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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.
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.
As a researcher of human behavior who is fascinated by how sex and gender interact, I have found that sexual avoidance influences multiple aspects of our well-being.
I also have found that people avoid sex for many different reasons, some of which can be easily addressed.
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.
For example, heart disease patients often avoid sex because they are afraid of a heart attack.
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.