Sex and sexuality are important components of health in adults. Sexual health is not only physical but also involves emotions, relationships, and broader quality of life .

Sleep also has far-reaching effects on well-being. It is a pillar of health that is critical to nearly every process and system of the body.

Despite the major role that both sleep and sex have in overall wellness, the relationship between them has often been overlooked. Fortunately, though, expanding knowledge in health sciences has started to reveal an important, bidirectional link between sex and sleep.

While there is more research to be done, evidence so far demonstrates that quality sleep can promote a better sex life, and a healthy sex life can facilitate improved sleep.

Recognizing the connections between sleep and sex can create opportunities for enhancing each of these significant contributors to adult health.

Elements of Healthy Sleep and Sex

Sleep and sexuality are complex and involve both the mind and body. Reviewing the basic elements of healthy sleep and sex enables a more well-rounded understanding of the relationship between them.


Sleep is essential for recuperation, and sleeping well requires getting a sufficient amount of rest, which is at least seven hours of sleep per night for most adults.

Sleep quality is also vital. A typical night’s sleep is made up of several sleep cycles, each of which is composed of individual sleep stages. Continuous sleep without interruption allows these stages to unfold properly, enabling truly restorative sleep.

Although sleep shares many central characteristics in both men and women, there are gender- and sex-based differences in how sleep works that can influence the ability to sleep well.


Like sleep, sex is made up of several different elements. In healthy sexual function, both sexes experience the following four stages :

  1. Desire for sex, also known as motivation for sex, or libido.
  2. Excitement or arousal, which involves physical reactions, such as blood flow to the penis or clitoris.
  3. Orgasm, which is the point of maximum excitement. In men, ejaculation, another stage in this process , typically occurs with orgasm.
  4. Resolution, which involves relaxation and positive feelings after orgasm and a gradual transition to a non-excited state.

When one or more stages of this process become disrupted, it can cause sexual dysfunction .

Sexual problems can affect anyone, but the causes and symptoms are frequently distinct in men and women. Studies estimate that around 33% of men and 45% of women experienced at least mild sexual problems in the last year, and around 13% of men and 17% of women had more serious issues that caused them distress.

Examples of sexual dysfunction include a loss of interest in sex, a lack of arousal, an inability to experience excitement or orgasm, and sex that is painful or not enjoyable. Sexual health problems can be primarily physical but are commonly tied to mental, emotional, or relationship issues that interfere with normal sexual activity.

How Does Sleep Affect Sex?

Research studies have found multiple ways that nightly sleep can affect sex.

Sleep deprivation has been associated with reduced sexual desire and arousal in women. As a result, insomnia, one of the most common sleep disorders, may be a risk factor for sexual dysfunction. A lack of sleep and disrupted sleep have also been linked to a higher risk of erectile dysfunction .

Perhaps surprisingly, short-term sleep deprivation has been found to cause increased sexual arousal in women the following day, which may be tied to changes in rapid eye movement (REM) sleep. However, this lack of sleep was not found to increase the likelihood of actually having sex, which may reflect how sleepiness and fatigue can interfere with sexual activity.

Several sleep disorders have been connected to sexual problems. Obstructive sleep apnea (OSA), which involves recurring pauses in breathing that disrupt sleep, has been associated with a significantly higher risk of erectile dysfunction . Studies have also shown that OSA is tied to sexual dysfunction in women .

Working non-standard hours, known as shift work, also has been linked to erectile dysfunction . Shift work can throw a person’s circadian rhythm out of alignment with the day-night schedule, interfering with numerous bodily processes. The risk of sexual problems has been found mostly in shift workers who report poor sleep .

Poor sleep can also hinder sex because of its effect on mental health. Insufficient and fragmented sleep can exacerbate conditions like depression and anxiety. These disorders are often related to sexual dysfunction in women and men because of their influence on sexual desire and arousal.

Besides mental health disorders, poor sleep can lead to emotional and relationship problems that can hinder sexual health. For example, a lack of sleep can make conflict with a partner more likely , fostering an emotional state that heightens stress , reduces intimacy, and detracts from a satisfying sex life.

Another way that sleep may affect sexual health is through impaired decision-making and impulse control . Sleep deprivation may raise the risk of risky sexual behavior that can lead to sexually transmitted infections or unplanned pregnancy.

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How Does Sex Affect Sleep?

Sexual activity can often contribute to better sleep. After an orgasm, the body releases hormones , like oxytocin and prolactin, that can induce pleasant and relaxing feelings. Sex also reduces levels of the hormone cortisol, which is associated with stress.

Studies indicate that these hormonal changes can cause drowsiness and make it easier to fall asleep. This effect can occur with masturbation as well as sex. Around 50% of both men and women say that an orgasm from masturbation helps them fall asleep and improves their sleep quality.

Sex with a partner may enhance this hormonal response and facilitate greater feelings of closeness and intimacy that are conducive to sleep. In heterosexual partners, research has found this effect to be greater in men than women, which aligns with a popular social conception of men quickly falling asleep after sex.

However, when both people achieve orgasm during sex, the difference in sleepiness is no longer statistically significant. In this way, the association of sleepiness and sex for men in heterosexual relationships may, in part, reflect a disparity in satisfaction and orgasm achieved during sex with a partner.

Steps to Enhance Both Sleep and Sex

The relationship between sleep and sex creates an opportunity to improve both of them along with your overall well-being.

Improving Sleep

For many people, improving sleep starts by raising the issue with a doctor. Sleeping problems and daytime sleepiness can be caused by underlying sleep disorders, like sleep apnea, that have effective treatments. Diagnosing and treating those conditions can meaningfully improve sleep and may improve sex. For example, consistent adherence to treatment for sleep apnea has been found to reduce erectile dysfunction in men.

Shift workers can talk with a doctor to optimize their sleep within their work schedule. Different types of treatment, including a specialized kind of counseling called cognitive behavioral therapy for insomnia (CBT-I), can help people with insomnia get better rest. A doctor can also help address other health conditions that can interfere with sleep.

Sleep hygiene is another critical aspect of quality sleep. It incorporates both the sleep environment and the daily habits that influence sleep. Specific tips that can strengthen sleep hygiene include:

  • Making the bedroom inviting by setting a comfortable temperature, using dim and warm lighting, ensuring a pleasant smell, and having a mattress that is supportive and optimal for sex.
  • Eliminating sources of sleep disruption from noise or light by using blackout curtains, a sleep mask, a white noise machine, and headphones or earplugs.
  • Maintaining a sleep schedule that stays consistent, including on non-working days. The goal should be to have the same wake-up time and bedtime every day.
  • Avoiding things that can interfere with sleep at night, including alcohol, tobacco, caffeine, late and heavy meals, and long naps in the late afternoon or evening.
  • Establishing the bedroom as a technology-free zone in the lead-up to bedtime. This means putting away cell phones, laptops, and tablets for at least 30 minutes before bed.
  • Finding time every day for physical activity and some exposure to natural light.
  • Learning relaxation techniques and incorporating them into the nightly routine to prepare for bed.

Making an effort to improve sleep hygiene can help you get more of the sleep you need every day. In doing so, these healthy habits can also pave the way to a more vibrant sex life.

Improving Sexual Health

Improving sexual health, including regular, satisfying sex, can boost your wellness and may facilitate better sleep.

As with sleep problems, it’s important to talk with a doctor about any concerns related to sexual health or sexual dysfunction. While many people are shy to raise these issues, it’s beneficial to discuss them openly and honestly with a health care provider. Remember that sexual problems are common, and doctors are trained to help address them. Regardless of your questions or concerns, there are numerous ways to start the conversation.

Sexual health can include far-reaching aspects of sex and sexuality. Improving sexual health might involve addressing issues with sexual performance or satisfaction, reviewing ways to practice safer sex, testing for sexually transmitted infections, and ensuring that sexual relationships are positive.

For some couples, sex therapy can provide practical advice to enhance intimacy and sexual fulfillment. Although general tips for better sex are widely available, working with a professional can incorporate valid, evidence-based approaches to cultivating a more rewarding sex life.

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23 Sources

  1. MedlinePlus: National Library of Medicine (US). (2018, June 5). Sexual health., Retrieved February 25, 2020, from
  2. Flynn, K. E., Lin, L., Bruner, D. W., Cyranowski, J. M., Hahn, E. A., Jeffery, D. D., Reese, J. B., Reeve, B. B., Shelby, R. A., & Weinfurt, K. P. (2016). Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of U.S. adults. The Journal of Sexual Medicine, 13(11), 1642–1650.
  3. National Institute of Neurological Disorders and Stroke. (2022, September 26). Brain basics: Understanding sleep., Retrieved February 24, 2021, from
  4. Consensus Conference Panel, Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., Malhotra, R. K., Martin, J. L., Patel, S. R., Quan, S. F., Tasali, E., Non-Participating Observers, Twery, M., Croft, J. B., Maher, E., … Heald, J. L. (2015). Recommended amount of sleep for a healthy adult: A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Journal of Clinical Sleep Medicine, 11(6), 591–592.
  5. Basson, R. (2014, February). Overview of sexual dysfunction in women. MSD Manual Consumer Version., Retrieved February 25, 2021 from
  6. Hirsch, I. H. (2020, July). Overview of sexual dysfunction in men. Merck Manual Consumer Version., Retrieved February 25, 2021 from
  7. Hirsch, I. H. (2020, July). Overview of male sexual function. Merck Manual Professional Edition., Retrieved February 25, 2021 from
  8. Briken, P., Matthiesen, S., Pietras, L., Wiessner, C., Klein, V., Reed, G. M., & Dekker, A. (2020). Estimating the prevalence of sexual dysfunction using the new ICD-11 guidelines. Deutsches Arzteblatt International, 117(39), 653–658.
  9. Kalmbach, D. A., Arnedt, J. T., Pillai, V., & Ciesla, J. A. (2015). The impact of sleep on female sexual response and behavior: A pilot study. The Journal of Sexual Medicine, 12(5), 1221–1232.
  10. Kohn, T. P., Kohn, J. R., Haney, N. M., Pastuszak, A. W., & Lipshultz, L. I. (2020). The effect of sleep on men’s health. Translational Andrology and Urology, 9(Suppl 2), S178–S185.
  11. Costa, R., Costa, D., & Pestana, J. (2017). Subjective sleep quality, unstimulated sexual arousal, and sexual frequency. Sleep Science, 10(4), 147–153.
  12. Chen, K. F., Liang, S. J., Lin, C. L., Liao, W. C., & Kao, C. H. (2016). Sleep disorders increase risk of subsequent erectile dysfunction in individuals without sleep apnea: A nationwide population-base cohort study. Sleep Medicine, 17, 64–68.
  13. Petersen, M., Kristensen, E., Berg, S., & Midgren, B. (2013). Long-term effects of continuous positive airway pressure treatment on sexuality in female patients with obstructive sleep apnea. Sexual Medicine, 1(2), 62–68.
  14. Rodriguez, K. M., Kohn, T. P., Kohn, J. R., Sigalos, J. T., Kirby, E. W., Pickett, S. M., Pastuszak, A. W., & Lipshultz, L. I. (2020). Shift work sleep disorder and night shift work significantly impair erectile function. The Journal of Sexual Medicine, 17(9), 1687–1693.
  15. Pastuszak, A. W., Moon, Y. M., Scovell, J., Badal, J., Lamb, D. J., Link, R. E., & Lipshultz, L. I. (2017). Poor sleep quality predicts hypogonadal symptoms and sexual dysfunction in male nonstandard shift workers. Urology, 102, 121–125.
  16. McCool-Myers, M., Theurich, M., Zuelke, A., Knuettel, H., & Apfelbacher, C. (2018). Predictors of female sexual dysfunction: A systematic review and qualitative analysis through gender inequality paradigms. BMC Women’s Health, 18(1), 108.
  17. Nimbi, F. M., Tripodi, F., Rossi, R., Navarro-Cremades, F., & Simonelli, C. (2020). Male sexual desire: An overview of biological, psychological, sexual, relational, and cultural factors influencing desire. Sexual Medicine Reviews, 8(1), 59–91.
  18. Wilson, S. J., Jaremka, L. M., Fagundes, C. P., Andridge, R., Peng, J., Malarkey, W. B., Habash, D., Belury, M. A., & Kiecolt-Glaser, J. K. (2017). Shortened sleep fuels inflammatory responses to marital conflict: Emotion regulation matters. Psychoneuroendocrinology, 79, 74–83.
  19. National Institute of Health. (2017, February). Do social ties affect our health?: Exploring the biology of relationships. NIH News in Health., Retrieved February 26, 2021 from
  20. Millar, B. M., Starks, T. J., Rendina, H. J., & Parsons, J. T. (2019). Three reasons to consider the role of tiredness in sexual risk-taking among gay and bisexual men. Archives of Sexual Behavior, 48(1), 383–395.
  21. Lastella, M., O’Mullan, C., Paterson, J. L., & Reynolds, A. C. (2019). Sex and sleep: Perceptions of sex as a sleep promoting behavior in the general adult population. Frontiers in Public Health, 7, 33.
  22. Melehan, K. L., Hoyos, C. M., Hamilton, G. S., Wong, K. K., Yee, B. J., McLachlan, R. I., O’Meagher, S., Celermajer, D., Ng, M. K., Grunstein, R. R., & Liu, P. Y. (2018). Randomized trial of CPAP and Vardenafil on erectile and arterial function in men with obstructive sleep apnea and erectile dysfunction. The Journal of Clinical Endocrinology and Metabolism, 103(4), 1601–1611.
  23. Altarum Institute. (2019). Take charge of your sexual health: What you need to know about preventive services.

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