About one in four American couples does not have sex even once a month, according to a recent survey that sheds light on changing intimacy patterns across developed countries. The findings come from a poll conducted by U.S. research firm Talker Research and adult wellness brand LELO, which surveyed 2,000 adults in committed relationships. The results suggest that fatigue, stress and mismatched desire — rather than lack of affection — are the biggest obstacles to sexual intimacy. Respondents said the most common reason for infrequent sexual activity was fatigue, cited by 38 percent, followed by mismatched sex drives at 29 percent, health problems at 29 percent and work-related stress at 27 percent. On average, American couples reported having sex four times a month, with each encounter lasting about 18.6 minutes. Despite the relatively low frequency, satisfaction levels remained high. While 14 percent of respondents said they were completely dissatisfied with their sex lives, 71 percent said they were satisfied. The results suggest that many couples prioritize emotional connection an
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