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Enjoy sex like you used to

Does sex relieve stress? And can sex help with anxiety? Absolutely.
As it turns out, the stress relief-sex connection is one that is backed by science. Having a healthy sex life triggers physical, hormonal, and emotional changes that can melt away tension, boost your mood, and benefit your mental health.
Whether you're looking for a natural stress-buster or just curious about the benefits of intimacy, we’re diving into how and why sex might be one of the best stress and anxiety-relieving tools there is.
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Sex can help reduce anxiety and stress by promoting relaxation and boosting feel-good hormones. Engaging in intercourse builds emotional connection, increases levels of calming neurotransmitters, and decreases stress hormones, creating a sense of balance in the body and mind.
Interestingly, one study found that men are more likely to pursue having sex following a stressful day than women. Still, both genders reported that having sex did ultimately help relieve their stress by disrupting its hold on their mental health.
Here’s how three key hormones affected by sex play a role in alleviating anxiety and stress.
Cortisol is released by your adrenal glands when you’re under stress — like in response to significant emotional dysregulation or physical stressors like having low blood sugar. It plays a central role in managing your energy levels, keeping excess inflammation under control, and regulating your metabolism.
While short-term cortisol spikes are a normal part of your stress response to perceived threats, they become problematic when cortisol levels remain higher than normal for too long, which can affect things like heart, metabolic, and immune health.
Chronic high levels of this stress hormone are associated with trouble sleeping, more anxiety, unintentional weight gain, weakened immunity, and high blood pressure, all of which negatively affect your overall wellness.
Where does sex come in? Being sexually active helps reduce cortisol, promoting a sense of calm and balance in the body.
We’re not saying you should just go have sex every time you’re stressed out (it’s important to have other stress management tools in place), but it’s good to know that partner intimacy can help calm a cortisol spike.
Oxytocin is most often associated with the strong bonding that occurs when a new mother breastfeeds her infant (or a new dad has skin-to-skin contact with the baby). However, childbirth and newborn cuddles aren’t the only time that oxytocin is unleashed in the human body.
Also called “the love hormone,” oxytocin is released during other opportunities for bonding, which can range from a simple hug with a friend to having sex with your partner.
Oxytocin is important for our mental and emotional health because it fosters bonds with other humans and provides us with a sense of well-being. When it’s released during sex, it enhances feelings of trust and connection.
Plus, an oxytocin rush is known to help reduce high blood pressure, improve mood, and make us feel calmer and more relaxed in the moment.
Endorphins are known as “feel-good hormones” because they’re released by your brain to reduce pain perception, improve mood, and create a sense of naturally-induced euphoria. They also help lower stress, boost overall well-being, and even support better sleep, creating a sense of happiness and relaxation and combating anxiety.
Your brain releases endorphins when you partake in activities like exercising, laughing, and eating certain foods — as well as engaging in sexual activity.
Having sex may be beneficial for managing stress levels, but when stress gets the best of you, it can make it nearly impossible to enjoy intimacy in the first place.
Here are some of the most common ways that chronic stress can show up in the bedroom:
Erectile dysfunction (ED). Chronic stress disrupts blood flow and hormonal balance, both of which are necessary for achieving and maintaining an erection. (See our guide on home remedies for ED).
Premature ejaculation (PE). When your anxiety is high, this can make it harder to control timing during intercourse, leading to premature ejaculation.
Lower libido. Stress reduces testosterone levels, which can decrease your sex drive and interest in sexual behavior.
Performance anxiety. Stress and overthinking can create self-doubt, making it challenging to relax and enjoy intimacy when you’re in your head with performance anxiety.
Relationship strain. Stress can lead to emotional disconnection or irritability, impacting communication and intimacy with your partner. Left unaddressed, this can drag down sexual frequency and have damaging long-term relationship effects.
Not only can a healthy sexual relationship provide stress-relieving effects, but sex offers a number of other health benefits for you and your partner.
Sex plays a key role in true partnership by supporting your emotional intimacy and trust in one another. Not only does the act of sex release oxytocin, but physical closeness helps create a sense of shared experience, which can deepen your affection and mutual understanding.
Overall, regular intimacy can help you feel more connected and attuned with a partner.
Sex is a natural mood booster, thanks to the flood of endorphins and feel-good hormones that come rushing in to help you relax, reduce stress, and feel happier. The dynamic duo of oxytocin and endorphins contributes to a sense of contentment that helps elevate your mood.
In fact, studies have shown that a higher rate of sexual satisfaction correlates with lower levels of depression and anxiety.
In addition to endorphins and oxytocin, sex releases dopamine, a key neurotransmitter in your mood, focus, pleasure, and overall brain function (especially for men). While some people may joke that sex makes your brain shut off, it’s quite the opposite.
In fact, research shows that regular sexual activity is associated with increased mental sharpness, clarity, motivation, and even better memory.
Plus, the cortisol reduction effect of sex is important for reducing your risk of stress-related brain fog and cognitive decline.
The post-coital cuddle is about more than continued bonding time. Sex can tucker you right out, which isn’t a bad thing, given that many of us aren’t always getting the recommended seven to eight hours of quality rest we need at night.
When oxytocin is released, you feel more relaxed and calm. Meanwhile, endorphins help with pain relief and the easing of tension and discomfort, allowing for a moment of stress-free euphoria.
On top of that, the physical exertion required during sex can make it easier to fall asleep. Particularly after a “big finish,” many people experience a drop in cortisol, which helps remove mental inhibitions that may be preventing you from a deep sleep.
Another reason to make sure you’re catching enough Z’s? A chronic lack of sleep can contribute to the development of ED.
You’ve probably heard about lowering your saturated fat intake and moving your body more for cardiovascular wellness, but did you know that sex is also good for your heart?
That’s right — getting it on can be a great stress-reducer and sweat sesh, temporarily getting your heart rate up, improving your circulation, and lowering blood pressure.
Plus, the happy hormones and brain chemicals released during sex help reduce anxiety and stress, which are known risk factors for heart disease when left unmanaged.
One study found that older men who were reportedly having more frequent sex also experienced a lower risk of cardiovascular events (like stroke or heart attack) later in life.
While it’s not usually listed alongside playing tennis or deadlifting, having sex counts toward your daily physical activity goals.
Think about it: Sex engages a variety of muscle groups, increases your heart rate, and burns calories, much like other exercises you might do at the gym or on the basketball court.
Depending on how, er, adventurous you are, movements during sex can help improve your flexibility and muscle tone, too. Depending on the duration and intensity, sex might burn up to 200 calories per hour, akin to a mild workout.
Let’s be clear: even regular sex isn’t a substitute for the 150-300 minutes per week of moderate-intensity exercise that experts recommend we get for overall wellness. However, it can certainly be considered a fun form of physical activity that has its own benefits.
Prostate cancer is one of the most common cancers among men, particularly older men over 50 (with risk increasing with age). In the United States, an estimated one in eight men will be diagnosed during their lifetime.
Some good news is that regular sexual activity may help reduce prostate cancer risk by promoting prostate health and function.
Some studies suggest that frequent ejaculation — whether through partnered sex or solo sex (i.e., masturbation) — helps flush out potentially harmful and cancer-causing substances from the prostate. Sex also improves blood flow to the prostate.
While the research is still ongoing, maintaining an active sex life is thought to be one of several lifestyle factors that could contribute to lower prostate cancer risk.
Read more in our guide on other health benefits of sex for men.
Does sex help with stress? Yes! Sex offers more than just pleasure in the moment — it’s a powerful stress reliever with several mental and physical benefits.
Here are some key takeaways when considering how your sexual health influences the rest of your wellness:
It boosts helpful hormones. Sex triggers the release of oxytocin and endorphins and reduces cortisol, all of which help you feel less stress and improve your mood and overall sense of well-being.
It strengthens intimate relationships. The closeness of sex fosters emotional connection and bonding. This helps reduce stress and make romantic relationships stronger by cultivating a mutual sense of trust and contentness.
It has physical health benefits. Beyond relaxation, sex also acts as physical activity, benefiting cardiovascular health and improving sleep quality, which is important for stress management.
Overall, while it’s not a replacement for other healthy habits and stress management techniques, having sex is a natural, enjoyable way to alleviate stress and promote overall well-being.
Need some help navigating and supporting your sexual health? Check out our sexual health resources, or consider getting connected to a licensed healthcare provider for personalized guidance.
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This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care.
She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare.
Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function.
Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health.
Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information.
Education & Training
Andrology Fellowship, Medical College of Wisconsin
Urology Residency, University of California San Francisco
M.D. Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill
Published as Kelly Walker
Cowan, B, Walker, K., Rodgers, K., Agyemang, J. (2023). Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. https://www.sciencedirect.com/journal/fertility-and-sterility/vol/120/issue/1/suppl/S
Walker, K., Gogoj, A., Honig, S., Sandlow, J. (2021). What’s New in Male Contraception? AUA Update Series, Volume 40. https://auau.auanet.org/content/update-series-2021-lesson-27-what%E2%80%99s-new-male-contraception
Walker, K., Shindel, A. (2019). AUA Erectile Dysfunction Guideline. AUA Update Series, Volume 38. https://auau.auanet.org/content/course-307
Walker, K., Ramstein, J., & Smith, J. (2019). Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. https://www.auajournals.org/doi/10.1097/01.JU.0000556300.18991.8e
Walker, K., & Smith, J. (2019). Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. https://www.auajournals.org/doi/10.1097/01.JU.0000556071.60611.37