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Other research also confirms that women more commonly avoid sex than men. More teenage females than teenage males abstain from sex.In fact, up to 40 percent of women avoid sex some time in their lives. Women also are more likely to avoid sex because of childhood sexual abuse.Yet while some doctors may be afraid to ask about sex with patients, research has shown that patients appear to be willing to provide a response if asked.This means that their sexual problems are not being addressed unless the doctor brings it up. To take just one example, patients with arthritis and low back pain need information and advice from their health care provider about recommended intercourse positions so as to avoid pain.Some doctors feel that addressing sexual issues creates too much closeness to the patient.Others think talking about sexuality will take too much time.

In contrast, lower frequency of sex and avoiding sex are linked to psychological distress, anxiety, depression and relationship problems.Personality disorders, addiction and substance abuse and poor sleep quality all play major roles in sexual interest and abilities.Many medications, such as antidepressants and anti-anxiety drugs, reduce libido and sexual activity, and, as a result, increase the risk of sexual avoidance.Google the words "marriage and affair" and you get more than 17 million variations on how to heal.

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That's because "fidelity in marriage"—which only gets about 3½ million hits—is a hard thing to come by these days.

Indeed, at least half of all medical visits do not address sexual issues.