A contemporary critique levelled against sexual and reproductive (SR) behavioral studies in Africa is the dominance of Western theories and perspectives, with the main language through which SR categories and concepts are developed and investigated being Western or colonial, which rarely correspond with local and ethnic conceptualizations. In this paper, we conduct an ethnolinguistic analysis of gender and intergenerational constructions of sexual and reproductive behaviors (SRB) among the Ga of Ghana. Ethnographic approaches were used to collect and analyze two data sources from seventy-two respondents; first, a lexicon of common words, phrases, terminologies and coinages on SR activities and relationships. Second, narratives on respondents’ major SR experiences, through a biography of respondents’ body methodological framework. Respondents reflected a high degree of conceptual baggage, underpinned by their own gendered SR experiences, in their selection and interpretation of the terminologies/words. Younger respondents were more likely to use flippant coinages for risky SRB, which resonate with their narratives on their casual and unrestrained SR behaviours. We discuss the SR health threats and opportunities of our findings.