Death during consensual sex

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Death can occur during sexual intercourse for a number of reasons, generally because of the physical strain of the activity, or because of unusual extenuating circumstances. There are various euphemisms for death during sex, including "dying in the saddle" or the French "la mort d'amour". [1]

Contents

Health and physiology

Sexual intimacy, as well as orgasms, increases levels of the hormone oxytocin, also known as "the love hormone", which helps people bond and build trust. [2] [3] [4] Sexual activity is also known as one of many mood repair strategies, which means it can be used to help dissipate feelings of sadness or depression. [5]

A 2011 meta-analysis in the Journal of the American Medical Association found that each additional hour of sexual activity per week resulted in an increased risk of 2–3 myocardial infarctions and one sudden cardiac death [SCD] per 10,000 person-years. [6] Sexual intercourse can also trigger a subarachnoid hemorrhage via the Valsalva maneuver. [7] [8] A 2011 meta-analysis published in Journal of Sexual Medicine found that men who were unfaithful were significantly more likely than those who were faithful to experience severe or fatal cardiac events during sex. [9] Basilar artery dissection has also been reported in connection with sexual activity, though most coital cephalalgia is benign in nature. [10]

Deaths during consensual sex account for approximately 0.6% of all sudden deaths. [8] [11] In the UK, of all people under 50 who suffered SCD, 0.2% did so within an hour of sex. [12] Sildenafil, although generally considered to be a safe drug, has been linked to SCD during sexual activity among elderly or otherwise infirm men. [11] A number of deaths during consensual sex have been linked to the use of other prescription or recreational drugs, such as cocaine. [13] The majority of deaths due to cardiovascular causes during sex occur in males. [14]

The heart condition endothelial dysfunction is a contributing cause to both atherosclerosis and erectile dysfunction. [15] Because of the link between these conditions, rates of coronary heart disease are higher among patients with erectile dysfunction. [15] One treatment for erectile dysfunction is cGMP-specific phosphodiesterase type 5 inhibitors, which enable patients to resume having sex despite having a cardiac condition, by lowering blood pressure. [15] These drugs, including sildenafil, inhibit the action of the phosphodiesterase, allowing for a higher concentration of cyclic GMP in the penis when it is physically stimulated. Cyclic GMP is a second messenger in the nitric oxide pathway, responsible for erections via the vasodilating function of nitric oxide. [16] Sudden cardiac death can be caused by myocardial ischemia, and the physical activity of sexual intercourse in patients with coronary artery disease can result in myocardial ischemia. [15] The phosphodiesterase can act as a potentiator for other drugs which lower blood pressure and which could be used to treat heart conditions, and so may be contraindicated to prevent negative health consequences. [17]

Notable cases

Pope John XII (d. 964), who may have died during consensual sex with a mistress GiovanniXII.png
Pope John XII (d. 964), who may have died during consensual sex with a mistress

See also

Related Research Articles

<span class="mw-page-title-main">Human sexual activity</span> Manner in which humans engage sexually

Human sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality. People engage in a variety of sexual acts, ranging from activities done alone to acts with another person in varying patterns of frequency, for a wide variety of reasons. Sexual activity usually results in sexual arousal and physiological changes in the aroused person, some of which are pronounced while others are more subtle. Sexual activity may also include conduct and activities which are intended to arouse the sexual interest of another or enhance the sex life of another, such as strategies to find or attract partners, or personal interactions between individuals. Sexual activity may follow sexual arousal.

In psychology, libido is psychic drive or energy, usually conceived as sexual in nature, but sometimes conceived as including other forms of desire. The term libido was originally used by the neurologist and pioneering psychoanalyst Sigmund Freud who began by employing it simply to denote sexual desire. Over time it came to signify the psychic energy of the sexual drive, and became a vital concept in psychoanalytic theory. Freud's later conception was broadened to include the fundamental energy of all expressions of love, pleasure, and self-preservation.

<span class="mw-page-title-main">Orgasm</span> Intense physical sensation of sexual release

Orgasm or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region characterized by sexual pleasure. Experienced by males and females, orgasms are controlled by the involuntary or autonomic nervous system. They are usually associated with involuntary actions, including muscular spasms in multiple areas of the body, a general euphoric sensation, and, frequently, body movements and vocalizations. The period after orgasm is typically a relaxing experience, attributed to the release of the neurohormones oxytocin and prolactin as well as endorphins.

<span class="mw-page-title-main">Sexual intercourse</span> Copulation or penetrative sexual activity for reproduction or sexual pleasure

Sexual intercourse is sexual activity involving the insertion and thrusting of the male penis inside the female vagina for sexual pleasure, reproduction, or both. This is also known as vaginal intercourse or vaginal sex. Other forms of penetrative sexual intercourse include anal sex, oral sex, fingering and penetration by use of a dildo, and vibrators These activities involve physical intimacy between two or more individuals and are usually used among humans solely for physical or emotional pleasure and can contribute to human bonding.

<span class="mw-page-title-main">Coital alignment technique</span> Sex position designed to maximize clitoral stimulation

The coital alignment technique sex position is used primarily as a variant of the missionary position and is designed to maximize clitoral stimulation during sexual intercourse. This is achieved by combining the "riding high" variation of the missionary position with pressure-counterpressure movements performed by each partner in rhythm with coitus.

Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate stimulation. Anorgasmia is far more common in females than in males and is especially rare in younger men. The problem is greater in women who are post-menopausal. In males, it is most closely associated with delayed ejaculation. Anorgasmia can often cause sexual frustration.

Premature ejaculation (PE) is a male sexual dysfunction that occurs when a male expels semen soon after beginning sexual activity, and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax and (historically) ejaculatio praecox. There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition of around one minute after penetration. The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.

<span class="mw-page-title-main">Sexual stimulation</span> Stimulus that causes and maintains sexual arousal

Sexual stimulation is any stimulus that leads to, enhances and maintains sexual arousal, and may lead to orgasm. Although sexual arousal may arise without physical stimulation, achieving orgasm usually requires it.

Persistent genital arousal disorder (PGAD), previously called persistent sexual arousal syndrome, is spontaneous, persistent, unwanted and uncontrollable genital arousal in the absence of sexual stimulation or sexual desire, and is typically not relieved by orgasm. Instead, multiple orgasms over hours or days may be required for relief.

Sexual dysfunction is difficulty experienced by an individual or partners during any stage of normal sexual activity, including physical pleasure, desire, preference, arousal, or orgasm. The World Health Organization defines sexual dysfunction as a "person's inability to participate in a sexual relationship as they would wish". This definition is broad and is subject to many interpretations. A diagnosis of sexual dysfunction under the DSM-5 requires a person to feel extreme distress and interpersonal strain for a minimum of six months. Sexual dysfunction can have a profound impact on an individual's perceived quality of sexual life. The term sexual disorder may not only refer to physical sexual dysfunction, but to paraphilias as well; this is sometimes termed disorder of sexual preference.

Sexual medicine or psychosexual medicine as defined by Masters and Johnsons in their classic Textbook of Sexual Medicine, is "that branch of medicine that focuses on the evaluation and treatment of sexual disorders, which have a high prevalence rate." Examples of disorders treated with sexual medicine are erectile dysfunction, hypogonadism, and prostate cancer. Sexual medicine often uses a multidisciplinary approach involving physicians, mental health professionals, social workers, and sex therapists. Sexual medicine physicians often approach treatment with medicine and surgery, while sex therapists often focus on behavioral treatments.

Delayed ejaculation (DE) describes a man's inability or persistent difficulty in achieving orgasm, despite typical sexual desire and sexual stimulation. Generally, a man can reach orgasm within a few minutes of active thrusting during sexual intercourse, whereas a man with delayed ejaculation either does not have orgasms at all or cannot have an orgasm until after prolonged intercourse which might last for 30–45 minutes or more. Delayed ejaculation is closely related to anorgasmia.

<span class="mw-page-title-main">Masturbation</span> Sexual stimulation of ones own genitals

Masturbation is a form of autoeroticism in which a person sexually stimulates their own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve the use of hands, everyday objects, sex toys, or more rarely, the mouth. Masturbation may also be performed with a sex partner, either masturbating together or watching the other partner masturbate.

<span class="mw-page-title-main">Sexual practices between women</span> Sexual activity between women

Sexual activities involving women who have sex with women (WSW), regardless of their sexual orientation or sexual identity, can include oral sex, manual sex, or tribadism.

Human sexuality is the way people experience and express themselves sexually. This involves biological, psychological, physical, erotic, emotional, social, or spiritual feelings and behaviors. Because it is a broad term, which has varied with historical contexts over time, it lacks a precise definition. The biological and physical aspects of sexuality largely concern the human reproductive functions, including the human sexual response cycle.

Vaginal contractions are contractions of the pelvic muscles surrounding the vagina, especially the pubococcygeus muscle. Vaginal contractions are generally an involuntary muscular response to orgasm. Though usually an involuntary response, some women can control the muscles of the vagina to perform vaginal contractions at will. Vaginal contractions enhance the sexual experience and pleasure for both parties during sexual intercourse.

<span class="mw-page-title-main">Human female sexuality</span> Physiology, identity and behavior

Human female sexuality encompasses a broad range of behaviors and processes, including female sexual identity and sexual behavior, the physiological, psychological, social, cultural, political, and spiritual or religious aspects of sexual activity. Various aspects and dimensions of female sexuality, as a part of human sexuality, have also been addressed by principles of ethics, morality, and theology. In almost any historical era and culture, the arts, including literary and visual arts, as well as popular culture, present a substantial portion of a given society's views on human sexuality, which includes both implicit (covert) and explicit (overt) aspects and manifestations of feminine sexuality and behavior.

Postorgasmic illness syndrome (POIS) is a syndrome in which human males have chronic physical and cognitive symptoms following ejaculation. The symptoms usually onset within seconds, minutes, or hours, and last for up to a week. The cause and prevalence are unknown; it is considered a rare disease.

Sexual anhedonia, also known as pleasure dissociative orgasmic disorder, is a condition in which an individual cannot feel pleasure from an orgasm. It is thought to be a variant of hypoactive sexual desire disorder.

<span class="mw-page-title-main">Nipple stimulation</span> Human sexual practice

Nipple stimulation or breast stimulation is stimulation of the breast. Stimulation may be by breastfeeding, sexual activity, or an indirect non-sexual response. As part of sexual activity, the practice may be performed upon, or by, people of any gender or sexual orientation. It may occur with the use of fingers, orally, such as by sucking or licking, as well as by use of an object.

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