Reproductive health and HIV prevention programmes for youth rarely look at the reallity of coercive sex that so many youth face. Coercive sex is a violation of a person's rights and can have severe mental, physical and reproductive health consequences, including pregnancy and HIV and other STIs. This paper highlights a number of key issues: the range of sexual coercion faced by youth; the impact of gender norms on coercion; the consequences of coercion; and programme approaches to reduce the problem