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Pregnant women fear miscarriage or harming the fetus – and can also refuse sex because of lack of interest and fatigue.The most common reasons for men avoiding sex are erectile dysfunction, chronic medical conditions and lack of opportunity.

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Yet while our society focuses a lot on having sex, we do not know as much about not having it.Other research has shown the same for individuals with cerebrovascular conditions, such as a stroke.Chronic pain diminishes the pleasure of the sexual act and directly interferes by limiting positions.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.

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