[Sexuality and medicine: the 20th-century sexual revolution].

This paper discusses the role of medicine, ranging from the normative and technological control of women's sexuality ad reproductive process (childbirth, breastfeeding, contraception, and treatment of infertility) through the construction of a new (biological and social) reproductive model, based on a radical change of identities, relations, and forms of union between the sexes (a break with the traditional concept of marriage, growth of open unions, serial monogamy, etc.). This model is sustained by a radical distinction between sexuality and reproduction, related to a unique and horizontal model of sexuality (in opposition to the hierarchical 19th-century two-sexes model); the new model focuses mainly on pleasure and moves progressively away from social ties and affection. In addition to the contribution of medicine (notably through assisted reproduction) and sexology (universalization of the orgasm imperative), the paper also discusses the contribution of epidemiology (through AIDS-related research) to the transformation of a moral sexual norm into an abstract and merely statistical standard