Regular, moderate exercise improves sex:

Bacon, C.G et al. “Sexual Function in Men Older Than 50: Results from the Health Professionals Follow-Up Study,” Annals of Internal Medicine (2003) 139:161.

Bacon, C.G. et al. “A Prospective Study on the Risk Factors for Erectile Dysfunction,” Journal of Urology (2006) 176:217.

Duncan, JJ et al. “Women Walking for Health and Fitness: How Much Is Enough?” Journal of the American Medical Association (1991) 266:3295.

Esposito, K. et al. “Effects of Intensive Lifestyle Changes on Erectile Dysfunction in Men,” Journal of Sexual Medicine (2009) 6:243.

Khoo, J. et al. “Comparing Effects of Low- and High-Volume Moderate-Intensity Exercise on Sexual Function and Testosterone in Obese Men,” Journal of Sexual Medicine (2013) 10:1823.

Kim, SC. “Hyperlipidemia and Erectile Dysfunction,” Asian Journal of Andrology (2000) 2:161.

Nikoobakht, M. et al. “The Relationship Between Lipid Profile and Erectile Dysfunction,” International Journal of Impotence Research (2005) 17:523.

Wei, M et al. “Total Cholesterol and HDL Cholesterol as Important Predictors of Erectile Dysfunction,” American Journal of Epidemiology (1994) 140:930.

White, JR. et al. “Enhanced Sexual Behavior in Exercising Men,” Archives of Sexual Behavior (1990) 19:193.

Wuh, H. Sexual Fitness. Putnam, NY, 2001.

Kegel exercises

Claes, H. and L. Baert. “Pelvic Floor Exercise Versus Surgery in the Treatment of Impotence,” British Journal of Urology (1993) 71:52.

Colpi, G.M. et al. “Perineal Floor Efficiency in Sexually Potent and Impotent Men,” International Journal of Impotence Research (1999) 11:153.

Dorey, G. “Restoring Pelvic Floor Function in Men: Review of RCTs,” British Journal of Nursing (2005) 14:1014.

Dorey, G. et al. “Pelvic Floor Exercises for Erectile Dysfunction,” BJU International (2005) 96:595.

Serati, M. et al. “Benefit of Pelvic Floor Muscle Therapy in Improving Sexual Function in Women with Stress Urinary Incontinence: A Pretest-Posttest Intervention Study,” Journal of Sex and Marital Therapy (2015) 41:254.

Sighinolfi, M.C. et al. “Potential Effectiveness of Pelvic Floor Rehabilitation Treatment for Post-Radical Prostatectomy Incontinence, Climacturia, and Erectile Dysfunction: A Case Series,” Journal of Sexual Medicine (2009) 6:3496.

Van Kampen, M. et al. “Treatment of Erectile Dysfunction by Perineal Exercise, Electromyographic Biofeedback, and electrical Stimulation,” Physical Therapy (2003) 83:536.

Risk of heart attack during sex

Jackson, G. “Sexual Response in Cardiovascular Disease,” Journal of Sex Research (2009) 46:233.

Lange, L. Love Death: A Retrospective and Prospective Follow-Up Mortality Study Over 45 Years,” Journal of Sexual Medicine (2017) 14:1226.

Moller, J. et al. “Sexual Activity as a Trigger of Myocardial Infarction: A Case-Crossover Analysis in the Stockholm Heart Epidemiology Program (SHEEP),” Heart (2001) 86:387.

Muller, J.E. et al. “Triggering Myocardial Infarction by Sexual Activity,” Journal of the American Medical Association (1996) 275:1405.

Nawrot, T.S. et al. “Public Health Importance of Triggers of Myocardial Infarction: A Comparative Risk Assessment,” Lancet (2011) 377(9767):732.

Sztajzel, J. “Sexuality and Heart Disease,” Rev. Med. Suisse (2012) 8:631.

Strenuous exercise reduces libido

Hackney, A.C. et al. “Endurance Exercise Training and Male Sexual Libido,” Medicine and Science in /Sports and Exercise (2017) epub ahead of print.

Should athletes abstain before contests?

Valenti, L.M. et al. “Effect of Sexual Intercourse on Lower Extremity Muscle Force in Strength-Trained Men,” Journal of Sexual Medicine (2018) 15:888.

As fruit and vegetable consumption increases, sexual function improves

Cassidy, A. et al. “Dietary Flavonoid Intake and Incidence of Erectile Dysfunction,” American Journal of Clinical Nutrition (2016) 103:534.

DellaCamera, P.A. et al. “Sexual Health, Adherence to Mediterranean Diet, Body Weight, Physical Activity and Mental State: Factors Correlated to Each Other,” Urologia (2017) epub ahead of print.

DiFrancesco, S. and R.L. Teneglia. “Mediterranean Diet and Erectile Dysfunction: A Current Perspective,” Central European Journal of Urology (2017) 70:185.

Esposito, K. et al. “Mediterranean Diet Improves Sexual Function in Women with Metabolic Syndrome,” International Journal of Impotence Research (2007) 19:486.

Giugliano, F. et al. “Adherence to Mediterranean Diet and Erectile Dysfunction in Men with Type-2 Diabetes,” Journal of Sexual Medicine (2010) 7:1911.

Giugliano, F. et al. “Adherence to Mediterranean Diet and Sexual Function in Women with Type-2 Diabetes,” Journal of Sexual Medicine (2010) 7:1883.

Maiorino, M.I. et al. “Effects of a Mediterranean Diet on Sexual Function in People with Newly Diagnosed Type 2 Diabetes: The MEDITA Trial,” Journal of Diabetes Complications (2016) 30:1519.

Mykoniatis, I. et al. “Sexual Dysfunction Among Young Men: Overview of Dietary Components Associated with Erectile Dysfunction,” Journal of Sexual Medicine (2018) 15:176.

Studies showing that weight loss improves sex

National Weight Control Registry: http://www.nwcr.ws

Janik, M.R. et al. “Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature,” Obesity Surgery (2015) 25:1511.

Khoo, J. et al. “Comparing the Effects of Meal Replacements with Reduced-Fat Diet on Weight, Sexual and Endothelial Function, Testosterone, and Quality of Life in Obese Asian Men,” International Journal of Impotence Research (2014) 26:61.

Kolotkin, R.L. et al. “Sexual Functioning and Obesity: A Review,” Obesity (Silver Spring) (2012) 20:2325.

Martin, C.K. et al. “Effect of Calorie Restriction on Mood, Quality of Life, Sleep, and Sexual Function in Healthy Non-obese Adults: The CALERIE 2 Randomized Clinical Trial,” JAMA Internal Medicine (2016) 176:743.

Mora, M. et al. “Weight Loss Is a Major Contributor to Improved Sexual Function After Bariatric Surgery,” Surgery and Endoscopy (2013) 27:3197.

Wing, R.R. et al. “Effect of Intensive Lifestyle Intervention on Sexual Dysfunction in Women with Type-2 Diabetes: Results from an Ancillary Look AHEAD Study,” Diabetes Care (2013) 36:2937.

Wingfield, L.R. et al. “Change in Sexual Dysfunction Following Bariatric Surgery,” Obesity Surgery (2016) 26:387.

The American Psychological Association survey, Stress in America

https://www.apa.org/news/press/releases/stress/2010/national-report.pdf

Studies showing the sexual benefits of meditation and stress reduction

Brotto, L.A. et al. “A Mindfulness-Based Group Psychoeducational Intervention Targeting Sexual Arousal Disorder in Women,” Journal of Sexual Medicine (2008) 5:1646.

Brotto, L.A. et al. “A Brief Mindfulness-Based Cognitive Behavioral Intervention Improves Sexual Functioning Vs. Wait-List Controls in Women Treated for Gynecologic Cancer,” Gynecologic Oncology (2012) 125:320.

Silverstein, R.G. et al. “Effects of Mindfulness Training on Body
Awareness to Sexual Stimuli: Implications for Female Sexual Dysfunction,” Psychmosomatic Medicine (2011) 73:817.

Alcohol “provokes the desire, but takes away the performance.”

Macbeth. Act 2, Scene 3.

Studied on the sexual impact of smoking

Biebel, M.G. et al. “Male Sexual Functioning and Smoking,” Sexual Medicine Review (2016) 4:366.

Cao. S. et al. “Association of Quantity and Duration of Smoking with Erectile Dysfunction: A Dose-Response Meta-Analysis,” Journal of Sexual Medicine (2014) 11:2376.

Choi, J. et al. “Dose-Response Relationship Between Cigarette Smoking and Female Sexual Dysfunction,” Obstetrics and Gynecology Science (2015) 58:302.

Harte, C.B. “Concurrent Relations Among Cigarette Smoking Status, Resting Heart Rate Variability, and Erectile Response,” Journal of Sexual Medicine (2014) 11:1230.

Verze, P. et al. “The Link Between Cigarette Smoking and Erectile Dysfunction: A Systematic Review,” European Urology Focus (2015) 1:39.

Insomnia Statistics

Roth, T. “Definition, Prevalence, Etiology, and Consequences,” Journal of Clinical Sleep Medicine (2007) 3(5 Suppl): S7.

Sleep apnea and sexual dysfunction

Budweiser, S. et al. “Sleep Apnea is an Independent Correlate of Erectile and Sexual Dysfunction,” Journal of Sexual Medicine (2009) 6:3147.

Budweiser, S. et al. “Long-Term Changes of Sexual Function in Men with Obstructive Sleep Apnea After Initiation of Continuous Positive Airway Pressure,” Journal of Sexual Medicine (2013) 10:524.

Hanak, V. et al. “Snoring as Risk Factor for Sexual Dysfunction in Community Men,” Journal of Sexual Medicine (2008) 5:898.

Kalmbach, D.A. et al. “The Impact of Sleep on Female Sexual Response and Behavior: A Pilot Study,” Journal of Sexual Medicine (2015) 12:1221.

Koca, T.T. et al. “Evaluation of Sleep Disorder and Its Effects on Sexual Dysfunction in Patients with Fibromyalgia Syndrome,” Turkish Journal of Obstetrics and Gynecology (2016) 13:167.

Liu, L. et al. “Sexual Dysfunction in Patients with Obstructive Sleep Apnea: a Systematic Review and Meta-Analysis,” Journal of Sexual Medicine (2015) 12:1992.

Petersen, M. et al. “Long-Term Effects of Continuous Positive Airway Pressure Treatment on Sexuality in Female Patients with Obstructive Sleep Apnea,” Sexual Medicine (2013) 1:62.

Petersen, M. et al. “Sexual Function in Male Patients with Obstructive Sleep Apnea After 1 Year of CPAP Treatment,” Clinical Respiratory Journal (2013) 7:214.

Steinke, E. et al. “Determinants of Sexual Dysfunction and Interventions for Patients with Obstructive Sleep Apnea: A Systematic Review,” International Journal of Clinical Practice (2016) 70:5.

Zhang, X.B. et al. “Erectile Dysfunction and Sexual Hormone Levels in Men with Obstructive Sleep Apnea: Efficacy of Continuous Positive Airway Pressure,” Archives of Sexual Behavior (2016) 45:235.

Sleep duration

Kalmbach, D.A.et al. “The Impact of Sleep on Female Sexual Response and Behavior: A Pilot Study,” Journal of Sexual Medicine (2015) 12:1221.

Studies demonstrating sexual healing

https://kinseyconfidential.org/sex-alleviate-menstrual-cramps/

Bijlani, R.L. et al. “A Brief but Comprehensive Lifestyle Education Program Based on Yoga Reduces Risk Factors for Cardiovascular Disease and Diabetes Mellitus,” Journal of Alternative and Complementary Medicine (2005) 11:267.

Brody, S. “Blood Pressure Reactivity to Stress is Better for People Who Recently Had Penile-Vaginal Intercourse Than for People Who Had Other or No Sexual Activity,” Biological Psychology (2006) 71:214.

Brody, S. et al. “A Preliminary Report Relating Frequency of Vaginal Intercourse to Heart Rate Variability, Valsalva Ratio, Blood Pressure, and Cohabitation Status,” Biological Psychology (2000) 52:251.

Brotto, L.A. et al. “Yoga and Sexual Functioning: A Review,” Journal of Sex and Marital Therapy (2009) 35:378.

Charnetski, C. and FX Brennan. “Sexual Frequency and Salivary Immunoglobulin A,” Psychological Reports (2004) 94:839.

Dahabreh, IJ and JK Paulus. “Association of Periodic Physical and Sexual Activity with Triggering of Acute Cardiac Events,” Journal of the American Medical Association (2011) 305:1225.

Davey-Smith, G et al. “Sex and Death: Are They Related? Findings from the Caerphilly Cohort Study,” BMJ [formerly British Medical Journal] (1997) 15:1641.

Dhikav, V. et al. “Yoga in Male Sexual Functioning: a Non-comparative Pilot Study,” Journal of Sexual Medicine (2010) 7:3460.

Derby, C.A. et al. “Modifiable Risk Factors and Erectile Dysfunction: Can Lifestyle Changes Modify Risk?” Urology (2000) 56:302.

Ebrahim, S. et al. “Sexual Intercourse and Risk of Ischemic Stroke and Coronary Heart Disease: The Caerphilly Study,” Journal of Epidemiology and Community Health (2002) 56:99.

Esposito, K. et al. “Metabolic Syndrome: A Cause of Sexual Dysfunction in Women,” International Journal of Impotence Research (2005) 17:224.

Kim, H.N. et al. “Effects of Yoga on Sexual Function in Women with Metabolic Syndrome: A Randomized Controlled Trial,” Journal of Sexual Medicine (2013) 10:2741.

Jain, S.C. et al. “A Study of Response Patterns of Non-Insulin Dependent Diabetics to Yoga Therapy,” Diabetes Research in Clinical Practice (19993) 119:69.

Mahajan, A.S. et al. “Lipid Profile of Coronary risk Following Yogic Lifestyle Intervention,” Indian Heart Journal (1999) 51:37.

Malathi, A. and A. Damodaran. “Stress Due to Exams in Medical Students: The Role of Yoga,” Indian Journal of Physiology and Pharmacology (1999) 43:218.

Manchanda, S.C. et al. “Retardation of Coronary Atherosclerosis with Yoga Lifestyle Intervention,” Journal of the Association of Physicians of India (2000) 48:687.

Patel, C. “12-Month Follow-Up of Yoga and Biofeedback in the Management of Hypertension,” Lancet (1975) 1(7898):62.

Ray, U.S. et al. “Effect of Yogic Exercises on Physical and Mental Health of Young Fellowship Course Trainees,” Indian Journal of Physiology and Pharmacology (2001) 45:37.

White, JR et al. “Enhanced Sexual Behavior in Exercising Men,” Archives of Sexual Behavior (1990) 19:193.

Health and longevity benefits of sex

Charnetski, C. and F.X. Brennan. “Sexual Frequency and Salivary Immunoglobulin A (IgA),” Psychological Reports (2004) 94:839.

Paredes, R.G. “Opioids and Sexual Reward,” Pharmacology and Biochemistry of Behavior (2014) 121:124.

Paredes, R.G. “Evaluating the Neurobiology of Sexual Reward,” ILAR Journal (2009) 50:15.

Smith, G.D. et al. “Sex and Death: Are They Related? Findings from the Caerphilly Cohort Study.” BMJ (1997) 315:1641.

Veening, J.G. and H.P. Barendregt. “The Effects of Beta-Endorphins: State Change Modification,” Fluids and Barriers and the CNS (2015) 12:3.

Meta-analysis of 92 studies of lifestyle and sexual function

Allen, M.S. et al. “Health-Related Lifestyle Factors and Sexual Function: A Meta-Analysis of Population-Based Research,” Journal of Sexual Medicine (2018) 15:458.