Want to know what testicle size has to do with your relationship status? Whether a long tail may help or hinder you get a mate? Or what scents you might secrete to attract a partner? If so, head to London’s Natural History Museum where you’ll find a sexual surprise between now and October 2011. ‘Sexual Nature’ is an exhibition that focuses on attraction, reproduction and sexual behaviour in non-human animals.

In a climate where all too often our understanding of the ‘evolution’ and ‘biology’ of sex come in a package of bad science or gender stereotypes, it’s interesting to see an exhibition purely focusing on what different species do – rather than how they compare with humans. It gives you the opportunity to reflect on how animals are similar and different to each other – often challenging many beliefs you might have about monogamy, sexuality and reproduction.

Through the exhibition you’ll learn more about how the senses – sight, sound and smell particularly play a role in attracting a mate. Indicating how these factors may differ between species, while what you think might be desirable for a particular creature may not turn out to be advantageous when you factor in the risk of predators.

A wide range of animal activity is shown (although of course there has to be an appearance from dolphins and bonobos). Lesser known ‘sexy’ species are also included, with the chance to see the positions animals favour for mating, plus the chance to listen in to mating calls and smell desire.

There is a focus on homosexuality, monogamy and non monogamies, and different genders which is another pleasant surprise in an area which often tends to reinforce rigid gender/sexuality/relationship stereotypes. That said I think the exhibition would benefit from reviews from gender/sexuality experts who could unpack the core messages still further. Part of me suspects although a more diverse view on gender/sex/relationships is taken, it is still presented through a heteronormative lens.

A major treat is the screening of clips from Isabella Rossellini’s ‘Green Porno’ focusing on the diverse mating habits of fish, insects and other creatures). (Some clips from her work can be viewed here).

Along with the exhibition the Natural History Museum are hosting a series of debates, discussions and talks, rethinking how we view sexual behaviour, attraction, desire and sexuality. You can keep up to date with these here and don’t forget you can see the exhibition on a Friday night late night viewing (last Friday of every month).

You may want to know where humans fit into an exhibition on non-human animal sex, and those into narrative and discourse may be particularly excited to learn the close of the exhibition does include the human – focusing on how language shapes and creates sex, gender and relationships. I wasn’t expecting this aspect to the exhibition but found it a really fitting way to think about how humans ‘do’ sex.

Of course as with any exhibition there’s an obligatory exit through the gift store where I was pleased to see a range of STIs on sale – obviously in plush toy form (you can also view and purchase these here). I was disappointed the range of texts promoted alongside the exhibition were not really what I’d like showcased as explaining human or animal sexual behaviour. The works of Desmond Morris or sex tips from actress Kim Cattrall aren’t really cutting edge sexology. Worryingly some of the texts showcased represent to me some of the worst examples of bad sexual science. If you’re hosting a cutting edge exhibition on animal sex you’d really expect similarly high quality books available to buy. Not least because this area is riddled with dire sexpertise and the problem of poorly researched/misleading sex advice books has been well documented. Perhaps in the remaining months the exhibition is open the museum may change their stock – I’d certainly be happy to recommend them some suitable titles.

I’d definitely recommend a visit to this exhibition (although wish the entry price could be a little cheaper!). It could be an ideal outing for schools as part of tackling science/sex and relationships education (it is open to 16s and over, more information including teacher notes here). You might enjoy a visit with friends or perhaps as a date? Parents may wish to read about the exhibition before deciding whether to take children (more information here). Younger children may only understand the exhibition in terms of seeing different animals, while older children may experience a range of reactions (positive and negative). Knowing how comfortable your child is thinking about mating/attraction and how much awareness of sex/relationships/sexuality should determine whether you take them along. The fact your child may be learning about sex/relationships/sexuality issues with other people present may feel off putting to some so it’s important to consider your child’s comfort levels before and during a visit should you decide to go. This exhibition could be a useful addition to other sex/relationships education you’ve been sharing with your child but definitely is not a replacement! Elsewhere in the museum human reproduction and development is covered in more depth so you may wish to begin with this before viewing Sexual Nature.

More information, sneak previews and ticket sales available here.

Last summer myself and several other sex educators, therapists and reproductive healthcare staff were approached by researchers from Betty TV working on a new programme commissioned by Channel 4 called ‘The Joy of Teen Sex’. The show was described as a cross between the established (and popular) Embarrassing Teenage Bodies and The Sex Education Show. The Joy of Teen Sex would be set in a mock clinic where young people who had sex and relationships questions could get advice. The TV company was looking for people to appear as experts on the series (who’d play the role of ‘clinic staff’), and/or to refer them young people for possible inclusion.

After friends and family the media is often one of our main sources of sex information (acting as a ‘super peer’ – who doesn’t always have the right answers). Young people particularly appreciate sex and relationships advice from broadcast and online media. Providing sex information via the mainstream media is not new and has been well received by young people, parents, educators and healthcare staff (a classic example can be found here, see also here).

I am very much in favour of using the media to share information on sex and relationships (and other health topics). But I had reservations from the outset about this particular series. All of which I shared with the researchers at the time, and I’ll repeat now.

The series was billed as being a ‘youth’ programme. Although that doesn’t necessarily mean young people were actively involved in its creation. The title ‘The Joy of Teen Sex’ sounded like something by an adult trying to impress the kids rather than generated by a youth audience.

As I heard more about the planned content of the series it seemed profoundly out of touch with the title. The title implied an attempt at celebrating sex, while the calls for participants suggested it was mostly negative and problematising sex (more on this later). The proposed content did not match the kind of things I’ve noted young people are worried about (through my research and work over the past decade as an agony aunt; and from listening to parents, sex educators and healthcare staff).

Given both Embarrassing Teenage Bodies and The Sex Education Show had received some criticism for their approach to sex-related topics , I was concerned that merging them for a new format without learning from the feedback for existing programmes was not good practice. When I shared these worries with the researcher from Betty TV they did not appear interested.

Setting up a ‘pretend clinic’ was also perhaps unhelpful as it may give an inaccurate impression to young people of what sexual health services are like. If the mock clinic appears off-putting to an audience it may also discourage them from attending a sexual or reproductive health clinic in real life (for more ideas on what a ‘real’ GU clinic is like click here).

The ‘clinic’ setting also framed sex and relationships issues within a health or medical format. Which may be appropriate for tackling the treatment of STIs or contraception, but given this programme was also being presented as providing advice about relationships was a medical tone the best to use? After all, do you head to your GP when you want tips to spice things up sexually? Given the wider concerns about medicalisation and sex, presenting young people with the idea sex and relationships are a primarily medical issue (as opposed to social or cultural) is unhelpful.

Those worries, however, were insignificant compared to my anxiety when I received the advert the company wanted me to pass on to young people, which read:

SO YOU THINK YOU KNOW IT ALL WHEN IT COMES TO SEX?

(The above advert was also posted here with other casting calls can be found here and here)

Let’s unpack this advert.

First of all the programme starts with a challenge – asking if young people know it all. None of us ‘know it all’ when it comes to sex. Such an approach runs counter to working with young people on sensitive issues, where the aim is usually to create a safe space where people can ask questions or debate issues with confidence, rather than feeling judged, silenced or challenged.

‘Sex’ is not transparently defined. Discussions with the TV researchers making the programme indicated they understood ‘sex’ as penis in vagina intercourse (or anal sex in the case of young gay men). This is an extremely limited view of ‘sex’, the meaning of which has been explored in depth here.

Yet ‘sex’ and relationships are constructed in a particular way by this advert. For young people the advert focuses on ‘sex’ as whether or not they know much about infections, problematising porn, ‘losing’ virginity, and young women’s orgasmic difficulties. That leaves out a whole range of other issues young people may wish to talk about while reinforcing many gender and sexual behaviour stereotypes.

When it gets to the parent section of the advert it becomes even more judgemental. Here we see ‘sex’ categorised with more mentions of porn, a brief nod to sexuality, value judgements about ‘sleeping around’, and the setting up of girls as victims, boys as predators. There is nothing positive for parents. Only a list of potentially scary issues a parent might get in touch with. Indeed sex is stated as ‘the biggest worry for parents’.

Is that true? Are parents not also worried about their child’s future? Their academic progress? Their friendship groups? Risk of violent crime? Their health and wellbeing? Financial worries? Some parents may well be anxious about their child’s sexual development, but I’m confident most parents will have additional, and equally pressing, concerns. Realistically if sex really is your prime concern as a parent is television the best place to get support? Particularly if your worries are linked to the motional or physical safety of your child. This is not to say parents should not want advice, just that framing conversations with young people about relationships in purely negative ways is unhelpful.

The advert does indicate what the aim of the series might be. Rather than an opportunity to empower parents or listen to young people, it seems to be designed for the viewer to judge the wayward teen or hapless parent. Previous programmes and wider media coverage about young people’s sexual behaviour have been criticised for creating a format which slut shames young women, makes young men appear to be perverts, presents a heteronormative tone (while pretending to be right on about sexuality), and generally suggests sex is a scary issue – for both young people and their parents. It harks back to an old fashioned view (explored in depth here) that if we had to deliver sex education we might as well make it as offputting as possible to dissuade young people from considering trying it. Aside from this being limited, it is also disempowering. And it shifts topics that young people may not necessarily be seeing as a negative, into a problem. Although in this case dressing it up as a ‘sex positive’ series.

The phrase that put me off supporting the programme most was ‘Sex is the most important thing in a teenager’s life’. It may surprise you, but I profoundly disagree. ‘Sex’ may be important to some teens some of the time, but not to all teens all the time. For many young people the most important thing in their lives may be their friends, their schooling, hobbies or sports, their pets, their faith, music or a whole slew of other stuff I’m probably to old and boring to know about.

Indeed when you talk to young people, often what they are interested in is being in a relationship, being close to someone (either in the short or long term). They may certainly have questions about ‘sex’, and have a range of feelings attached to it – curiosity, anxiety, and excitement. But they will also have other questions that go beyond the mechanics of intercourse.

The majority of young people (2/3 of the UK population) do not have ‘sex’ (at least defined as penis in vagina intercourse) until they are 16 or over (the UK’s age of consent). Many young people aged under 18 have not have sex or a relationship. Those having sex at a very young age tend to be more vulnerable due to numerous reasons (covered here) and are of particular concern to educators, healthcare staff and youth workers.

When you talk to people who deliver sex and relationships education via schools or youth groups, those who are working ethically and appropriately are not trying to convince young people sex is the most important thing in their lives. Indeed, they are usually stressing to young people the importance of having many interests, and encouraging them to delay sex. Alongside tackling wider problems or opportunities facing young people (like schooling, home issues etc). Critics of sex education often argue that talking about sex encourages early experimentation, which is not accurate. However, you can see why critics get worried when young people are being encouraged to view sex as the cornerstone of their entire lives, when for many it isn’t (at least not all the time).

From the calls for respondents the programme ‘teen’ has been defined as young people aged 16+ (or in some cases 18-20). Meaning the focus of the series is better described as being aimed at ‘young adults’.

Setting up a post watershed series (screened at 10pm) aimed at ‘teens’ but really meaning over 16s raises issues over what topics will be covered. Working with young people on sex and relationships issues reveals lots of diversity. You may find a nine year old asks a question that seems very ‘adult’ while a fourteen year old wants to know something that you’d expect a much younger child to be aware of. Part of the skill in working with young people (as it is with adults) is pitching what is discussed at their level, within their comfort zone. Not talking about issues they are not yet confident to understand, or that may be beyond their comprehension or are age inappropriate.

There is always a dilemma in education and advice giving about to provide information that does not patronise young people nor decide for them what they ‘ought’ to know. Young people have a right to sex and relationships education, but when television programmes muddled entertainment and advice (ignoring the latter for the sake of the former) this can mean young people either get information that is not useful, or are presented with concepts that may not be appropriate to their needs.

My worry with this programme is the topics selected for the series were chosen to attract an older audience, rather than truly deliver sex information to teens based on issues young people really want answers to.

It is important to stress I only had involvement at the early stages of development, when practitioners were being approached to be part of the series or find potential participants. I don’t know whether the focus of the programme has altered since, but reading pre-reviews of the series suggests concerns myself and others had with the series have not been resolved.

According to press coverage, in the first show we will meet a woman called Michelle whose 17-year-old daughter Rachel got pregnant last year, is sexually active, but ‘refuses’ to go on the pill. Already we can see the cards being stacked against the mother and the daughter. The danger of such programming is it becomes an opportunity for audiences to judge others who are not fitting particular expected roles. Worryingly there is often a class and race based subtext to this kind of media coverage where audiences are invited to judge chavvy youth or those from ethnic minorities or different faiths.

Other press discussions of what we can expect from the programme, from sex tips to ideas about techniques suggests the focus is a primarily adult one – but one that is also problematic. Adult sex advice (from the media and self help market) is preoccupied with positions and performance. Where ‘perfect’ sex is something to continually aspire to, is measured by how much you do it (not what you do), and where orgasms are something you ‘achieve’ not ‘experience’. It is a space where relationships are usually defined as monogamous (usually heterosexual but sometimes lesbian or gay sexuality is acknowledged). It is not a place where diverse sexualities are talked about in depth – or if any kink or alternative sexualities are focused on it is usually in a fairly sanitised or problematised way.

Sex for grownups (in the mainstream media and popular culture) excludes those who can’t fit into size 10 sexy lingerie, afford the latest sex toy, or whose bodies can’t mould themselves into 101 different positions. It is not a place for people with disabilities to have a voice, nor for those who are Trans, queer or asexual to speak out. If you are single you are allowed to be sexual so long as you can talk (albeit not very explicitly) about friends with benefits, or better still indicate you are trying your hardest to get into a relationship.

Many researchers, therapists and sex educators feel the stifling mainstream depictions of sex and lack of adventure and exploration – and absence of focus on communication – is a problem for adults who want to experience enjoyable sexual encounters or relationships. As a result, the aim of teaching young people to view sex and relationships in more diverse ways is to overcome many of the bad advice aimed at adults, or at least develop the critical thinking and life skills to see through the commercialised, pressurised and frequently unrealistic versions of sex currently on offer in mainstream popular culture.

It is therefore worrying the ‘The Joy of Teen Sex’, rather than tackling what ‘sex’ might be and how young people may look forward to experiencing it, may just serve up a predictable platter of Cosmo-esque sex tips. This is not what youth-focused sex and relationships education should be.

The media frequently distorts the teaching of sex and relationships. This can frighten parents and disempower teachers. Yet with programmes that provide unrealistic ideas about advice giving for young people this could easily give parents the wrong impression, suggesting as the norm activities that are not considered appropriate within school based or healthcare settings. It would be damaging if a programme that misrepresented both sex education and sexual health care contributed to a backlash against supporting parents, schools and healthcare providers from giving relationships information to young people.

Parents already worry about tackling sex and relationships issues with young people although they play a fundamental role in educating children. Media coverage that exaggerates the concerns of young people, presents an overly sexualised focus, or does not tackle the more mundane (and less ‘sexy’) questions young people may have can do two things. Firstly it can suggest to parents they need to be fearful for their child (and their potential sexual interests), and secondly imply the issues their child wants to know about are completely outside a parent’s ability to tackle. Neither are empowering for parents or young people. It is perhaps for this reason parents have already started speaking out about the programme.

What is not clear is why young people and parents wanted to participate in The Joy of Teen Sex. Were they seeking attention or fame? Or did they need advice? If it’s the latter it would be useful to know what led them to get this through a television programme rather than existing services – particularly if people had encountered barriers with existing education or healthcare on sex and relationships issues. Were people unaware of, or unable to access existing sources of free help and information? What about the participants in the programme? How representative are they of young people generally – and how many would-be participants for the show were not included? Why was that? It would be interesting to see journalists follow up on these questions, rather than just inviting us to gawp at and judge the participants in this series.

I have not seen the programme, so I my concerns could be completely misplaced. I will watch it and see if it manages to provide accurate and empowering information. I sincerely hope it does, but I am not confident this will happen. As a supporter of mediated sex advice it infuriates me programmes continue to be made where experts are ignored, where unethical practice is permitted, where young people are not involved, and where the end result does not educate but may well disempower parents, teachers and young people. It represents an endless stream of programming that wastes time, money and opportunities to share accurate advice people so desperately want.

I am always happy to support programmes that cover sex and relationships in an affirmative and diverse way, that move beyond ‘sex’ as intercourse, positions, techniques or infections to answer the questions young people really have in a sensitive way.

I did not feel The Joy of Teen Sex was offering this (although as already mentioned I am happy to be proved wrong). When I was asked to participate as a presenter and to refer young people to the researchers I refused. I felt the TV researchers were not listening to the feedback I shared on how they might make this programme more accurate and empowering, or my concerns about the wellbeing of young people and parents.

Equally worryingly the researchers warned me and other educators not to criticise or question them in public (i.e. on Twitter) or share our concerns about the series.

When a TV company commissioned to make a youth focused programme tells practitioners concerned about young people to keep silent, you really have to wonder who they are trying to benefit.

The Joy of Teen Sex is on Channel 4 tonight at 10pm (GMT)

Brief background – female sexual dysfunction

Over the past 10 years the race has been on with pharmaceutical companies to find the ‘female Viagra’ – a drug to treat female sexual dysfunction (FSD).

At the same time, concern has been growing within healthcare, therapy and education about the medicalisation of sexual functioning. FSD in particular is a diagnosis with a controversial heritage, with concerns expressed that common (but often upsetting) female problems around lack of desire and difficulty experiencing orgasm have been repackaged within a illness-based model.

[You might also find this discussion held a couple of years ago on Woman's Hour that addressed FSD useful (includes links to support organisations relating to sexual difficulties). Plus this special issue of the journal Sexualities tackles the problem of medicalising sex for women and men, and Liz Canner's amazing documentary Orgasm Inc provides a thorough backdrop to the topic]

Over the years several drugs have been developed, although many did not get past early trial stages. Of those that did, testosterone patch Intrinsa was heralded as being the answer to lack of sexual desire in women, although was later found not to be clinically effective (and was never approved for use in the US). Another drug – PT141 – aimed at boosting desire (and aimed at men and women) also failed to meet safety standards and wasn’t developed further (although that wasn’t before the media promoted it as the sex wonder-drug of the future). Alongside these promised medications there’s been a whole slew of herbal products and ‘super foods’ (usually fruits, seeds and berries) promoted in the media and all guaranteed to boost desire or enhance orgasms.

Latest trials – Flibanserin
Flibanserin is a centrally acting anti-depressant type drug made by Boehringer-Ingelheim who have been developing it over the past few years. It is aimed at a condition referred to as Hypoactive Sexual Desire Disorder (HSDD) – or a lack of/no desire for sex in lay terms. Reports suggest the latest trials of the drug are about to be announced, and it’s likely the product will be promoted for public use within the six to eighteen months (pending FDA and EMEA approval). Early trials claim the drug boosts sexual desire, but (as with other SSRIs) this drug must be taken every day for 3-6 weeks before any effects will be noticed and continuously thereafter.

What’s interesting about this drug is it indicates a shift around how we conceptualise and ‘cure’ female sexual problems. Previously the message from drug companies was FSD was a hormonal problem and could be managed with additional testosterone. Flibanserin reframes FSD as a ‘desire is in your head’ model, working on neurotransmitters to increase libido. Moreover, previous drugs tended to focus on women who were approaching or had gone through the menopause (naturally or surgically). Flibanserin is being targeted at all women (so a far larger market share than products just for post menopausal women).

Aside from the wider worries about medicalising female sexual problems (which are caused by numerous factors), critics of Flibanserin question how an antidepressant can boost desire given a common side effect of such drugs are to reduce desire. There are also worries from healthcare workers and therapists around the long term safety of using such drugs and potential problems with withdrawal.

Those defending Flibanserin (and drugs like it) argue that therapists are only criticising the products as they want to promote talking cures over medical ones (and thus have a conflict of interest). They also have reappropriated feminist discourse to talk about women being left out or needing the same access to sex drugs as men (although the products available for men are actually limited and mostly only for erectile dysfunction).

The difficulty with discussing this area is that women do experience sexual problems for a variety of reasons. Many of these can be helped with education, better contraception, improving (or leaving) a difficult relationship, therapy, addressing psychological or physical health problems, or better sexual communication between a woman and her partner. These issues should be tackled as a first port of call, rather than recommending a pill or patch. However, given the embarrassment women experience over sex problems, plus additional pressures from the media and partners to be good in bed (and a desire for pleasure and intimacy), it’s easy to see why someone would prefer a magic bullet than having to work through what’s causing their problems.

Sadly drug companies (and practitioners allied to them) exploit this by making out anyone who questions the FSD diagnosis is anti-women or out to stop women enjoying sex.

What you can expect from media coverage
At each stage of development Flibanserin has already been promoted via the media as a forthcoming drug that will transform women’s sex lives. No doubt coverage over latest research on the drug will follow this format. It’s a dream for health writers and particularly glossy men and women’s magazines as you can discuss sex (and the stereotypical ‘women don’t like it’ angle) with a mix of science and the promise women who’re not sexy enough can be fixed.

You can expect plenty of headlines promoting a wonder drug to boost sex – and reinforcing the idea that women’s sex problems are ‘all in her head’.

What you won’t see is questioning about the drug, safety and long term effects. Nor will you see any critical reflection on the construction of FSD as a medical condition, nor any practical advice on the many reasons women may not experience the sex life they expect – and what they might do about this.

What journalists probably don’t know – behind the scenes of marketing Flibanserin
While Flibanserin has been developed, there has also been a systematic approach from Boehringer-Ingelheim to promote the product before it has been developed. In 2008/9 I’ve had two invitations to attend two two-day long ‘training days’ at top London hotels (with an honorarium of £1000 per session). This invitation has been extended to other practitioners within sexual health.

My understanding of the aim of these events were to highlight FSD (or more specifically Hypoactive Sexual Desire Disorder) as a problem and inform practitioners about treatment approaches. From that, key advisors who’d attended training days could speak further and influence colleagues to also promote FSD as a problem and recommend future treatments as they came on board. Here’s a copy of the agenda for one of the events to give you an idea about what was covered.

I did not attend these events. However, this did not prevent Boehringer-Ingelheim from trying to engage me in other ways. On 1 April this year I was sent an unsolicited invitation to write a paper for their journal British Journal of Sexual Medicine. You’ll see from both the letter and instructions for writing the paper that they had clear instructions about what they wanted me to say and how this would set the scene that HSDD was a prevalent and distressing problem doctors ought to be aware of – presumably so they could be alerted to a problem and be more willing to prescribe a pill when said medication became available.

This may not seem like a major issue, but it’s worth noting that such activity is frowned upon by reputable academics as really all you are doing is marketing a product, not engaging in true peer reviewed science. So obviously I didn’t accept this offer either.

[Since writing this Boehringer Ingelheim's Medical and Scientific Affairs Manager contacted me and requested a right to reply. You can read their response here].

I’m raising this here as journalists and the public need to know this may be considered a case where the market for the product is being worked upon at the same time the product is being developed.

Nobody is denying women have problems, but there are many ways to approach these without slapping a clinical diagnosis on women who don’t feel sexy.

Questions you should be asking about FSD and sex drugs
If you’re a journalist, healthcare provider or member of the public you should think about what may cause women’s problems with sex and solutions to those. Question whether a clinical intervention is the best option, and research how the category of FSD (and related diagnoses like HSDD) have been created (and who by). In particular you should ask the question whether taking SSRIs on a long term basis is the best answer to women who aren’t feeling desire.

Update 16/11/09
The press release for Flibanserin is now available. If you’re a journalist covering this story you may want to ask questions about efficacy, safety and medicalisation (as outlined above). You may also want the drug company to clarify exactly how many ‘satisfying sexual events’ (their term) were classed as significant as compared with placebo. The press release states a significance, but in lay terms how much more satisfying sex per month can a woman expect if she’s taking her daily dose of Flibanserin?

Update 17/11/09
Cory Silverberg has a clear and thoughtful analysis of the Flibanserin studies, reflecting particularly on how sexual experiences were measured. This blog highlights how Flibanserin is still an experimental drug (not quite how the media are reporting it). Also, it’s worth noting from Cory’s appraisal of the research how not all women in the study did experience significantly better ‘satisfying sexual events’ compared with placebo. Well worth a read for an appraisal of both the research and marketing approaches from Boehringer-Ingelheim.

Also, Neuroskeptic has a fantastic blog that tackles in depth the trials for Flibanserin and the interpretation of the findings.

Without further ado, let’s find out the answers to the questions I posed as part of the Science Late evening of sex event on Wednesday. How did you score?

1. What are the most common methods sex researchers use to study sex?
a. By looking – watching people have sex in a laboratory or on film
b. By measuring – assessing sexual behaviour via brain scanning, blood tests or heat sensors
c. By listening – recording answers from surveys or interviews
d. By participating – having sex with the people they are studying
e. Not sure

Correct answer = C

The most commonly used methods in contemporary sex research globally are surveys or interviews/focus groups. Brain scans, heat sensors or blood tests can be used, as can observational studies (where people have sex within laboratory settings). However, these latter two methods are used less as they’re often more difficult to recruit representative participants for studies. With the internet the opportunity for people to film their sexual activities and share those with researchers, and methods where participants film or document their own lives may become increasingly popular in the future. One thing we don’t do, but which people often assume happens, is have sex with the people we’re studying and then write about it. This would be considered unprofessional and unethical in research nowadays, and would focus the study on the researcher rather than a wide range of participants.

Want to find out more?
Check out the Kinsey Institute and the Magnus Hirschfeld Archive for Sexology who provide information about sex research being undertaken and provide answers to your frequently asked questions about sexual behaviour.

You might also find these guides helpful too:
Want to be in a sex study? Tells you about how sex research is conducted and how you can get involved

Sex research since Kinsey’s day – explains the different methodological approaches that can be used to study human sexual behaviour.

What’s it like to be a sex researcher? answers the frequently asked questions I’ve received about studying sex.

How to run a sex study outlines the steps you’d undertake to carry out a scientific study.

2. How often does the average UK couple have sex per week?
a. 7-10 times
b. 4-7 times
c. Once a week or less
d. Not sure

Correct answer = C

Robust and reliable research indicates that younger people do have more sexual encounters annually than older people. You can see links to research where frequency has been addressed here. The UK Natsal study found the average for heterosexual sexual activity per month was around 6 times. If you account for sexual behaviour over a wide range of ages the average is once a week or less. However, reputable sex research focuses more on quality rather than quantity. We would usually ask people for a range of sexual behaviours they engage in (masturbation, oral sex, intercourse) and whether they enjoyed them. That way you might find someone doesn’t report much ‘sex’ (as in intercourse) but they enjoy masturbation on a regular basis and are happy with this.

This contrasts with the media’s description of sex where ‘sex’ is usually only considered in terms of intercourse and quantity is taken as a measure of ‘great sex’.

Want to find out more?
Set yourself an experiment. Look at magazine or newspaper coverage of sex/relationships over the next month and see how ‘great sex’ is described. Is it written about in terms of exploration, variety and pleasure, or described in terms of quantity and penetration.

3. The average penis size is 5 inches long
a. True
b. False
c. Not sure

Correct answer = B

Many studies do give the average erect penis length as 5 inches. However, there are numerous problems with studies on penis size as they vary in the methods used to collect data. Some studies relied on self report, others on a researcher either measuring an erect or flaccid penis. Critical reflection on penis size studies suggest there are problems with the inconsistency of measuring penis size (summarized here). Interestingly research in this area suggests men (gay and straight) are more worried about length than girth, although women seem to be more interested in girth. And partners of men (male or female) are usually most bothered about their partner’s technique and the way they treat them. With anecdotal evidence suggesting men with larger penises don’t try so hard to please their lovers.

4. Women and men are equally stimulated by visual images of sex
a. True
b. False
c. Not sure

Correct answer = A

Women and men are just as likely to be turned on by visual images of sex. This may run counter to common knowledge of this issue, particularly since the media often repeats the idea that men are visual creatures and provide various evolutionary and biological explanations for this. What science is now discovering is that women, like men, do get aroused by sexual imagery. There is a diverse range of what turns women on – as with men. There is often the myth that women prefer erotica and men like porn, or women need their sexual imagery served up with a warm slice of romance. Yet studies where women have been asked about or shown sexual imagery suggest they do respond to a variety of arousing stimuli.

Interestingly many of the studies assessing response to visual images of sex (usually done through showing a series of images or sexual film clips and measuring genital response) did not include women. These were conducted on male participants (often undergraduate students) who were tested in response to viewing sexual images to see if exposure to said imagery had led to them feeling more hostile towards women.

More recent studies of women show they report enjoying a range of sexual imagery but do often worry more than men about the content of materials and how they’re made. Debates around the impact of porn, and whether the content is sexist, can often make women feel guilty for looking at/enjoying sexual imagery. Interestingly we’ve focused more on asking women critical questions about how they respond to porn than we have inviting men to reflect on their porn use.

Want to learn more?
Violet Blue’s written a fascinating book called The Ultimate Guide to Adult Videos which discusses how to pick porn to view, and answers some of the common concerns people have about content.

Alternatively there is a vigorous debate about porn/sexual imagery that’s ongoing. Some view porn as innately sexist and degrading to women, others feel it’s a symptom of a sexist culture but not a direct contributor to sexism/abuse. While some believe porn could help improve relationships, or at least has no harmful effects. You can find debates ongoing across different websites (particularly those with a feminist/political focus). Read up on the issues and see where you fit in.

5. Men can fake orgasm
a. True
b. False
c. Not sure

Correct answer = A

Men can, and do, fake orgasm. We don’t know exactly how many do this, but therapists and educators are increasingly hearing from men who are worried about faking orgasm. Reasons for doing so include being tired, sore, wanting to bring sex to an end, and not wanting to let a partner down. Men report feeling the need to fake because of pressure to perform sexually. It is unclear whether this pressure is experienced more or less acutely by straight or gay men. Interestingly, we tend to respond to women faking orgasm as being an inevitable (partly linked to the stereotype of women being less sexual). We tend to respond to the idea of men faking with disbelief or humour. This does little to help either gender if they feel the need to fake.

Want to find out more?
Comedian Richard Herring has written a great book called Talking Cock which although based on humour is a useful survey on male sexual behaviour and includes some discussion about faking orgasm.

If you’re a man and find it consistently difficult to orgasm it might be you have delayed (or retarded) ejaculation. More information about this condition and treatment options available here.

6. Men reach their sexual peak at 17 years old, women at around 40 years old
a. True
b. False
c. Not sure

Correct answer = B

Although this is often quoted in the media it doesn’t make sense in social research terms. The data seems to have come from surveys in the first half of the 20th century on sex where young men could record an interest in sex, but young women couldn’t. Culturally young women weren’t supposed to be sexual (particularly before marriage) and so either were unable to report on sexual behaviour, or were too afraid to disclose what they may have done. Older women who were married and had experienced sex were in a stronger position to report on their experiences. So early surveys measured behaviour and found younger men were able to report sex positively, as were older women. This is not the same as hitting a sexual peak during lifespan.

Although studies do still about that reinforce this myth or suggest particular ‘peak’ times for sex, reliable research suggests that rather than their being specific peak times for sex, there will be times when people enjoy, desire, and have sex more or less. This will be influenced by many factors including health, parenthood, financial security, relationship quality, and lifestyle factors (such as work stress).

Sexual activity may reduce as people age, and certainly we do see young people reporting having more sexual encounters. However, this does not mean the same thing as pleasure or desire or exploration. Older people do also report they may not have as much sex as in their youth, but the sex they have remains important and pleasurable.

Part of the misrepresentation of sexual behaviour across lifespan as having one off peaks is linked to the quantity over quality. A more accurate way of looking at this issue would be to see sex intertwined with other factors (listed above) and to expect points in your life when you’ll have no sex (with a partner), lots of sex, and occasional sex – with quality differing also.

Want to find out more?
Keep a diary for the next year and record when you had sex. Note periods when you enjoyed different sexual activities (masturbation alone, oral sex, intercourse), who you were intimate with, and when you were or were not enjoying sex to identify what else was happening. It might be something negative like being made redundant, or something positive like starting a new job where you put your energy into that activity.

7. Animals (other than humans) can be gay
a. True
b. False
c. Not sure

Correct answer = A

Homosexuality has been observed in numerous species from dolphins to monkeys, dogs to sheep. We have only recently begun to learn more about this topic as science has in the past often misrepresented homosexuality in animals, describing it as ‘immature sexual behaviour’ or reporting it as something that only happens because no other sexual partners are available. Or simply not discussing it at all.

Want to find out more?
The question of sexuality is one that fascinates people – and can be a reason for concern or celebration. If you want to find out more about your own sexuality why not try the Kinsey scale which gives you a score from heterosexual through to entirely homosexual. You can even get a t-shirt to proudly display your rating.

Within the scientific community we’re still debating homosexuality and for two differing takes on this issue you might consider Queer Theory which sees sexuality largely as a social construct or contrast this with Qazi Rahman and Glenn Wilson’s excellent book Born Gay.

There’s also widespread discussion about whether homosexuality can be ‘cured’. Evidence shows it cannot (because it’s not a disease or dysfunction). You might find these papers interesting – they feature interviews with psychiatrists and patients who were part of treatment programmes to ‘cure’ them of homosexuality.

8. Where do most people get their sex information from?
a. Friends and family
b. School/college sex education
c. Self help/sex experts
d. The media (magazines, films, television, internet)
f. Pornography

Correct answer = D

Most people do use the media, and particularly the internet (where available to learn more about sex). Friends can be highly influential, although more for young people than older adults. The self help/sexpert market (which often influences media content) is worrying given that many sex experts are not adequately qualified to discuss sex and relationships issues. Porn is not the first place people look for information, however evidence suggests it is somewhere people will turn to if they can’t find answers elsewhere.

Want to learn more?
If you want to find useful places to get quality sex information (aside from the links above), I’d recommend:
Paul Joannides – author of Guide to Getting it On
Cory Silverberg – who writes Sexuality About
Good Vibrations magazine
Dodson and Ross – sex tips, advice and information
DIY sex education from All About My Vagina
Susie Bright gives great sex advice over at Jezebel

9. What’s the most popular area in sex research currently?
a. Desire and pleasure
b. Sexual problems
c. Sexuality
d. Sex addiction
e. Love, romance and courtship

Correct answer = B

The most funded and most prolific research globally focuses currently on sexual problems. That’s things like sexual dysfunctions and sexually transmitted infections (particularly HIV). While these are issues requiring investigation, there are problems about other issues such as love and romance, desire and pleasure receiving far less attention. In particular concerns have been expressed about the ‘medicalisation of sex’ (for women and men) and the way sex research has been influenced by pharmaceutical funding.

Campaigners working within sex research are working to try and broaden the range of topics studied in this area, but limitations around funding and academic priorities do still influence what gets studied. This is a problem since many members of the public have many unanswered questions about sex which are currently not being addressed.

Interestingly, the area of sex addiction is hyped up a lot in the press but is not being researched to the same degree within academia/therapy. That’s because the concept is not agreed upon by practitioners. You can find out more in this great discussion between Susie Bright and Leonore Tiefer on the topic, or see just how problematic the diagnosis of sex addiction is in my blog ‘Help! I’m a sex addict and I didn’t even know it’.

10. Why do sex researchers study sex?
There are numerous reasons why we study sex. To find out more about human sexual behaviour, to get people answers to questions they have. To reduce problems – STIs, anxieties, fears. To promote sexual pleasure. Or to encourage abstinence (not all sex researchers are sex positive). Some sex researchers are motivated to research sex because they want to offer help, to share pleasure, or to learn more about themselves. Some may have had a personal experience (positive or negative) that’s motivated them to study a particular area of sex.

As part of the Science Museum event I asked guests to share why they thought we studied sex and I’ll blog all their ideas next week – along with some updates from real life sex researchers about their motivations.

So, are you a sexpert? You may have scored well or badly on this test. It doesn’t really matter. Many of the questions were deliberately tricky. Hopefully what the test has revealed to you is that there’s a lot more to sex research than you may have imagined, it’s an area that spans many academic areas (science, medicine, history, anthropology and zoology to name a few). It’s a growing subject area and one with a real application to human life. By continuing to read up on sex (using some of the links above) and ask questions about all the sex stories you read in the press (and anyone who calls themselves a ‘sexpert’) you’ll be well on the way to sexpertise.

If you work in science communication, sex research or sexual health you are welcome to use this quiz (and answers) in your own activities (with acknolwedgement). Please do research all answers before presenting to ensure you fully understand topics, and perhaps you can bring in questions and resources of your own to add to the quiz.

Last night the Science Museum in London hosted one of its fabulous ‘Lates’ events. The theme of the evening was ‘sex and science’ and there was a great range of things to do. From learning more about yourself in the ‘who am I?’ tour, through to speed dating, finding out about the history of sex toys, salsa dancing, an experiment in ‘dance, hormones and sexual selection’ and some sexy punk science. Condoms were available to all guests, just in case things got extra fruity, and judging by the amount of drink and giggling going on I think people had a good time

I hosted a talk called ‘So you think you’re a sexpert?’ where we took 10 commonly asked questions about sex or commonly quoted sex ‘facts’ and put them to the test with some interactive voting to find out how smart our audience were about sex.

I’d like to give a great big thank you to everyone who came to Science Lates last night. I thought it was a novel way to share science, and the range of talks/events going on ensured we could create a balance between the fun and frisky and the serious and scientific.

For those of you who weren’t able to make it, I’ve reproduced the ‘So you think you’re a sexpert?’ quiz below, and I’ll give you the answers tomorrow, along with incorporating questions from the audience last night.

1. What are the most common methods sex researchers use to study sex?
a. By looking – watching people have sex in a laboratory or on film
b. By measuring – assessing sexual behaviour via brain scanning or heat sensors
c. By listening – recording answers from surveys or interviews
d. By participating – having sex with the people they are studying
e. Not sure

2. How often does the average UK couple have sex per week?
a. 7-10 times
b. 4-7 times
c. Once a week or less
d. Not sure

3. The average (erect) penis size is 5 inches long
a. True
b. False
c. Not sure

4. Women and men are equally stimulated by visual images of sex
a. True
b. False
c. Not sure

5. Men can fake orgasm
a. True
b. False
c. Not sure

6. Men reach their sexual peak at 17 years old, women at around 40 years old
a. True
b. False
c. Not sure

7. Animals (other than humans) can be gay
a. True
b. False
c. Not sure

8. Where do most people get their sex information from?
a. Friends and family
b. School/college sex education
c. Self help/sex experts
d. The media (magazines, films, television, internet)
f. Pornography

9. What’s the most popular area in sex research currently?
a. Desire and pleasure
b. Sexual problems
c. Sexuality
d. Sex addiction
e. Love, romance and courtship

10. Why do sex researchers study sex?
This was an open-ended question we gave to the audience last night. I’ve got all their answers to sort through and I’ll be posting those in a blog next week, along with some answers from real-life sex researchers and educators.

Come back tomorrow and you can find out whether you’re a sexpert, and learn more about each question.