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Philip D. Harvey

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Sex and Birth Control

Posted: 09/06/2012 3:27 pm

Melinda Gates drew some nervous laughter at a recent TED-x presentation by bringing up the subject of sex in a discussion on contraception. She deserves our applause for doing so because, as clearly related as these subjects obviously are, we family planning specialists rarely put them together.

The purpose of contraception is to make it possible for couples to enjoy the pleasures of sex without the consequence of pregnancy. A lot of people -- and at least one Church -- disagree with this, and many of those folks oppose contraception. But the great majority of couples around the world today practice birth control, believe it is virtuous and healthy, and tell us that it improves their lives. Fully 61 percent of all couples in the world today are having sex and using one or another contraceptive method to avoid pregnancy.

The international family planning profession, of which I have been a member for more than 40 years, has always been nervous about sex. When I took my Masters' degree in family planning in 1969, we had courses in demography, epidemiology, reproductive physiology, and health administration. Sex was never mentioned. Even reproductive physiology was more about the corpus luteum than the clitoris. To this day you seldom read anything about sex in the family planning literature. The reason, I think, is that sex bothers people, especially good sex. We hear a lot about problems with sex (and there are many), but very little about good sex, very little about the quantum of pleasure in the world enjoyed by the two billion women and men (and same-sex couples) who regularly enjoy consensual sex. Is not such sex a good thing? Should not we family planners celebrate the fact that the contraceptives we provide make it possible for people to have more sex? Isn't more sex good?

This idea makes people antsy. Sex has a long, negative reputation in human history. The early Christians despised sex. Historian Reah Tannahill reminds us that "it was Augustine who epitomized a general feeling among the church fathers that the act of intercourse was fundamentally disgusting." A trend in this negative history has been men's fear of women's sexuality. Women were thought to steal men's vitality, to undermine their very sensibility. Remarking on Cleopatra's power over Mark Antony, Plutarch noted: "The unreined horse of concupiscence did put out of Antony's head all honest and commendable thoughts." Delilah's sexuality stole Samson's power. "His strength is useless against love," Delilah sings in the Saint-Saens opera. "He is my slave." "Down from the waist they are Centaurs," intones Shakespeare's King Lear, referring to women's genitalia. "Though women all above. But to the girdle do the gods inherit, beneath is all the fiends'." Eve Ensler's liberating play, The Vagina Monologues, makes note of this tradition. One character says, with maximum irony, "it's a cellar down there... You don't want to go down there. Trust me." And, of course, it's men's fear of women's (dangerous) sexual attraction that forces women to cover their bodies and faces in many Middle Eastern countries today.

Sex, thus, is controversial, and so is birth control. That being so, the family planners who oversee the hundreds of millions of dollars devoted to family planning around the world prefer to focus on women's health, an indisputable benefit of family planning. But we'd do a better job I think if we addressed the subject of sexual pleasure head-on. After all, sex without pregnancy is a powerful expression of love for many couples. It is an important bonding experience, linking two people physically as well as emotionally, bringing them as close to each other as it is possible for two people to be. For most of us, it is an important and fulfilling part of life.

There are some positive signs on the horizon. A brave band of concerned family planning and HIV/AIDs professionals has formed The Pleasure Project, which works tirelessly to remind conference goers and others that sexual pleasure is an important part of the equation. At one international conference, the Pleasure Project put up posters in the corridors, asking "Did you have sex with yourself last night?" And condom advertising especially has begun to enjoy a solid dose of sex in its marketing mix. Here are some examples. My own organization, DKT International, helped spearhead this. We linked up with the Pleasure Project and Condomania at the recent HIV/AIDS conference in Washington DC to "put the sexy back" in safer sex and condom use. How? One way is variety. DKT's project in Brazil, for example, includes condoms with colors and aromas (strawberry, chocolate, mint, tuti-fruti, banana, cola, and watermelon), condoms lubricated with mild anesthetic to delay ejaculation, extra large, anatomically shaped condoms, condoms lubricated to create a cool sensation and condoms lubricated to create an extra warm sensation, among others.

So let us celebrate. Sex is unquestionably necessary; why shouldn't we be pleased that it is also good?

Philip D. Harvey is president of DKT International, an international family planning organization.

__________________________
Notes: Tannahill: Sex in History, pp 138-48
Shakspeare's Plutarch (1875), p. 184.

 
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03:11 PM on 09/20/2012
“Sex and Birth Control” is a delight. Finally something about good sex, and how birth control makes sex better. I’m with Phil Harvey-- we need more of both. Good SEX is enjoyed by the majority of married and unmarried people....especially if you consider more specific terminology. Intercourse is but one aspect of a sexual relationship.....i.e. consider kissing, touching, and all other pleasureable interactions. Sexual intercourse is necessary for fertilization and hopefully could/should be accompanied by a desire to raise a child responsibly. Orgasm is pleasurable and (initially) only accidentally discovered by most pre-adolescent boys and girls .....since limited adult discussions about its wonders are offered to children infrequently. Sex among teenagers need not involve intercourse but this requires 'honest' conversation preferably with parents. Dr. Ron ...P.S. I recall to many instances of septic abortion prior to the 70s and other accidental instances of preventable consequences.
06:16 PM on 09/09/2012
Natural Family Planning (NFP) is a better option than contraception.

NFP is science-based and highly effective.

And there is no cost. NFP is free!!!

Must-read essays:

"The Truth About Natural Family Planning"
http://www.kofc.org/en/columbia/detail/2012_07_nfp.html

"The Benefits of Natural Family Planning"
http://allhands-ondeck.blogspot.com/2012/02/benefits-of-natural-family-planning.html

Check the essays out! You might be pleasantly surprised by what you find.
06:13 PM on 09/09/2012
Let us not forget all the dangerous side effects that come with pill, which tend to be downplayed by advocates of the sexual revolution and population control.

For, example most people do not know that the World Health Organization has classified contraceptives as carcinogens, in the same category as asbestos.

Details:

http://allhands-ondeck.blogspot.com/2012/03/dangers-of-contraceptives.html

http://allhands-ondeck.blogspot.com/2012/03/dangers-of-contraceptives-part-2.html

Isn't ironic that so many women on the left are worried about hormones being used in their beef and chicken, yet they are more than willing to pump harmful hormones into their own and other's bodies?
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tutibugjl
*Rolls Eyes Over Dramatically*
03:03 PM on 09/10/2012
I haven't had any side effects at all from the birth control meds that my doctor has placed me on. She's placed me on 2 different kinds and no effects for either. I'm about to change to the IUD, so hopefully no side effects with that either.
07:19 PM on 09/10/2012
You used a blog to source your opinions? Actually birth control prevents ovarian cancer. I have learned in school birth control helps women with acne, abnormal menstrual periods, anemia, polycystic ovarian syndrome, PMDD, and extremely painful menstrual cramps. Pretty much any kind of pill has its risks. Doctors and Ob gyns say that the risks are very unlikely, but can still happen just like any other medication one can take.
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HUFFPOST SUPER USER
Allena Tapia
Will write for food
04:20 PM on 09/09/2012
This is why I get an odd feeling when I don't let my kids watch a movie with sex in it....Sex is great. I like sex. I see it as a pretty positive thing.... So why do I send the message that you can't see X movie (The Campaign comes to mind) because there are one or two scenes where sex is implied. Aren't I kinda saying "sex is BAD"? I'm a little confused by my own messages; my kids are screwed.
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tutibugjl
*Rolls Eyes Over Dramatically*
03:05 PM on 09/10/2012
Sex is great. lol F&F

I hate when people see it as a bad thing. It's awesome when it's done safely. Other than that all bets are off so to speak.
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tutibugjl
*Rolls Eyes Over Dramatically*
07:34 PM on 09/08/2012
Ain't going to lie. Sex is awesome. My mom put me on birth control the moment she found out I had a "friends with benifits" friend. lol
06:14 PM on 09/09/2012
A persuasive new book that argues that the sexual revolution has been a disaster for society.

The book: “Adam and Eve After the Pill: Paradoxes of the Sexual Revolution” by Mary Eberstadt. (Short video preview is here:
http://allhands-ondeck.blogspot.com/2012/04/video-trailer-adam-and-eve-after-pill.html)

Summary (OSV):

[Fifty years after the Pill, many are gravely concerned about its effects. Are women better off in our “post-liberation” world? Are families stronger, dignity more protected, and relationships healthier now that contraception is widely available?

Stanford researcher Mary Eberstadt provides a firm “no” in this important book. Her groundbreaking text draws on secular research from sociology, philosophy and culture to show how the Pill has been one of the most disastrous inventions in history. According to Eberstadt, “no single event since Eve first took the apple has been as consequential for relations between the sexes as the arrival of modern contraception.”

Eberstadt demonstrates that the increase in divorce, pornography and unhappiness, and the prevalence of abortion, date rapes, hookups and binge drinking all flow directly from the sexual revolution. She also shows how Pope Paul VI’s groundbreaking encyclical, Humanae Vitae ("Of Human Life"), has proved prophetic in its dark vision of a contraceptive culture.]

Review:
http://www.ncregister.com/daily-news/some-in-congress-defending-contraception-mandate-ask-where-are-the-women-he

Eberstadt's essay -- "Has the Sexual Revolution Been Good for Women? No." :
http://online.wsj.com/article/SB10001424052702304724404577297422171909202.html
06:15 PM on 09/09/2012
It is self-centered to want the pleasure and enjoyment of sex without the accompanying responsibility of marriage and children.

One cannot guarantee that one will not get pregnant. And, if a person does get pregnant in a circumstance where one is not ready to fully take on that
responsibility then he or she is being irresponsible.

All you have to do to see the fruits of your philosophy is to look out at our society and the impact of the sexual revolution – widespread STDs, an epidemic of single-parent households, tens of millions of
abortions and tens of millions of fatherless children.

Have you seen the studies on the outcomes for children raised in fatherless homes? It is not a pretty picture.

People who engage in promiscuous sex (sex outside of marriage) are rolling the dice and risking their future and the future of their children, all for a few rolls in the hay.
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tutibugjl
*Rolls Eyes Over Dramatically*
03:14 PM on 09/10/2012
I am sorry if i'm "self-centered" for wanting some pleasure in my life. Most people my age have a very active sexual appetite. I'm going to have fun with mine. The only people i've had sex with are two guys. My past friends with benefits buddy and my current boyfriend. If having sex with ONLY two guys make me "promiscuous" then so be it. But it also makes half the women in this country "promiscuous."

If I do end up getting pregnant, my boyfriend is ready to put a ring on my finger. He wants children. I don't, however. But we both like sex. So were going to have fun. Sorry. If you think sex out of marriage is a bad thing. More power to you. That's YOUR thing. I commend you for it.

Also, I'm working on a degree in Forensic Pathology. I would like to obtain my PhD. If I do end up pregnant, my child will have a very fortunate future.
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tutibugjl
*Rolls Eyes Over Dramatically*
07:32 PM on 09/10/2012
By the way, do you have air conditioning? Electricity? A t.v.? Phone? Computer? Car? All these things are a "pleasure" in life.. Sex is just another one of them.
01:26 PM on 09/08/2012
"More" doesn't always mean "better". There is such a thing as bad sex.

Just because both people get off doesn't make it amazing (it does help though). Sometimes its simply in the act of sex itself that can make it both fun and bonding.
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Carl Caroli
I just don't understand people
06:29 AM on 09/07/2012
Only humans can take a good thing and make it bad.
01:33 AM on 09/07/2012
Your article made me smile. I have always been puzzled by family planning organizations' emphasis on women's health as the primary justification for availability of contraception. Yes, of course family planners should state the obvious thing, that contraception makes it possible for people to have more sex. In fact, you don't go far enough in saying that "sex without pregnancy is a powerful expression of love for many couples." In real life, many people who have sex and enjoy it are not in love and are not in a "couples" relationship. But to acknowledge that fact would infuriate conservatives and all the other groups who are anti-sex, anti-choice and pro-abstinence. You'd think they would enthusiastically support contraception, since that prevents unwanted pregnancies and in turn reduces the need for abortions, but they don't. They would rather be dogmatic than pragmatic. Their answer to your last question, "Sex is unquestionably necessary; why shouldn't we be pleased that it is also good?" might be something like this: (a) Sex is not necessary except to have babies, and (b) You aren't supposed to be pleased with it.
01:24 PM on 09/08/2012
It kinda had to be about women's health though. If it was about women's pleasure then everyone would panic! haha
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ttsgw
Atheist and secular humanist
01:13 AM on 09/07/2012
Everyone who has sex without the intention of having a baby will BURN IN HELL!
03:43 AM on 09/07/2012
I thought it was getting hot in here.
rob
This user has chosen to opt out of the Badges program
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06:51 AM on 09/07/2012
That just means every human on earth will burn in hell and god will have to join them to have any company.

At this very instant, there are MILLIONS of humans having sex and in a few minutes millions more will join them and that will continue throughout each and every day. Heck, some couples might even have sex three or more times during the next 24 hours.

Sex is NOT for procreation but for pleasure, plain and simple. Lets face it, babies are an unwanted byproduct 99.99% of the time humans have sex.
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ttsgw
Atheist and secular humanist
01:07 PM on 09/07/2012
Then the world's energy problem is solved.
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jf12
When I saw her I marveled greatly.
08:51 PM on 09/06/2012
More sex would be good for the ones who aren't getting much sex. But contraceptives don't help that.
ThinkCreeps
Seriously, it's time.
04:41 PM on 09/06/2012
Churches contain adults who claim to talk to imaginary friends.
We should ignore their views.
05:49 PM on 09/08/2012
Someday you will find out he's not imaginary. "Every knee shall bow."
ThinkCreeps
Seriously, it's time.
02:06 AM on 09/09/2012
Yeah. The only use of a knee in superstition  should be when taking priests into custody.