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Sexual Health

Sexuality is part of who we are, and it’s about much more than just sex; it includes emotions, intimacy, identity, and how we express ourselves. Sexuality is present throughout our entire lives and shaped by our experiences, relationships, and different stages of life. To experience good sexual health, it’s important that we have the right to make decisions about our own body, relationships, and when, if, or how we want to have sex.

What is Sexuality?

Sexuality is about how we experience desire, emotions, and relationships. It’s a natural part of life, influenced by biological, psychological, and social factors. Sexuality is also connected to our identity – how we see ourselves and who we feel attracted to.

Sexuality also includes sexual orientation, sexual fantasies, gender identity, and reproduction. Your family, culture, and religious background shape how you view and express your sexuality. Ideally, sexuality is a source of joy and energy, but it can also be associated with anxiety and fear.

Sexuality develops from childhood to adulthood and can be described using the concept of the steps of sexuality. By taking one step at a time, you give yourself space to understand what you want and to make choices that make you feel good.

Children’s Sexuality

Children are often curious and positive about their own and others’ bodies. They explore how their bodies work and express their sexuality through different kinds of play as they grow. It’s also very common for children to touch their genitals and masturbate. All of this is a natural part of a child’s development.

For children to understand themselves, they need to learn the words for different body parts and emotions. Talking openly about the body and sexuality makes it easier for them to ask questions and to speak up if something harmful has happened to them. It’s important that children receive answers that are appropriate for their age, and that adults respond in a way that does not create feelings of guilt or shame.

It is the responsibility of adults to teach children about boundaries and respect.

  • Talk about which body parts no one is allowed to touch without permission.
  • Explain that not all people are always kind.
  • Teach your child never to go with a stranger, even if offered candy, games, or other rewards.
  • Encourage your child to say no and leave uncomfortable situations.
  • Urge your child to tell a trusted adult.

Young People’s Sexuality

Getting to know your own body and sexuality takes time. During teenage years, the body goes through major changes, which can feel both confusing and exciting. Sometimes pressure from others can make you feel like you need to hurry to become sexually active. Many young people think their peers have more sexual experience than they do, but that’s usually not true. You can explore your sexuality and sex at your own pace. Sex becomes relevant at different times for different people – there’s no ”right” age to start having sex. Sexuality is an important part of life for some, whereas for others it’s less significant.

Many young people are exposed to pornography early on. For some, this can create unrealistic expectations about what sex should look like. You can always contact sexual health or contraception counselling if you want to talk with a professional about sexuality, pornography, or setting boundaries.

It’s important that schools provide sexual education and that adults are open to discussing sex at home. This helps young people gain a more balanced understanding of sex and learn the importance of respecting their own and others’ boundaries.

For parents of teenagers, here are some tips on how to talk about sex:

  • Start small if it feels difficult – for example, bring up something you’ve read in an article or seen in the news.
  • Make conversations about sex a natural part of everyday life, so it becomes easier for the young person to speak openly.
  • Keep the conversation general – don’t talk about your own sexuality or pry into the young person’s private matters.
  • Talk about sex in a positive way, showing respect for diversity.
  • Approach the topic from a perspective that feels natural to you, such as the body, emotions, relationships, or rights.

Sexuality of the Elderly

Human beings are sexual throughout their entire lives. Sexuality doesn’t disappear with age, but it does change. The body changes over time, and this can affect how sexuality is expressed. Illness, hormonal changes, medications, and reduced mobility can influence desire or physical ability.

If you experience difficulties, it’s good to talk openly with your partner. You can also seek advice or help from healthcare professionals. There are many options available, such as products for dryness, medications for erectile difficulties, and counselling if desire has decreased.

Remember that intimacy doesn’t always have to mean intercourse. Many people find joy in other forms of closeness, such as hugging, touching, massage, dancing, or simply lying close together. Ultimately, sexuality is about feeling seen, valued, and alive – at any age.

Illness or Disability

Sexuality is a fundamental human trait – it applies to everyone, regardless of health or ability. Illness or disability can make it more difficult to express and fulfill one’s sexuality, but that doesn’t mean the basic needs disappear. Instead, it may mean finding new ways and approaches that suit your body and circumstances. Different physical variations – such as reduced mobility, loss of sensation, or medical treatments – can affect how sex and intimacy work. In such cases, it’s important to explore what feels right, either on your own or together with a partner.

There are many assistive devices available that can help make your sex life more fulfilling, such as positioning supports. Communicating openly with your partner, healthcare professionals, or support persons about your feelings, needs, and desires is often key to a good sex life on your own terms. You have the right to decide whether you want to have sex, how you want it, or if you prefer to abstain. What matters most is that the decision is always your own.

Sexual Orientation and Gender Identity

People can identify in many different ways when it comes to both gender and sexuality.

Sexual orientation is about who you fall in love with or feel attracted to – for example people of the same gender, another gender, multiple genders, or sometimes none at all. Common terms include heterosexual, homosexual, bisexual, pansexual, and asexual (see the glossary below for definitions).

Gender identity refers to how a person experiences their own gender. Some identify as women or men, others as nonbinary, transgender, queer, or in entirely different ways. Gender expression describes how one expresses gender through, for instance, clothing, voice, or body language.

Norms are invisible rules and expectations about how people ”should” live, look, or who they should love. Social norms, such as heteronormativity and the gender binary norm, can limit people and erase diversity. This might mean that heterosexuality is seen as ”normal” and everything else is questioned, or that people are expected to fit into the category of woman or man even if their identity doesn’t align with that. Such norms can make people feel invisible, wrong, or pressured to hide important parts of themselves. For some, this can also contribute to gender dysphoria, which is a sense of discomfort when one’s body or society’s expectations don’t match one’s gender identity.

It’s important to remember that only you can define your own gender identity and sexuality. Everyone has the right to be treated with respect, regardless of sexual orientation or gender identity.

Glossary of Terms

  1. LGBTIQA+ – an umbrella abbreviation for lesbian, gay, bisexual, transgender, intersex, queer, and asexual people (+ other identities and orientations).
  2. Gender identity – the identity a person has regarding their gender, and something only the individual themselves can define.
  3. Gender expression – how a person expresses gender, for example through clothing, hairstyle, voice, or body language.
  4. Cisgender– someone whose gender identity matches the sex assigned to them at birth.
  5. Transgender – an umbrella term for people whose gender identity or expression does not align with the sex assigned to them at birth.
  6. Nonbinary – an identity that does not conform to the traditional categories of man or woman.
  7. Queer – a term that can describe an identity, a worldview, or a critical perspective on norms related to gender and sexuality.
  8. Intersex – a person born with physical traits that do not fit typical definitions of ”male” or ”female” bodies.
  9. Intersectionality – a perspective that examines how different systems of power (such as gender, ethnicity, sexuality, and class) interact with each other.
  10. Heteronormativity – a social norm based on the assumption that everyone is heterosexual and cisgender, and that men and women should behave in certain ways.
  11. Gender dysphoria – a strong sense of discomfort or distress arising from the feeling that one’s body or society’s expectations about gender do not match one’s gender identity. Gender dysphoria can lead to emotional suffering, worry, or anxiety, and can vary in intensity from person to person.
Young person smiling with a rainbow flag

What Does It Mean to Have Sex?

Sex includes all actions and activities that can create sexual pleasure, arousal, and wellbeing, whether alone or with others. It doesn’t only mean intercourse but also includes touching, kissing, oral and anal sex, masturbation, and fantasies. For something to be considered sex, it must always take place with the consent of all involved. 

Sex is about exploring, experimenting, and learning, regardless of gender, body type, or how much sexual experience the people involved have. Even for those who are sexually experienced, getting to know a new person and their body is always a completely new experience. Everyone enjoys different things, and bodies can respond in different ways. What feels wonderful for one person might be boring or uncomfortable for another.

It’s not always easy to know in advance what you’ll enjoy with another person. The most important thing is to listen to yourself and to your partner. It can feel nerve-wracking to talk about your desires and fantasies, but only when you express them can your partner take them into account. To truly enjoy sex, you must dare to both give and receive.

Sexual Assistive Devices

Sex can sometimes be made easier or more pleasurable with the help of sexual assistive devices. Using such tools can help people experience pleasure and have sex in ways that suit them. They can be used alone or with others. If you need help finding a product that fits your needs, you can talk to a retailer or a sexual health counsellor.

  • Using lubricant during intercourse can significantly improve your sex life. Vaginal dryness can especially cause discomfort when estrogen levels drop during menopause.
  • Kegel balls (geisha balls) can be used regularly to strengthen the pelvic floor muscles. Strong pelvic muscles help women experience more pleasure during sex and can also prevent urinary incontinence.
  • A vibrator can be a valuable tool for increasing pleasure, both during masturbation and with a partner.
  • A finger vibrator can be used to stimulate the clitoris, vagina, anus, perineum, or testicles.
  • A dilator can help with pain or tightness during intercourse.
  • You can achieve a longer and firmer erection with a penis ring, which is placed around the penis. The ring slows blood flow out of the penis and can also provide stimulation for your partner.
  • Medical treatment for erectile problems is available from a doctor.

Sexual Rights and Sexual Health

Sexual rights and sexual health are closely linked. Sexual rights mean that everyone has the right to make decisions about their own body, relationships, and sex life. Everyone also has the right to access information, healthcare, and protection from unwanted pregnancies, sexually transmitted infections, and sexual abuse. Sexual health means feeling physically, mentally, and emotionally safe in sexual relationships. A key condition for achieving good sexual health is that one’s sexual rights are respected and that one can experience sexual pleasure without fear of coercion or violence.

Under Finnish law, a child under the age of sexual consent – that is, under 16 years old – cannot give legal consent to sexual activity directed at them. Sexual activity between young people of similar age, where both give consent, is not considered sexual abuse if there is no significant age difference or difference in mental or physical maturity.

Sexual Rights

  • Right to self-determination
    You have the right to make decisions about your own body, sexuality, and relationships.
  • Freedom from violence and discrimination
    No one should be subjected to sexual violence, coercion, harassment, or discrimination because of their sexual orientation, gender identity, or gender expression. No one has the right to touch another person without consent. You’re entitled to help and support if you have experienced sexual violence or harassment.
  • Right to sexual and reproductive health
    You have the right to:
    • Information and education: You should receive sexual education appropriate to your age and level of development, as well as information about sexually transmitted infections and contraceptives.
    • Access to healthcare: You have the right to gynecological care, maternity care, and access to contraceptives and safe abortion services.             
    • Pleasurable and safe sexual experiences: You have the right to experience sex without fear of disease, pregnancy, coercion, or violence.
  • Right to privacy
    You have the right to define your sexual and gender identity without restriction or stigmatization.

Sexual Violence

With sexual rights also comes the responsibility to respect the rights of others. Sexual violence refers to threats, violations, or assaults of a sexual nature, and it is a violation of sexual rights. Other terms for sexual violence include sexual harassment, sexual abuse, sexual assault, and rape. Anyone can be subjected to sexual violence, regardless of gender.

Forms of sexual violence:

  • Verbal abuse or degrading comments about someone’s body, gender, sexuality, or gender expression.
  • Trying to make a person feel ashamed in a sexual situation.
  • Talking to someone in a sexual way when they don’t want to.
  • Touching someone’s body with your hands, mouth, or genitals without their consent.
  • Humiliating someone, for example forcing them to do something they find unpleasant or disgusting.
  • Kissing or caressing someone who doesn’t want to.
  • Nagging someone into having sex.
  • Forcing a person to engage in sexual acts through threats.
  • Pressuring or forcing someone to watch sexual acts.
  • Pressuring or forcing someone into sexual activity online.
  • Rape within a marriage or family relationship.
  • Rape by a stranger.
  • Sexual exploitation of people with mental or physical disabilities.
  • Sexual exploitation of children.
  • Human trafficking, forced prostitution, and purchasing sex from a person under 18.
  • Forced marriage, including child marriage.
  • Denial of the right to use contraception or protection against sexually transmitted diseases.
  • Forced abortion or denial of access to abortion.
  • Acts of violence against women’s sexual integrity, such as female genital mutilation or virginity testing.

How to Promote Your Sexual Health?

Our sexual health is not only influenced by the choices we make ourselves but also shaped by society and the environment around us. Other people’s beliefs about what is inappropriate or forbidden can affect how we view our desires and sexual pleasure. However, it’s possible to break free from these learned patterns and explore new aspects of your sexuality. Here are some ways to support and strengthen your sexual health:

Self-Care and Self-Assessment

Self-Help Program for Sexuality (in Finnish)

With the help from this self-help program from Mielenterveystalo, you can promote your sexual wellbeing.

Self-Help Program for Processing Gender Identity (in Finnish)

If you are questioning your gender identity, you may benefit from this self-help program from Mielenterveystalo.

Self-Help Program for Recovery After Sexual Violence (in Finnish)

If you have been subjected to sexual violence, this self-help program from Mielenterveystalo may be helpful.

Self-Help Program for Sexual Interest in Children

Is your sexual interest oriented towards children? This self-help program from Mielenterveystalo may help you learn how to regulate your impulses.

ReDirection – A Self-Help Program to Stop Using CSAM

This self-help program from Mielenterveystalo aims to help you adopt a lifestyle without using CSAM (child sexual abuse material).

Services





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