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This paper documents how young men and women in Cameroon vary in the way they conduct their sexual lives as well as in the reproductive health risks they take. Consideration is given to gender differentials in patterns of sexual initiation, number of regular and casual partners, and condom use. It also examines factors affecting male and female patterns of sexual and reproductive health behaviour. It evaluates and contrasts the health consequences of the sexual activity of both males and females, including the prevalence of sexually transmitted infections.