
Conversations about sex can be challenging, as it is a sensitive and vulnerable topic. However, open and honest communication about sexual needs, desires, and boundaries is crucial for healthy sexual relationships and consent. Consent is an ongoing process of discussing and respecting each other's boundaries, and it should be clearly and freely communicated. While sex is often romanticized or portrayed as perfect in pop culture, leading to unrealistic expectations, having candid conversations can help address issues and create deeper intimacy. These discussions can cover various aspects, including acknowledgement, connection, desire, pleasure, and exploration, enhancing understanding and mutual satisfaction.
| Characteristics | Values |
|---|---|
| Nature of conversation | Awkward or uncomfortable |
| Scary | |
| Turn-on | |
| Fun | |
| Humour | |
| Prowess | |
| Bravado | |
| Myths | |
| Comparisons with pop culture | |
| Delicate | |
| Assumptive | |
| Generalized advice | |
| Depersonalized |
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What You'll Learn

Discussing sexual health in medical settings
To facilitate these important conversations, healthcare providers can follow certain strategies and practices. Firstly, it is essential to create a safe and non-judgmental environment. This involves avoiding assumptions about the patient based on factors such as age, appearance, or marital status. Healthcare providers should also be aware of their own comfort level and biases when discussing sex and sexuality, as their comfort will impact the patient's comfort. Getting trained in a trauma-informed care approach can help clinicians provide sensitive and patient-centred care, as some patients may have experienced abuse or trauma related to their sexual health.
When taking a sexual history, healthcare providers can use the CDC's 5P's approach, which includes Partners, Practices, Protection from STIs, Past History of STIs, and Pregnancy Intention. Asking about partners involves understanding the number and gender of partners, as well as the patient's relationship status. Discussing practices entails exploring the patient's sexual activities, including oral, vaginal, and anal sex. Conversations about protection from STIs may include questions about contraception, safer sex practices, and the patient's interest in STI testing. Understanding the patient's past history of STIs and their treatment is also valuable. Finally, discussing pregnancy intention can involve asking about desires for future pregnancies and providing information on birth control if needed.
In addition to the 5P's approach, healthcare providers can employ other communication practices. These include avoiding delicate terms or delaying the use of potentially sensitive words, using assumptive talk, and providing generalised advice. By using these strategies and creating a safe space for patients, healthcare professionals can effectively discuss sexual health, address any concerns, and provide essential counselling and treatment.
It is important to normalise conversations about sexual health and to recognise that many patients have questions and want insight from their healthcare providers. By initiating these discussions as part of routine healthcare, clinicians can help remove the stigma surrounding sex and improve the overall health and well-being of their patients.
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Consent and refusal
Talking about sex can be challenging, as it is often a sensitive and personal topic. However, open and honest communication about sexual consent and refusal is essential for any relationship. Here are some insights and tips to navigate these conversations effectively:
Sexual consent means enthusiastically saying "yes" and meaning it. Without this clear and affirmative consent, there is no agreement to engage in sexual activity. It is crucial to understand that forcing someone to engage in any sexual act without their consent is sexual assault or rape. Respecting each other's boundaries and actively seeking consent throughout sexual interactions is essential.
When initiating a conversation about consent, it can be helpful to start by expressing your desire to have an open and judgement-free discussion. For example, you could say, "I want us to have a calm and loving conversation about this." Framing the discussion as a collaborative effort to enhance your relationship can be beneficial. Remember, you are teammates working together to navigate complex dynamics and evolving needs.
Navigating Refusal
Refusal is a fundamental aspect of consent. Everyone has the right to say no to any form of sexual activity at any time, and this refusal must be respected. If your partner refuses to engage in a specific sexual act or practice safer sex, it indicates a lack of regard for your health and well-being. In such cases, it may be wise to reconsider the relationship or sexual involvement with that person.
When facing refusal, it is important to listen to your partner's concerns and respect their boundaries. Communicate openly about your desires and work together to find alternatives or compromises that respect both of your needs and comfort levels. Remember that these conversations can be challenging, and it is normal to feel embarrassed or nervous. However, initiating these discussions demonstrates care for your partner and can strengthen your relationship.
Practical Tips for Conversations
- Avoid Delicate Terms: Use language that feels comfortable for both parties.
- Start with Comfortable Topics: Begin by asking your partner about their interests, desires, and what feels good to them.
- Use Pop Culture References: Draw examples from movies, TV shows, or books to initiate a conversation about sex and consent.
- Normalise the Conversation: Remember that these discussions are normal and necessary. The more you talk about sex, the easier it will become.
- Focus on Teamwork: Approach the conversation as teammates tackling a shared challenge, rather than assigning blame or problems to one partner.
- Seek Professional Guidance: If you need additional support, consider seeking advice from a sex therapist or counsellor.
Remember, these conversations are an essential part of any healthy relationship. By talking openly about consent, refusal, and sexual interests, you can enhance intimacy, trust, and mutual understanding with your partner.
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Safe sex and protection
Talking about sex can be challenging, as it often feels scary or awkward. However, it is essential to have open and honest conversations with your partner about sexual health and protection to ensure that both your physical and mental health are protected.
Firstly, it is crucial to understand that abstinence is the only foolproof way to avoid sexually transmitted infections (STIs) and unintended pregnancies. However, for those who are sexually active, certain precautions and safe behaviours can minimise the risk of harm, infection, and unwanted experiences.
One of the most effective ways to practice safe sex is to use protection, such as condoms. Male condoms made of latex or polyurethane (for those with latex allergies) can help prevent the transmission of STIs like chlamydia, gonorrhoea, and HIV. Female condoms, made of polyurethane, offer similar protection. Additionally, consider using dental dams, a thin barrier, during oral sex to protect against the transmission of infections.
It is also important to discuss sexual history with your partner, including past partners, any history of STIs, and drug use. Being transparent about these topics can help build trust and ensure that both partners are comfortable and confident in their sexual relationship.
Safe sex also involves being mindful of your partner's body and your own. Look out for any signs of sores, blisters, rashes, or discharges, as these could be indicators of an infection. Regular Pap tests, pelvic exams, and periodic STI tests can also help ensure your sexual health and peace of mind.
Remember, consent is an integral part of safe sex. Sexual consent means enthusiastically saying "yes" without any coercion. If your partner forces you to engage in any sexual activity without your consent, it is sexual assault or rape.
Lastly, do not be afraid to initiate conversations about sex and protection with your partner. These discussions show that you care about their health and well-being, and they can even strengthen your relationship. While it may feel uncomfortable at first, your partner will likely appreciate your honesty and willingness to address these important topics.
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Pop culture portrayals of sex
Some sex workers have noted that pop culture references can make them feel seen and understood. For example, one sex worker cited the film "Lucky" by Britney Spears as a song they related to since childhood, capturing the pain of having to "play glamorous for work and hide your sadness". Another sex worker praised the TV series Friday Night Lights for treating sex work with dignity and giving sex-working characters depth and empathy.
However, the consensus seems to be that pop culture often fails to provide an accurate sex education, perpetuating myths and causing confusion and shame. For example, one person noted that pop culture often depicts sex as "perfect", creating unrealistic expectations. Another person observed that pop culture often portrays sex workers in a negative light, with the majority of stories in the media focusing on arrests, violence, or death, rather than the day-to-day realities of sex work.
The lack of realistic portrayals of sex and sex work in pop culture can have detrimental effects on people's understanding of sex and their own sexual skill set. When sex is overly romanticised or portrayed as always "just happening", people may feel that something is wrong with them when their own experiences differ. This can make it challenging to have meaningful conversations about sex outside of humour, prowess, or bravado.
To address these issues, it is essential to include diverse and realistic portrayals of sex and sex work in pop culture, ensuring that the perspectives of marginalised communities are centred and their voices are amplified.
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Sexual issues in relationships
Talking about sex in a relationship is important, but it can be challenging. Sex is often overly romanticized in our culture, and many people compare their sex lives to what they see in pop culture, which can lead to feelings of uncertainty and a sense that something is wrong if their experiences don't match up.
Having open and honest conversations about sex with a partner can help resolve sexual issues and improve the relationship. It's essential to approach these discussions as teammates, working together to understand each other's needs and preferences. For example, you can start by asking your partner what feels good or what sexual activities they're interested in exploring. These conversations can also be an opportunity to discuss consent and the importance of protecting each other's health, such as through safer sex practices.
It's normal to feel embarrassed or nervous about initiating conversations about sex, but it's important to remember that your partner may appreciate you bringing it up. These discussions don't have to be awkward or uncomfortable. By approaching them with openness and a willingness to listen and understand each other, they can even be fun and a turn-on.
Remember that sexual issues in a relationship are not always solely about the sex itself. The relationship dynamics and individual histories, complications, and evolving needs of each partner also play a role. It's important to consider the broader context and work together to address any issues that may be impacting your sexual relationship.
Through effective communication, couples can resolve sexual issues and create a more fulfilling and enjoyable sex life together. It may take time and effort to navigate these conversations, but it is worth it to strengthen the relationship and enhance sexual satisfaction.
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Frequently asked questions
Talking about sex can help to dispel myths and unrealistic expectations, and can also help to resolve sexual issues in a relationship.
A good conversation about sex involves open and honest communication, where both parties feel comfortable expressing their interests, boundaries, and limits.
It can be helpful to remind yourself that you have good intentions and positive goals. It may also be helpful to rehearse the conversation beforehand to help ease nerves.
Consent is about communication and ensuring that all parties involved are comfortable and have agreed to the sexual activity. Consent can be given verbally or through non-verbal cues, and it is important to periodically check in with your partner to ensure their comfort and ongoing consent.
If you are experiencing issues in your sexual relationship, such as mismatched expectations or desires, initiating a conversation about sex can help to address these concerns and improve your sexual relationship.

























