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Information sheetIntimacy and fertility · No. 28
Sex and Communication
Talking about sex can feel awkward even after years together, yet talking openly and respectfully makes intimacy safer and more satisfying for you both.
You want to talk about sex with your partner, but you do not know how to start, or every attempt ends in hurt feelings. Maybe you want different things, or one of you feels pressure or pain. Many couples struggle with this, and very few were ever taught how to talk about it.
What is happening
Most people learn about sex through silence, jokes, friends or the internet, not through honest conversation. In many South African homes, sex is not discussed at all, and some people carry shame, fear or painful experiences. Faith and culture also shape what feels right, and those values deserve respect.
Good sexual communication covers desire (how often, what feels good), boundaries (what is not OK), health (contraception, HIV and STI testing, pain) and feelings (feeling wanted, rejected or pressured). Couples who can talk about these things tend to feel closer and more satisfied.
Consent matters in every relationship, including marriage. Sex should always be freely agreed, and anyone can say no at any time. South African law is clear that being married or in a relationship does not give anyone the right to sex. Pressure, guilt-tripping or threats are not normal disagreement.
Signs to notice
- You avoid talking about sex because it leads to arguments.
- One of you often feels rejected, or pressured.
- You have never talked about what each of you enjoys.
- There is pain, discomfort or anxiety during sex.
- Sex has become a source of tension or silence.
- You are unsure how to raise contraception or testing.
30-second self-check
Answer yes or no. Go with your first honest answer.
- Do I find it hard to tell my partner what I want or do not want?
- Do we avoid talking about sex altogether?
- Do I sometimes agree to sex I do not want to avoid conflict?
- Is there pain or discomfort that I have not mentioned?
- Do we have very different levels of desire that we have not discussed?
- Have we not talked about testing or contraception?
0-1 yes: You seem able to talk about sex. Keep checking in with each other.
2-3 yes: Some conversations are missing. A planned, gentle talk can help.
4 or more yes: Communication about sex is a real challenge. Talking with a doctor or counsellor could help you both.
What you can do next
- Today: Think about one thing you would like your partner to know. Write it down in a kind, simple sentence.
- This week: Choose a relaxed time, not in bed or straight after sex. Start with appreciation, then share your sentence, then ask about theirs. Listen without defending.
- This month: Talk about health together: contraception, testing at a clinic, and any pain. If desire levels differ, look for ways to be close that suit you both.
Your tool
Conversation Planner - helps you plan a calm, respectful conversation about sex and intimacy, so you know how to open and what to ask.
When to get professional help
Get help if there is pain during sex, if one person feels pressured, if desire problems are causing distress, or if past trauma is affecting intimacy. A doctor can check physical causes, and a psychologist with training in sexual health can help. If you have been forced or threatened, that is sexual violence. If you are in danger right now, call SAPS on 10111 or the GBV Command Centre on 0800 428 428.
Who can help: Psychologist, registered counsellor, doctor, nurse
Getting help in South Africa
Public clinics offer free contraception and HIV and STI testing. The Cleared Mind 24-hour Careline on 0800 212 146 can arrange confidential counselling for individuals or couples. FAMSA (famsa.org.za) offers couples counselling. Thuthuzela Care Centres support survivors of sexual violence, and the GBV Command Centre on 0800 428 428 is free and open 24 hours.