When done right, love may protect your lover’s life.
Do Men Who Have More Sex Live Longer?
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
“Sex is important to health,” according to the Harvard Health Letter. “Frequent sexual intercourse is [evidently] associated with reduced heart attack risk.” But, this seems to me the perfect case for reverse causation. They’re implying that more sex leads to healthier arteries. But, isn’t the opposite more likely—that healthier arteries lead to more sex? Blood flow in the penis is so reflective of blood flow elsewhere that penile Doppler ultrasound can predict cardiovascular disease. But, “low frequency of sexual activity [may predict cardiovascular disease in men] independently of [erectile dysfunction]”—suggesting that sex may be more than “just fun,” but also therapeutic. Or, at least, so says an editor of the Journal of Sexual Medicine, in discussing whether or not “frequent sexual activity [should] be prescribed…to improve…general…health.” In men, they suggest it’s because more sex means more testosterone.
When men make love, they get a big spike in testosterone levels in their blood. But, interestingly, in contrast, they get no testosterone boost when they masturbate. This may be because “[t]estosterone increases with competitive success,” like if you win at a game of sports. While sex “is not usually regarded as a competitive event,…one’s mental state [afterwards] could nevertheless be something like that of a winner,” as opposed to the mental state after masturbation.
The spike in sex hormones in the blood is so great that men’s beards actually grow faster on days they have sex. And, since low testosterone levels are associated with “increased risk of mortality,” that could help explain the health benefits.
So, do men who have more sex actually live longer? I did a PubMed search for sexual activity and longevity, and came up with “Sexual Activity and Longevity of the Southern Green Stink Bug.” Our taxpayer dollars, hard at work. But, I was less interested in whether or not screwworms live up to their namesake, and more interested in this: “Sex and death.” A study whose objective was “to examine the relation between frequency of orgasm and mortality.” They found that men “with high orgasmic frequency” appeared to cut their risk of premature death in half. And, apparently, the more the better—a 36% drop in mortality odds for every additional “100 orgasms [a] year.”
“Conclusion: Sexual activity seems to have a protective effect on men’s health.” But not, it appears, if you cheat. “Unfaithfulness in men seems to be associated with a higher risk of major cardiovascular events,” like heart attacks and strokes. “Extramarital sex may be hazardous and stressful, because the lover [may be] younger” and more exuberant, and “secret sexual encounter[s]” may be more stressful.
In a large autopsy series, the majority of cases of sudden death during sex occurred in men having extramarital intercourse. The absolute risk is low; “only one out of 580 men might be expected to suffer” such a death. But, for those at high risk, “[s]ex in familiar surroundings, [at] a comfortable room temperature, and with [one’s] usual partner” may be safer.
And, speaking of safe sex, you thought drinking and driving was bad? “While [it’s] generally assumed that sexual behavior happens in parked cars, there is little discussion…in the research literature of sexual activity in moving vehicles.” About one in five college students report engaging in sex “while driving”—nearly half while going more than 60 miles an hour, including feats likely involving “distraction.” Researchers suggest maybe this is something that should be warned about in health class.
When done right, though, love may protect your lover’s life. Given the benefits of sexual activity, “[i]ntervention programmes could…be considered, perhaps based on the…’At least five a day’ campaign aimed at increasing fruit and vegetable consumption—although the numerical imperative may have to be adjusted.”
Please consider volunteering to help out on the site.
- [No authors listed] Pill-free ways to improve your sex life. Exercise, smoking cessation, and alcohol moderation can help bring sexual activity back into the bedroom. Harv Health Lett. 2014 Aug;39(10):4.
- Jannini EA, Fisher WA, Bitzer J, McMahon CG. Is sex just fun? How sexual activity improves health. J Sex Med. 2009 Oct;6(10):2640-8.
- Struckman-Johnson C, Gaster S, Struckman-Johnson D. A preliminary study of sexual activity as a distraction for young drivers. Accid Anal Prev. 2014 Oct;71:120-8.
- Ebrahim S, May M, Ben Shlomo Y, McCarron P, Frankel S, Yarnell J, Davey Smith G. Sexual intercourse and risk of ischaemic stroke and coronary heart disease: the Caerphilly study. J Epidemiol Community Health. 2002 Feb;56(2):99-102.
- [No authors listed] Effects of sexual activity on beard growth in man. Nature. 1970 May 30;226(5248):869-70.
- Davey Smith G, Frankel S, Yarnell J. Sex and death: are they related? Findings from the Caerphilly Cohort Study. BMJ. 1997 Dec 20-27;315(7123):1641-4.
- Muraleedharan V, Jones TH. Testosterone and mortality. Clin Endocrinol (Oxf). 2014 Oct;81(4):477-87.
- Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, Fridlund B, Kautz DD, Mårtensson J, Mosack V, Moser DK; Council on Cardiovascular and Stroke Nursing of the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013 Oct 29;128(18):2075-96.
- Fisher AD, Bandini E, Rastrelli G, Corona G, Monami M, Mannucci E, Maggi M. Sexual and cardiovascular correlates of male unfaithfulness. J Sex Med. 2012 Jun;9(6):1508-18.
- Parzeller M, Bux R, Raschka C, Bratzke H. Sudden cardiovascular death associated with sexual activity : A forensic autopsy study (1972-2004). Forensic Sci Med Pathol. 2006 Jun;2(2):109-14.
- Maggi M, Corona G. Love protects lover's life. J Sex Med. 2011 Apr;8(4):931-5.
- Gupta N, Herati A, Gilbert BR. Penile Doppler ultrasound predicting cardiovascular disease in men with erectile dysfunction. Curr Urol Rep. 2015 Mar;16(3):16.
- Hall SA, Shackelton R, Rosen RC, Araujo AB. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan 15;105(2):192-7.
- Fox CA, Ismail AA, Love DN, Kirkham KE, Loraine JA. Studies on the relationship between plasma testosterone levels and human sexual activity. J Endocrinol. 1972 Jan;52(1):51-8.
- Dabbs JM Jr, Mohammed S. Male and female salivary testosterone concentrations before and after sexual activity. Physiol Behav. 1992 Jul;52(1):195-7.
- Mitchell WC, Mau RF. Sexual activity and longevity of the southern green stink bug, Nezara viridula. Ann Entomol Soc Am. 1969 Nov;62(6):1246-7.
- Hightower BG, Garcia JJ. Longevity and sexual activity of newly eclosed irradiated screwworm flies held at immobilizing low temperatures. J Econ Entomol. 1972 Jun;65(3):877-8.
- Wang F, Dai S, Wang M, Morrison H. Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men. Urology. 2013 Dec;82(6):1330-5.
- Moyad MA, Park K. What do most erectile dysfunction guidelines have in common? No evidence-based discussion or recommendation of heart-healthy lifestyle changes and/or Panax ginseng. Asian J Androl. 2012 Nov;14(6):830-41.
- Steinke EE. Sexual dysfunction in women with cardiovascular disease: what do we know? J Cardiovasc Nurs. 2010 Mar-Apr;25(2):151-8.
- Esposito K, Ciotola M, Maiorino MI, Giugliano F, Autorino R, De Sio M, Cozzolino D, Saccomanno F, Giugliano D. Hyperlipidemia and sexual function in premenopausal women. J Sex Med. 2009 Jun;6(6):1696-703.
- Duncan LE, Lewis C, Jenkins P, Pearson TA. Does hypertension and its pharmacotherapy affect the quality of sexual function in women? Am J Hypertens. 2000 Jun;13(6 Pt 1):640-7.
- Esposito K, Ciotola M, Giugliano F, De Sio M, Giugliano G, D'armiento M, Giugliano D. Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int J Impot Res. 2006 Jul-Aug;18(4):405-10.
- Esposito K, Nappo F, Giugliano F, Di Palo C, Ciotola M, Barbieri M, Paolisso G, Giugliano D. Meal modulation of circulating interleukin 18 and adiponectin concentrations in healthy subjects and in patients with type 2 diabetes mellitus. Am J Clin Nutr. 2003 Dec;78(6):1135-40.
- Blankenberg S, Tiret L, Bickel C, Peetz D, Cambien F, Meyer J, Rupprecht HJ; AtheroGene Investigators. Interleukin-18 is a strong predictor of cardiovascular death in stable and unstable angina. Circulation. 2002 Jul 2;106(1):24-30.
- Esposito K, Ciotola M, Giugliano F, Schisano B, Autorino R, Iuliano S, Vietri MT, Cioffi M, De Sio M, Giugliano D. Mediterranean diet improves sexual function in women with the metabolic syndrome. Int J Impot Res. 2007 Sep-Oct;19(5):486-91.
- King DE, Egan BM, Geesey ME. Relation of dietary fat and fiber to elevation of C-reactive protein. Am J Cardiol. 2003 Dec 1;92(11):1335-9.
- Levin RJ. The pharmacology of the human female orgasm - its biological and physiological backgrounds. Pharmacol Biochem Behav. 2014 Jun;121:62-70.
- Heath RG. Pleasure and brain activity in man. Deep and surface electroencephalograms during orgasm. J Nerv Ment Dis. 1972 Jan;154(1):3-18.
Image credit: michael kooiman via flickr. Image has been modified.
Video credit: Daniel Black.
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
“Sex is important to health,” according to the Harvard Health Letter. “Frequent sexual intercourse is [evidently] associated with reduced heart attack risk.” But, this seems to me the perfect case for reverse causation. They’re implying that more sex leads to healthier arteries. But, isn’t the opposite more likely—that healthier arteries lead to more sex? Blood flow in the penis is so reflective of blood flow elsewhere that penile Doppler ultrasound can predict cardiovascular disease. But, “low frequency of sexual activity [may predict cardiovascular disease in men] independently of [erectile dysfunction]”—suggesting that sex may be more than “just fun,” but also therapeutic. Or, at least, so says an editor of the Journal of Sexual Medicine, in discussing whether or not “frequent sexual activity [should] be prescribed…to improve…general…health.” In men, they suggest it’s because more sex means more testosterone.
When men make love, they get a big spike in testosterone levels in their blood. But, interestingly, in contrast, they get no testosterone boost when they masturbate. This may be because “[t]estosterone increases with competitive success,” like if you win at a game of sports. While sex “is not usually regarded as a competitive event,…one’s mental state [afterwards] could nevertheless be something like that of a winner,” as opposed to the mental state after masturbation.
The spike in sex hormones in the blood is so great that men’s beards actually grow faster on days they have sex. And, since low testosterone levels are associated with “increased risk of mortality,” that could help explain the health benefits.
So, do men who have more sex actually live longer? I did a PubMed search for sexual activity and longevity, and came up with “Sexual Activity and Longevity of the Southern Green Stink Bug.” Our taxpayer dollars, hard at work. But, I was less interested in whether or not screwworms live up to their namesake, and more interested in this: “Sex and death.” A study whose objective was “to examine the relation between frequency of orgasm and mortality.” They found that men “with high orgasmic frequency” appeared to cut their risk of premature death in half. And, apparently, the more the better—a 36% drop in mortality odds for every additional “100 orgasms [a] year.”
“Conclusion: Sexual activity seems to have a protective effect on men’s health.” But not, it appears, if you cheat. “Unfaithfulness in men seems to be associated with a higher risk of major cardiovascular events,” like heart attacks and strokes. “Extramarital sex may be hazardous and stressful, because the lover [may be] younger” and more exuberant, and “secret sexual encounter[s]” may be more stressful.
In a large autopsy series, the majority of cases of sudden death during sex occurred in men having extramarital intercourse. The absolute risk is low; “only one out of 580 men might be expected to suffer” such a death. But, for those at high risk, “[s]ex in familiar surroundings, [at] a comfortable room temperature, and with [one’s] usual partner” may be safer.
And, speaking of safe sex, you thought drinking and driving was bad? “While [it’s] generally assumed that sexual behavior happens in parked cars, there is little discussion…in the research literature of sexual activity in moving vehicles.” About one in five college students report engaging in sex “while driving”—nearly half while going more than 60 miles an hour, including feats likely involving “distraction.” Researchers suggest maybe this is something that should be warned about in health class.
When done right, though, love may protect your lover’s life. Given the benefits of sexual activity, “[i]ntervention programmes could…be considered, perhaps based on the…’At least five a day’ campaign aimed at increasing fruit and vegetable consumption—although the numerical imperative may have to be adjusted.”
Please consider volunteering to help out on the site.
- [No authors listed] Pill-free ways to improve your sex life. Exercise, smoking cessation, and alcohol moderation can help bring sexual activity back into the bedroom. Harv Health Lett. 2014 Aug;39(10):4.
- Jannini EA, Fisher WA, Bitzer J, McMahon CG. Is sex just fun? How sexual activity improves health. J Sex Med. 2009 Oct;6(10):2640-8.
- Struckman-Johnson C, Gaster S, Struckman-Johnson D. A preliminary study of sexual activity as a distraction for young drivers. Accid Anal Prev. 2014 Oct;71:120-8.
- Ebrahim S, May M, Ben Shlomo Y, McCarron P, Frankel S, Yarnell J, Davey Smith G. Sexual intercourse and risk of ischaemic stroke and coronary heart disease: the Caerphilly study. J Epidemiol Community Health. 2002 Feb;56(2):99-102.
- [No authors listed] Effects of sexual activity on beard growth in man. Nature. 1970 May 30;226(5248):869-70.
- Davey Smith G, Frankel S, Yarnell J. Sex and death: are they related? Findings from the Caerphilly Cohort Study. BMJ. 1997 Dec 20-27;315(7123):1641-4.
- Muraleedharan V, Jones TH. Testosterone and mortality. Clin Endocrinol (Oxf). 2014 Oct;81(4):477-87.
- Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, Fridlund B, Kautz DD, Mårtensson J, Mosack V, Moser DK; Council on Cardiovascular and Stroke Nursing of the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 2013 Oct 29;128(18):2075-96.
- Fisher AD, Bandini E, Rastrelli G, Corona G, Monami M, Mannucci E, Maggi M. Sexual and cardiovascular correlates of male unfaithfulness. J Sex Med. 2012 Jun;9(6):1508-18.
- Parzeller M, Bux R, Raschka C, Bratzke H. Sudden cardiovascular death associated with sexual activity : A forensic autopsy study (1972-2004). Forensic Sci Med Pathol. 2006 Jun;2(2):109-14.
- Maggi M, Corona G. Love protects lover's life. J Sex Med. 2011 Apr;8(4):931-5.
- Gupta N, Herati A, Gilbert BR. Penile Doppler ultrasound predicting cardiovascular disease in men with erectile dysfunction. Curr Urol Rep. 2015 Mar;16(3):16.
- Hall SA, Shackelton R, Rosen RC, Araujo AB. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan 15;105(2):192-7.
- Fox CA, Ismail AA, Love DN, Kirkham KE, Loraine JA. Studies on the relationship between plasma testosterone levels and human sexual activity. J Endocrinol. 1972 Jan;52(1):51-8.
- Dabbs JM Jr, Mohammed S. Male and female salivary testosterone concentrations before and after sexual activity. Physiol Behav. 1992 Jul;52(1):195-7.
- Mitchell WC, Mau RF. Sexual activity and longevity of the southern green stink bug, Nezara viridula. Ann Entomol Soc Am. 1969 Nov;62(6):1246-7.
- Hightower BG, Garcia JJ. Longevity and sexual activity of newly eclosed irradiated screwworm flies held at immobilizing low temperatures. J Econ Entomol. 1972 Jun;65(3):877-8.
- Wang F, Dai S, Wang M, Morrison H. Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men. Urology. 2013 Dec;82(6):1330-5.
- Moyad MA, Park K. What do most erectile dysfunction guidelines have in common? No evidence-based discussion or recommendation of heart-healthy lifestyle changes and/or Panax ginseng. Asian J Androl. 2012 Nov;14(6):830-41.
- Steinke EE. Sexual dysfunction in women with cardiovascular disease: what do we know? J Cardiovasc Nurs. 2010 Mar-Apr;25(2):151-8.
- Esposito K, Ciotola M, Maiorino MI, Giugliano F, Autorino R, De Sio M, Cozzolino D, Saccomanno F, Giugliano D. Hyperlipidemia and sexual function in premenopausal women. J Sex Med. 2009 Jun;6(6):1696-703.
- Duncan LE, Lewis C, Jenkins P, Pearson TA. Does hypertension and its pharmacotherapy affect the quality of sexual function in women? Am J Hypertens. 2000 Jun;13(6 Pt 1):640-7.
- Esposito K, Ciotola M, Giugliano F, De Sio M, Giugliano G, D'armiento M, Giugliano D. Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int J Impot Res. 2006 Jul-Aug;18(4):405-10.
- Esposito K, Nappo F, Giugliano F, Di Palo C, Ciotola M, Barbieri M, Paolisso G, Giugliano D. Meal modulation of circulating interleukin 18 and adiponectin concentrations in healthy subjects and in patients with type 2 diabetes mellitus. Am J Clin Nutr. 2003 Dec;78(6):1135-40.
- Blankenberg S, Tiret L, Bickel C, Peetz D, Cambien F, Meyer J, Rupprecht HJ; AtheroGene Investigators. Interleukin-18 is a strong predictor of cardiovascular death in stable and unstable angina. Circulation. 2002 Jul 2;106(1):24-30.
- Esposito K, Ciotola M, Giugliano F, Schisano B, Autorino R, Iuliano S, Vietri MT, Cioffi M, De Sio M, Giugliano D. Mediterranean diet improves sexual function in women with the metabolic syndrome. Int J Impot Res. 2007 Sep-Oct;19(5):486-91.
- King DE, Egan BM, Geesey ME. Relation of dietary fat and fiber to elevation of C-reactive protein. Am J Cardiol. 2003 Dec 1;92(11):1335-9.
- Levin RJ. The pharmacology of the human female orgasm - its biological and physiological backgrounds. Pharmacol Biochem Behav. 2014 Jun;121:62-70.
- Heath RG. Pleasure and brain activity in man. Deep and surface electroencephalograms during orgasm. J Nerv Ment Dis. 1972 Jan;154(1):3-18.
Image credit: michael kooiman via flickr. Image has been modified.
Video credit: Daniel Black.
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Do Men Who Have More Sex Live Longer?
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Content URLDoctor's Note
What are the Best Foods to Improve Sexual Function? Watch the video and find out.
For more on male reproductive health, see:
- Survival of the Firmest: Erectile Dysfunction and Death
- Pistachio Nuts for Erectile Dysfunction
- Male Fertility and Diet
- The Role of Diet in Declining Sperm Counts
- 50 Shades of Greens
- Saffron for Erectile Dysfunction
Check out my other men’s health videos, such as Dietary Pollutants May Affect Testosterone Levels and Prostate Cancer Survival: The A/V Ratio. and Viagra and Cancer.
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