I disagree with Monica on one point. The one exception to a loving couple with good communication and a desire to satisfy each other finding sexual happiness (and there may - of course - be others - is the couple in which one or both of the partners is taking, for the long term, an SSRI as the only effective Tx for depression. No longer depressed, the partner's libido is close to zero and a satisfying sexual relationship is close to impossible.
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