Women’s sexual health 101: things you need to know for your well-being

Women’s sexual health 101: things you need to know for your well-being

India has a rich history of powerful women, from Vedic philosophers like Gargi, Maitreyi, Lopamudra, Ghosa, and Apala to historical figures like Rani Lakshmibai, Sarojini Naidu, and Indira Gandhi. Even in our scriptures, there are mentions of strong women such as Sita, Mandodhari, Kunti, Gandhari, and Panchali. It's evident that women are always the strongest pillars of Indian society. In our vibrant culture, they have long been revered as nurturers, creators, and embodiments of Shakti, the divine feminine power. In almost every scripture, women were well aware of their rights and needs. Even Vatsyayana's Kama Sutra recognised women's pleasure. The text implies that women were knowledgeable about the arts of love and seduction. They played a crucial role in educating men about women's desires and preferences, challenging the notion that sexual knowledge was solely a male domain. 

As society modernises, many women have become unaware of their own bodies and needs. Even today, many Indian women are still uninformed about their sexual health. In 2024, numerous women still feel uncomfortable discussing sexual health due to societal stigma and taboos. This lack of openness hinders their understanding of crucial sexual health issues, such as sexually transmitted infections (STIs), contraception, and reproductive health, leading to serious health problems.

It's crucial to understand that Indian women's experiences with sexual health are diverse, ranging from bustling cities to remote villages. Whether you're a young professional in Mumbai, an entrepreneur in Kolkata, a homemaker in Kerala, or a student in Delhi, understanding your sexual health is crucial for your overall well-being and empowerment. 

This blog aims to bridge the gap between ancient wisdom and modern medicine, addressing the unique challenges and considerations for Indian women's sexual health. 

Now, it's important to understand what sexual health is. What is it? 

Sexual health, as defined by the World Health Organization (WHO), is essential to overall well-being and the development of individuals and communities. It involves a positive and respectful approach to sexuality and sexual relationships. This includes the ability to have safe, pleasurable sexual experiences without fear of coercion, discrimination, or violence. Achieving sexual health relies on access to quality information about sex and sexuality, understanding risks, and having the means to obtain sexual healthcare. Additionally, it requires living in an environment that supports and promotes sexual health. 

Components of sexual health: 

Physical well-being: In sexual health, physical well-being extends beyond merely lacking disease. It involves maintaining the overall health of the reproductive system. Access to quality sexual and reproductive healthcare services is essential, including regular screenings for sexually transmitted infections (STIs), contraceptive options, and maternal health care.  

Emotional and mental health: Emotional stability, including self-esteem and effective communication of feelings and desires, is essential in any healthy sexual relationship. Mental well-being is equally important, as stress, anxiety, and depression can impact sexual function and satisfaction. 

Knowledge and education: Comprehensive sexual education is key to making informed decisions about sexual health. Access to accurate information on topics like anatomy, reproduction, STIs, and safe sex practices is essential. Understanding the risks involved in sexual activity and the importance of preventive measures further supports responsible choices. 

Social and cultural context: Sexual health requires respect and safety in relationships, free from coercion, discrimination, and violence. Understanding consent and personal boundaries is essential. Cultural attitudes and societal norms also play a significant role in shaping behaviours and perspectives on sexual health. These factors influence how individuals approach and experience their sexual well-being. 

Sexual rights: Sexual health is deeply connected to respecting and fulfilling sexual rights, including the right to make informed choices about one’s sexual and reproductive health. Gender equality is also crucial, as it involves addressing power dynamics and gender norms that impact access to sexual health services and education. Ensuring these rights and addressing inequalities support overall sexual well-being and empowerment. 

Relationships and intimacy: The quality of intimate relationships is vital to sexual health, with trust, communication, and mutual respect being key factors. Emotional and physical intimacy also play a crucial role, contributing to overall sexual satisfaction and well-being. These elements together foster a healthier, more fulfilling connection between partners. 

Sexual orientation and identity: Understanding and accepting diverse sexual orientations and identities are essential for promoting sexual health for everyone. Recognising gender identity and expression as fundamental aspects of sexual health supports inclusivity and well-being. Embracing this diversity ensures that all individuals receive the respect and care they deserve. 

 

Myths about sexual health: 

The “withdrawal” method works. 

Myth: Your partner might believe the withdrawal method is reliable. But sorry to break the bubble. It’s just a myth. 

Fact: The “pull out” method can fail. Pre-ejaculate fluid can contain sperm, so pregnancy is still on the cards even with withdrawal. 

Pregnancy cannot occur during your periods. 

Myth: It's a common belief that women can't get pregnant during menstruation. 

Fact: Conception during your menstruation is possible since sperm can survive for up to five days and overlap with ovulation. 

You can only transmit STIs if you have symptoms. 

Myth: Many think that STIs can only be spread if the infected person shows symptoms. 

Fact: Most STIs can be transmitted even when the infected person has no symptoms. Regular testing is essential for sexually active individuals, regardless of visible signs. 

 

Using two condoms provides extra protection. 

Myth: Some believe that two condoms offers better protection against pregnancy and STIs. 

Fact: This practice is actually riskier because the friction between the two condoms can cause them to break. One condom is sufficient for protection. 

 

You can contract STIs from a toilet seat. 

Myth: There is a widespread belief that STIs can be transmitted through contact with toilet seats. 

Fact: STIs are primarily spread through unprotected sexual contact, not from surfaces like toilet seats. The pathogens that cause STIs do not survive long outside the human body. 

 

Multiple partners make your vagina loose. 

Myth: A common misconception is that having multiple sexual partners leads to a looser vagina. 

Fact: The tightness of the vagina is influenced by pelvic floor muscle strength. The vagina naturally returns to its original state after intimacy, and factors like childbirth and ageing can affect muscle tone, not the number of partners. 

 

The “pill” protects against STIs. 

Myth: Some believe that oral contraceptives provide protection against sexually transmitted infections. 

Fact: The pill only prevents pregnancy and does not protect against STIs. Condoms are necessary for STI protection. 

 

What are the safe sex practices? 

1. Condoms (male and female) are the most effective way to prevent STIs and unintended pregnancies. 

2. Regular STI testing is crucial, especially when starting a new intimate relationship. It helps you understand if you have any. With this knowledge, you can take the right precautions. 

3. Discuss STI testing, sexual history, and safer sex practices openly with your partner. Tell them about your boundaries and what makes you feel safe, both physically and emotionally. 

4. Fewer sexual partners lower your STI risk. 

5. Limiting risky behaviours, like unprotected intercourse, is crucial.  

6. Use water-based or silicone-based lubricants to reduce friction and prevent condom breakage.  

7. It's 2024. Nowadays, women can carry condoms too. Keep them readily available, and practice using them. It’s a safe and responsible practice. 

Why are consent and communication a must? 

Consent and communication are crucial for creating safe and respectful sexual relationships. They ensure that all parties involved clearly understand each other's desires and boundaries, promoting mutual respect. By respecting personal autonomy, consent allows individuals to express their comfort levels, ensuring everyone feels safe and valued. Clear communication helps prevent misunderstandings and reduces the risk of harm, including sexual assault. It also fosters trust and emotional intimacy, leading to stronger, healthier relationships. Practicing consent and open dialogue empowers individuals, enhancing their confidence and overall well-being through their sexual experiences. 

Why is sexual activity necessary for women? 

In Indian society, discussing ‘sex’ is considered taboo, and many women feel uncomfortable talking about it. As a result, women often suppress their needs, even in the 21st century. However, this practice is unhealthy. Having regular sexual activity is important, and it can be beneficial for the following reasons: 

Boosts immunity: According to research published in Psychological Reports, engaging in sexual activity once or twice a week can increase levels of immunoglobulin A (IgA) by 30%, an antibody that helps fight infections. 

Improves cardiovascular health: Sexual activity acts as moderate exercise. It enhances heart health and reduces heart disease risk. 

Lowers blood pressure (BP): Regular intercourse is linked to lower blood pressure. According to multiple studies, it reduces hypertension. 

Relieves numerous pains: Endorphins released during sexual activity can relieve headaches, menstrual cramps, and body pains. Regular sexual activity can also help strengthen pelvic floor muscles, which may reduce pain. 

Enhances sleep quality: Sex improves sleep. It increases oxytocin and endorphin levels. This leads to better overall health. 

Good for mental health: Sex reduces anxiety and depression by releasing mood-boosting hormones like dopamine and serotonin. It also enhances self-esteem and strengthens emotional connections in relationships. 

Conclusion: 

In conclusion, understanding and prioritising sexual health is essential for the well-being of women in India and beyond. Embracing open discussions about sexual health, practicing safe sex, and recognising the numerous benefits of regular sexual activity can greatly enhance the overall quality of life. By bridging ancient wisdom with modern insights, women can empower themselves to make informed decisions, leading to better physical, emotional, and mental health.