Debunking the myths: what is sex really like for ordinary people?

"Few people enjoy a perfect sexual relationship - we need to encourage those people to access the services and support they need."

As a nation we’re fascinated by sex and we all want to know whether our own sex lives are ’normal’. It’s surprisingly difficult to find out, because media stories tend to focus on the sensational and many people hesitate before sharing their personal experiences with others. We are vulnerable to the myth that we can, and should, have the perfect sex life. This myth shapes our expectations of our own sex life and can leave us feeling dissatisfied. Unbiased, reliable data is so important in getting the facts straight.

The three National Surveys of Sexual Attitudes and Lifestyles (Natsal) have been documenting trends in sexual behaviour in Britain from 1990 through 2000 to 2010. Over that time they have collected data on over 46,000 individuals and provide the most reliable information on sexual behaviour and sexual health in Britain. The results of the most recent survey - Natsal-3 - led by the London School of Hygiene & Tropical Medicine, UCL and NatCen Social Research, have just been published. In Natsal-3, we extended the age range to 74 (in Natsal-2 it was 44) and we broadened our focus to look at health and well-being in relation to sexuality. This enabled us to explore how health and relationships affect our sex lives.

The Natsal data show that on average over the past two decades there has been a decrease in how often people have sex, from a median of five times a month in 1990, to three times in 2010.This is partly because fewer people are in relationships, but even those in relationships are having sex less often. This trend is best explained by changes in lifestyle, and the increased stress and busyness of modern life seem likely culprits.

Our health can also affect our sex lives. The Natsal-3 survey shows that one in six people have a health condition that affects their sex life. Those in poorer health are less likely to have had sex recently and are less likely to be sexually satisfied, even after taking into account their age and whether or not they have a partner. Poor health does not necessarily spell the end of an active and satisfying sex life, but what is striking is that only a quarter of men and a fifth of women who say they have a health condition that has affected their sex life have sought help or advice from a professional. That suggests that there are a lot of people with unmet need.

Sexual problems are a common feature of ordinary sexual relationships. Around half of women and four out of ten men report a recent sexual problem, with lack of interest being the most common. Young people are not exempt from experiencing sexual problems either. One in ten women aged 16-24 say they lack enjoyment in sex and one in ten young men say they lack interest. Some things get easier with age - as they get older, women tend to experience less anxiety and men are less likely to climax too quickly. But some things get more difficult - older women increasingly report vaginal dryness and men increasingly experience difficulty getting and keeping an erection. Although sexual problems are common, only one in ten people report distress about their sex life, so it’s important to take account of the personal significance of problems to each individual.

Few of us enjoy a perfect sexual relationship. Around a quarter of men and women say they don’t share the same interest in sex as their partner and almost one in ten do not share the same sexual likes and dislikes. Just under one in five of us has a partner who has experienced difficulties in the last year, and this proportion increases with age, particularly for women.

Natsal-3 used a new measure to come up with a composite score of sexual function – the extent to which an individual is able to participate in and enjoy a sexual relationship. The measure takes account not only of sexual problems, but also of the relationship in which they occur and the degree of personal distress and dissatisfaction. Using this composite score, we found that individuals with depression and poor general health are more likely to have low sexual function. We also found a strong connection between low sexual function and experiencing relationship breakdown and not being happy in a relationship.

It seems that few of us have the perfect sex life and that it would be healthier to aim for a good-enough one instead. On the other hand, there are a large number of people who are not seeking help even though they would benefit from doing so. We need to encourage those people to access the services and support they need, and when they do, we must ensure that we have the resources to provide them with good quality advice and treatment. We also need to spend more time educating young people so that they start out with realistic expectations, and so that they learn that sex is about relationships and relationships are about respect.

Dr Kirstin Mitchell is Lecturer in Sexual and Reproductive Health at the London School of Hygiene & Tropical Medicine and co-author of the Natsal study, which was conducted in partnership with UCL and NatCen Social Research.

A 2002 artwork by Max Whatley and Meg Zakreta. (Photo: Getty)
Felipe Araujo
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Hull revisited: What happens when a Brexit stronghold becomes City of Culture?

We report from Hull, to find out if you can replace the kind of nostalgia that led to a Leave vote with cultural investment.

At 75 metres long, the offshore wind turbine blade erected across Queen Victoria Square, in the heart of Hull, is a sculpture intended to mark a new chapter in the city’s history. For the next 12 months, Hull, a city of more than a quarter of a million people in the northeast of England, will be the UK’s City of Culture.

The 28-tonne blade hails from the local Siemens plant. The German technology company employs around 1,000 people in the area, making it Hull’s biggest single employer.

Seen up close in this context – laid dormant in the middle of a town square instead of spinning up in the air generating energy – the structure is meant to remind passersby of a giant sea creature. It is also, I’m told, an allusion to Hull’s rich maritime history.


All photos: Felipe Araujo

Nostalgia is a big thing in this part of the country. At one point, Hull was the UK’s third largest port but technology and privatisation drastically changed that. The battle over cod fishing with Iceland in the waters of the North Sea 40 years ago has also dealt a major blow to a region with a long and proud trawling tradition.

People here still talk about a bygone era when the fishing industry provided jobs for everyone and there was enough money to go around.

Fast forward to 2017, and the country’s new capital of culture is the same city that voted 67 per cent in favour of leaving the EU last June. Its new-found prestige, it seems, is not enough to erase years of neglect by a political class “too busy for commoners like us”, as one resident puts it.

“More than a message to Brussels, it [the Brexit vote] was a message to Westminster,” Paul Leeson-Taylor, a filmmaker born and bred in Hull, tells me. “For the first time in a long time people in Hull felt like they had the chance to change something, and they took it.”

But while speaking to people on the high street and hanging out with locals at the Community Boxing Club in Orchard Park, one of the city’s most deprived areas, there is one word that consistently popped up in conversation – more than any specific policy from Westminster or the much-hated rules “dictated” by Brussels. Foreigners.

According to official figures, Hull’s population is 89.1 per cent white British. Still, immigration is big on people’s minds here.

During my two-day stay in the city, I find myself being the only black person in most places I visit – I’m certainly the only black guy at the boxing club. So when someone begins a sentence with “I’m not racist but…”, I know a tirade on immigrants is about to ensue.

“There are just too many of them,” Nick Beach, an estate agent whose Polish clientele is a big part of his business, tells me as he is about to teach a boxing class to local children. Beach was born in Shepherd’s Bush, in West London, but has been living in Hull for the last 20 years.

“When I go down there these days and go into Westfield shopping centre, it is very rare you get an English person serving you now,” he says. “I just find it disappointing that you go into your capital city and you are a minority there.”

These are the much-discussed “left behind”, a white working-class community that has gained particular prominence in a time of Brexit and Donald Trump. Under economic pressure and facing social change, they want to have their say in running a country they claim to no longer recognise.

For Professor Simon Lee, a senior politics lecturer at the University of Hull, immigration is only a superficial layer when it comes to explaining the resentment I witness here. For him, the loss of the empire 70 years ago is still something that as a country Britain hasn’t come to terms with.

“The reason for us to be together as a United Kingdom has gone, so what is the project?”

As destiny would have it, a foreign company will now play a major role on Hull’s economic future, at least in the short term. In the wake of the Brexit vote, there were widespread fears Siemens would pull out of the region and take its factory elsewhere. With the massive blade looming large in the background, Jason Speedy, director of the blade factory in Hull, assures me that isn’t the case.

“The Brexit decision has made no difference. We have made our investment decision, so Siemens, together with the Association of British Ports, has put in £310m. It’s all full steam ahead.”

As Hull becomes the country’s cultural hub for the next few months, the hope is that its residents stop looking back and start looking forward.

For Professor Lee, though, until there is a complete change in the power structures that run the country, the north-south divide will remain – with or without the EU. “The way you kill nostalgia is to have something new,” he said. “The reason why people here are nostalgic is because there is nothing to replace it with.”

Felipe Araujo is a freelance journalist based in London. He writes about race, culture and sports. He covered the Rio Olympics and Paralympics on the ground for the New Statesman. He tweets @felipethejourno.