranging from individual aspects, such as cognitive, emotional, and personality factors affecting sexuality during the pandemic, to contextual factors, including relationship, childrearing, and employment status in this period. Summary Research identified a deterioration of women’s sexual function across countries, with an emphasis on sexual desire. Most studies found decreases in the frequency of sexual intercourse during the pandemic and increases in solitary sexual behavior. Many women also experienced declines in sexual satisfaction and relationship satisfaction. Findings suggested that gender inequalities contributed to lower indices of sexual function and satisfaction, and might have exacerbated the pleasure gap between men and women.

The Harlem Renaissance was a watershed moment for racial uplift, poetic innovation, sexual liberation, and female empowerment.Aphrodite's Daughtersintroduces us to three amazing women who were at the forefront of all these developments, poetic iconoclasts who pioneered new and candidly erotic forms of female self-expression. Maureen Honey paints a vivid portrait of three African American women-Angelina Weld Grimké, Gwendolyn B. Bennett, and Mae V. Cowdery-who came from very different backgrounds but converged in late 1920s Harlem to leave a major mark on the literary landscape. She examines the varied ways these poets articulated female sexual desire, ranging from Grimké's invocation of a Sapphic goddess figure to Cowdery's frank depiction of bisexual erotics to Bennett's risky exploration of the borders between sexual pleasure and pain. Yet Honey also considers how they were united in their commitment to the female body as a primary source of meaning, strength, and transcendence. The product of extensive archival research,Aphrodite's Daughtersdraws from Grimké, Bennett, and Cowdery's published and unpublished poetry, along with rare periodicals and biographical materials, to immerse us in the lives of these remarkable women and the world in which they lived. It thus not only shows us how their artistic contributions and cultural interventions were vital to their own era, but also demonstrates how the poetic heart of their work keeps on beating.