The way people communicate and present themselves as sexual beings, and the sexual activities they engage in. Describe not only the sexual activities we engage in but ways we communicate and present ourselves to the world as a sexual being. It can include thoughts, fantasies, desires, beliefs, attitudes, values, behavior, roles, and relationships.

Healthy sexual expression enriches one's life, while being respectful, consensual, and informed. It is free from coercion and violence. Sexual expression is influenced by many factors, including:

Spiritual beliefs or Religion.
Social & cultural context.
Economic & context.
The legal system.
Biology.
Emotional well-being.