sexual reproduction in human beings
Sexual intercourse (or
coitus or
copulation) is, broadly, the insertion and
thrusting of a male's
penis, usually when
erect, into a female's
vagina for the purposes of sexual pleasure or
reproduction; also known as
vaginal intercourse or
vaginal sex.
Other forms of
penetrative sexual intercourse include penetration of the
anus by the penis (
anal sex), penetration of the mouth by the penis or oral penetration of the
vulva or vagina (
oral sex), sexual penetration by the fingers (
fingering), and sexual penetration by use of a
strap-on dildo. These activities involve
physical intimacy between two or more individuals and are usually used among humans solely for physical or
emotional pleasure and commonly contribute to
human bonding.
A variety of views concern what constitutes sexual intercourse or other
sexual activity and their effects on health.
While the term
sexual intercourse, particularly the variant
coitus, most commonly denotes penile-vaginal penetration and the possibility of creating
offspring (the
fertilization process known as reproduction),
oral sex (especially when penetrative) and particularly penile-anal sex are also commonly considered sexual intercourse.
Non-penetrative sex acts (such as non-penetrative forms of
cunnilingus or
mutual masturbation) have been termed
outercourse,
but may additionally be among the sexual acts contributing to human bonding and considered sexual intercourse
The term
sex, often a shorthand for
sexual intercourse, can mean any form of sexual activity.
Because people can be at risk of contracting
sexually transmitted infections during these activities,
though the transmission risk is significantly reduced during non-penetrative sex,
safe sex practices are advised.
Health effects
Benefits
In humans, sexual intercourse and sexual activity in general have
been reported to produce health benefits as varied as improved sense of
smell,
stress and blood pressure reduction,increased
immunity,
and decreased risk of
prostate cancer.
Sexual intimacy, as well as orgasms, increases levels of the hormone
oxytocin, also known as "the love hormone", which helps people bond and build trust. Sexual intercourse and sexual activity in general are aspects of many
mood repair strategies, which mean they can be used to help dissipate feelings of sadness or depression.
Risks
Sexually transmitted infections
(STIs) can be spread by person-to-person sexual contact, especially
penetrative sexual intercourse. There are 19 million new cases of
sexually transmitted infections every year in the U.S., and, in 2005, the World Health Organization estimated that 448 million
people aged 15–49 were being infected a year with curable STIs (such as
syphilis,
gonorrhea and
chlamydia).
STIs are caused by
bacteria,
viruses and
parasites, which are passed from person to person during sexual contact. Some, in particular
HIV and syphilis, can also be passed in other ways, including from mother to child during pregnancy and
childbirth, through
blood products, and by shared
hypodermic needles. Gonococcal or chlamydial infections often produce no symptoms. Untreated chlamydial infection can lead to female infertility and
ectopic pregnancy.
Human papillomavirus can lead to genital and
cervical cancers. Syphilis can result in
stillbirths and neonatal deaths. Untreated gonococcal infections result in miscarriages,
preterm births and
perinatal deaths. Infants born to mothers with untreated gonorrhoea or chlamydia can develop
neonatal conjunctivitis (a serious eye infection), which can lead to blindness.
Hepatitis B can also be transmitted through sexual contact. Globally, there are about 350 million chronic carriers of hepatitis B.
Social effects
Adults
Some researchers, such as
Alex Comfort,
posit three potential advantages of sexual intercourse in humans, which
are not mutually exclusive: reproductive, relational, and recreational.
While the development of the birth-control pill and other highly
effective forms of contraception in the mid- and late 20th century
increased people's ability to segregate these three functions, they
still overlap a great deal and in complex patterns. For example: A
fertile couple may have sexual intercourse while contracepting not only
to experience sexual pleasure (recreational), but also as a means of
emotional intimacy (relational), thus deepening their bonding, making
their relationship more stable and more capable of sustaining children
in the future (deferred reproductive). This couple may emphasize
different aspects of sexual intercourse on different occasions, being
playful during one episode of sexual intercourse (recreational),
experiencing deep emotional connection on another occasion (relational),
and later, after discontinuing contraception, seeking to achieve
pregnancy (reproductive, or more likely reproductive and relational).
Adolescents
With regard to
adolescent sexuality, sexual intercourse is usually for relational and recreational purposes as well. However,
teenage pregnancy is often disparaged, and research suggests that the
earlier onset of puberty for children puts pressure on children and teenagers to act like adults before they are emotionally or cognitively ready,and thus are at risk to suffer from
emotional distress as a result of their sexual activities.
Some studies have concluded that engaging in sexual activity leaves
adolescents, especially girls, with higher levels of stress and
depression.
A majority of adolescents in the
United States have been provided with some information regarding sexuality,
though there have been efforts among social conservatives in the United States government to limit
sex education in public schools to
abstinence-only sex education curricula.