During the rapid social change period from totalitarian to globalized-capitalist society, intimacy and sexuality are undergoing a process of de-tabooing, particularization, and emancipation from social institutions to which they were bound. Sexuality and intimacy enter the social and political arena with new ambitions and requirements, thus articulating requests for intimate and sexual citizenship of various minorities. The overall political environment is, however, characterized by ignorance of these topics by political elites. Moreover sexuality becomes a political commodity. The risks of underestimating importance of sexuality are highlighted by the direct link of sexuality to reproduction. The study focuses on global trends in the (r)evolution of sexuality and its contradictions, transformation of norms related to sexuality, emergence of the new concepts concerning sexuality and citizenship. After a critical analysis of the current reflection of sexual health in Slovakia it offers suggestions of necessary conditions for a positive transformation of the sexual health in Slovakia.