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People who have more sex report higher self-esteem, life satisfaction and quality of life.

In contrast, lower frequency of sex and avoiding sex are linked to psychological distress, anxiety, depression and relationship problems.

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.

Others think talking about sexuality will take too much time.

Many older adults do not engage in sex because of shame and feelings of guilt or simply because they think they are “too old for sex.” However, it would be wrong to assume that older adults are not interested in engaging in sex.

Few people talk with their doctors about their sexual problems.

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.

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