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Translator: Vicky Lara Labaila
Reviewer: Denise RQ
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It's been said if you never want
to have sex again, get married.
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(Laughter)
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Sex is one of the most contentious
issues in marriage today,
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second only to finances.
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There are many married couples
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that have not had sex
for months, even years,
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and that's OK as long as they are OK
with it and happily married.
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The problem arises when one person
in the relationship wants sex,
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and the other doesn't.
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According to a national newspaper survey
of approximately 10,000 respondents
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- mostly married men -
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75% were satisfied in their relationship,
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but more than 50%
were dissatisfied with their sex lives.
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We are having sex
- don't get me wrong -
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we are just having sex at the wrong time,
and with the wrong people;
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I'll get to that later.
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(Laughter)
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We are having sex before we get married,
ten years on average,
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so we are effectively
in a long-term relationship
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and potentially, quite sexually bored
before we even mess up the marital bed.
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And that has its consequences.
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Most brides today do not have sex
on their wedding nights,
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and 50% of men would not
have married their spouse
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had they known their marriage
was going to be sexless.
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So, everybody wants to know
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just how much sex
are married people having
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whether they are in heterosexual
relationships or same-sex unions.
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You all want to know what's going on
at the Joneses; well, not much.
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(Laughter)
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Only about 7% of married couples
set the sheets ablaze.
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Most married couples have sex
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a little bit more than once a week
for the first decade of their marriage.
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It decreases after that.
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So they have sex about 58 times a year.
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And 20% of marriages meet the criteria
as a sexless marriage,
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and that, defined by the experts,
is sex less than ten times a year.
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So why aren't we having sex
in our marriages?
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There's a little-known
chemical in the brain
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conveniently called PEA or 'PEA, '
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and it's responsible for the elation,
the excitement, and the euphoria
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that you feel when you meet somebody
that you are sexually interested in.
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It's a fantastic feeling.
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This chemical is gorging
through your blood vessels.
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You are so happy; that's
how powerful this little chemical is.
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But what happens after two years
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is that chemical diminishes
as does sexual frequency.
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That's just about the time
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you might get married
or may have conflict in your relationship,
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and that is why communication
is key to great sex.
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There is another reason
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we are not having sex
in our relationship,
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and that has to do
with the sex education that we provide.
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I'd like to share a story about myself.
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When I was a teenager, my mother
came racing into my bedroom, and she said,
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"Maureen, please, tell me
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you have not allowed a boy
to French-kiss you."
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She was feeling terrible
that the sex education came a bit late.
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And I was feeling horrifically guilty,
as an Irish Catholic girl,
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that I'd French-kissed a number of boys
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(Laughter)
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by that stage.
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We teach girls and women
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that sex is dirty,
and sex is bad, or it's over rated.
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We say, "You're just going to get
a sexual-transmitted infection anyway,"
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or, "You may get pregnant!"
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This whole fear-base thing
frightens women from enjoying sex,
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and we never talk about pleasure
or orgasm with girls and women.
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And in fact, some women say,
"Orgasm's not important,"
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and that the journey is just as good
as the destination.
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I disagree.
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(Laughter)
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Of course.
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I am the one who French-kissed
all the boys, as an Irish Catholic girl.
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(Laughter)
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(Applause)
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It's like getting on a train
with your lover,
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and you are going to the most pleasurable
place on the planet.
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You are so excited.
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You are getting lubed up with all
the free drinks they are giving you.
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This is amazing!
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And just before you reach
your destination,
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he gets off, and you don't.
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(Laughter)
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You get my point.
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(Laughter)
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(Applause)
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The sex education
we have for boys and men:
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that's entirely different.
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It's a global program, it's free,
it's accessible to everybody,
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and it's known as internet pornography.
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Fantastic!
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And it does nothing to teach
men and boys about intimacy
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which is really important to men and boys,
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or how to make love to anybody.
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Also, we have a paucity of information
about sexual health
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for LGBTQI community,
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and we need to add to that.
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Marriage can rapidly go
from a holy matrimony to holy hell
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with the finances, the kids,
the houses, the illness.
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I mean, you may have signed up
for sickness and health,
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but that was long before
you'd ever witnessed a man cold.
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(Laughter)
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And...
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(Laughter)
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And how about that richer or poorer thing?
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Ladies, we are going to have
to start going for richer.
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Most women today are working
inside and outside of the home.
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We are doing the lion's share
of the housework
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because according to research,
men don't feel they are that good at it.
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And we are bridging the gap
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between growing children
and aging parents.
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We are exhausted doing it all
and never doing it.
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And when we are doing it,
we are checking our smartphones.
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10% of people check
their smartphones during sex
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(Laughter)
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35% immediately afterward.
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We are connected to the Internet
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(Laughter)
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(Cheers) (Applause)
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We are connected to the Internet
and disconnected from our would-be lovers.
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Maybe this is the reason
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that the most common sex position
for married couples is doggy style.
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No, no, no!
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It's not what you're thinking.
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Get your minds out of the gutter.
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This is the one where he is
on all his fours and begs,
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and she plays dead.
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(Laughter)
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I have a clinical practice where I see
patients that have sexual dysfunction,
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and there are two questions
that I ask everybody.
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The first one is,
"Are you sexually active?"
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It's obvious.
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When I ask women,
they never say yes or no
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- well, they never say yes -
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but they never say yes or no.
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They say, "Sometimes,"
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"Sort of," "I am not sure," "He is"
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(Laughter)
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or they say, "I am married."
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I say, "Well, that means no to me."
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They say, "Yes, sure. Right. it is no."
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Most men complain
that women never initiate sex.
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The reason for this
is because, once again,
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the sex education we provide to women.
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Women falsely believe
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that female sexual interest, desire,
precedes sexual activity,
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when in actuality,
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it is sexual activity that prompts
sexual interest and desire.
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Sexual arousal emerges
as a result of sexual activity.
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So, you guys, I know,
intimacy is important to you.
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The most important question
that reflects this,
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that I receive from you,
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is, "How much masturbation
is too much masturbation?"
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(Laughter)
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So, I just say, "Well,
as long as you can go to work
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(Laughter)
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you should be fine."
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And then I realize
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that that's perhaps
all that what you are doing at work.
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(Laughter)
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So, I know intimacy is important.
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You want to come home,
and you want to make love to your wife
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if you are in a heterosexual relationship.
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So after a long
and quite possibly very hard day,
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you come home to a bit of chaos, perhaps,
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but you've just got sex on the mind,
and she says, "Did you remember the milk?"
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And you are like,
"Darn! The milk! I forgot the milk!"
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Don't beat yourselves up about it;
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if not for the milk,
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we have Facebook, hormones,
"I am feeling a little tired tonight,"
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"My stomach is sticking out, I am feeling
kind of fat, can't do it tonight,"
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"Didn't we have sex last month?"
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And you are like,
"That was actually last year!"
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(Laughter)
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You don't get it.
I mean, literally, you don't get it.
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But you're like, "She is amazing,
she works in and outside of the home,"
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"She does a great job
with the kids," "She volunteers,"
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She even has time for girls' nights out.
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So, I brought a friend home
after one such girls' night out.
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As we approached her house, drove up,
she looked up to her bedroom window,
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she saw that the lights were on,
and she said,
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"Argh! Donny is waiting up for me.
Do me a favor.
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Drive around the block a few times
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(Laughter)
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until the light goes out."
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I said, "Listen! You get in there
and make love to your husband,
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before somebody else does."
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Because that is one thing
that will increase a woman's sexual desire
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when someone else wants her man.
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Still unconvinced, she said,
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"I decided to extol
the health and beauty benefits
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that sex has for a woman:
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a youthful glow, better sleep,
wrinkle-free skin.
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Keep driving," she said.
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(Laughter)
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There is a device that will increase
anybody's sexual desire,
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and that happens to be
the Mercedes-Benz 4matic convertible SL
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(Laughter)
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and it comes in 64 colors.
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But if that doesn't do it,
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the desire to have a baby will rev up
any woman's sex drive.
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The problem is having that baby
is likely to kill it
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along with any marital eroticism
a couple may have had
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because a lot of people believe
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motherhood and being sexual
is incongruous.
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John followed me on Linkedln for two years
before he mustered up the courage
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to make an appointment
about his sexless marriage.
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He'd been married for seven years,
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and they had never
consummated the relationship.
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Their parents were pressuring them
to have children
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because they wanted grandchildren.
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When they came into my clinical practice,
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the second question that I ask everybody
that enters my clinical practice,
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most unfortunately, is,
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"Have you ever experienced sexual abuse
or unwanted sexual advances as a child?"
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This was the first time
this gentleman had learned
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that his wife had experienced
sexual abuse, as a six-year-old,
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at the hands of her best friend's father.
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She thought sex was dirty, she hated sex.
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We need a worldwide moratorium
on ending sexual violence on our children,
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boys and girls,
because it happens to both.
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(Applause)
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Healing from sexual abuse
takes a lifetime.
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Ella had lived a lifetime.
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A widow, she said she wasn't
sexually active, but she hoped to be.
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I thought, "Fantastic!
Somebody is going to have sex here!"
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But she said, "The problem, Maureen,
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is that these old guys
can't get it up anymore."
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I said, "Well, Ella, you might have
to go for a younger guy."
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She said, "What's younger
when you are 84?"
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(Laughter)
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"70?"
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(Laughter)
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"Yes," some of you are saying.
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The hard truth is
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that men in their 30s and 40s
may experience erectile dysfunction.
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00:14:09,732 --> 00:14:13,451
Ella is going to have to go
for a millennial.
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00:14:13,452 --> 00:14:15,002
(Laughter)
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So you are all probably thinking,
"What's the big deal?
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Why treat my erectile dysfunction?"
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00:14:23,067 --> 00:14:26,359
Well, I liken the penis to a plane.
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If the pilot can't get
the plane up in the air
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and keep the plane
in the air for the entire trip,
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it's probably a problem with the engine.
246
00:14:35,582 --> 00:14:37,751
So if you can't get your penis up
247
00:14:37,752 --> 00:14:41,132
and keep it up
for the entire sexual experience,
248
00:14:41,924 --> 00:14:44,372
there's likely a problem with your engine.
249
00:14:44,373 --> 00:14:46,054
Well, that's your heart.
250
00:14:46,754 --> 00:14:49,339
Erectile dysfunction
is the canary in the coal mine,
251
00:14:49,340 --> 00:14:52,175
and it may signify cardiovascular disease.
252
00:14:52,176 --> 00:14:54,925
It may also indicate diabetes.
253
00:14:54,926 --> 00:14:57,186
So, these two medical conditions,
254
00:14:57,187 --> 00:15:01,761
in addition to low testosterone,
stress, substance use and abuse,
255
00:15:01,762 --> 00:15:06,610
excessive alcohol consumption,
unresolved conflict, financial issues,
256
00:15:06,611 --> 00:15:09,409
all of those may contribute
to low sexual desire,
257
00:15:09,410 --> 00:15:12,441
and you may end up in a sexless marriage.
258
00:15:13,497 --> 00:15:16,568
George presented to my clinical practice:
259
00:15:16,569 --> 00:15:20,199
at age 40, he decided to settle down.
260
00:15:20,299 --> 00:15:25,130
He was marrying a beautiful
and accomplished woman
261
00:15:25,870 --> 00:15:27,439
in a few months.
262
00:15:27,440 --> 00:15:29,130
There's only one problem:
263
00:15:30,000 --> 00:15:31,189
George was gay!
264
00:15:31,190 --> 00:15:32,847
(Laughter)
265
00:15:32,848 --> 00:15:38,687
George could not bear to tell
his family that he was gay,
266
00:15:38,688 --> 00:15:42,366
because he felt it would have
shamed the entire family.
267
00:15:42,572 --> 00:15:46,191
I said, "George, you are going to end up
in a sexless marriage!"
268
00:15:46,192 --> 00:15:48,420
He said, "Tell me something I don't know!"
269
00:15:49,175 --> 00:15:51,765
So, George said to me his plan was this,
270
00:15:52,823 --> 00:15:57,672
"Well, when my parents die,
I'm then going to divorce this woman,
271
00:15:57,673 --> 00:16:00,263
and I'm going to marry
the man that I love."
272
00:16:00,509 --> 00:16:03,348
I said, "George,
you are not thinking straight!"
273
00:16:03,349 --> 00:16:04,906
(Laughter)
274
00:16:09,550 --> 00:16:13,450
Sex is the barometer
of the state of affairs in a marriage.
275
00:16:13,560 --> 00:16:20,225
People who live in sexless marriages
report feeling frustrated, unloved,
276
00:16:20,226 --> 00:16:25,406
undesirable, unattractive,
and the worst of all, lonely.
277
00:16:25,568 --> 00:16:29,913
And loneliness has been shown
to increase vascular resistance,
278
00:16:29,914 --> 00:16:34,294
elevate blood pressure,
and lead to an early death.
279
00:16:35,462 --> 00:16:38,756
You are more likely to die from loneliness
280
00:16:38,757 --> 00:16:43,387
than you are from obesity
or excessive alcohol consumption.
281
00:16:43,804 --> 00:16:46,163
When I educate women, and I say,
282
00:16:46,164 --> 00:16:50,796
"If you are not having sex
with your husband, someone else may,"
283
00:16:50,797 --> 00:16:52,702
they get upset, and they say
284
00:16:52,703 --> 00:16:55,691
that I am blaming women
for men's bad behavior,
285
00:16:55,692 --> 00:16:59,571
when in actuality,
I am doing a community service.
286
00:16:59,572 --> 00:17:00,579
You see?
287
00:17:00,580 --> 00:17:05,628
Men in sexless marriages cheat
to remain in that marriage, in general.
288
00:17:05,630 --> 00:17:09,424
And women cheat
to leave a sexless marriage.
289
00:17:09,425 --> 00:17:11,928
And women cheat, too.
Nobody ever thinks we do.
290
00:17:11,929 --> 00:17:14,560
We are just sneakier about it,
we just don't get caught.
291
00:17:14,563 --> 00:17:15,578
(Laughter)
292
00:17:15,579 --> 00:17:17,518
Or socialize very differently.
293
00:17:17,519 --> 00:17:19,413
This is one thing we have on you, guys.
294
00:17:19,414 --> 00:17:20,644
(Laughter)
295
00:17:21,690 --> 00:17:25,851
Women cheat with other men,
and women cheat with other women.
296
00:17:26,098 --> 00:17:29,728
And technology has made cheating
accessible for everybody:
297
00:17:29,737 --> 00:17:32,766
from the politician
to the stay-at-home parent.
298
00:17:32,767 --> 00:17:38,523
That quick swipe right can lead
to an online passionate love affair;
299
00:17:39,015 --> 00:17:42,944
from texting to sexting,
to secret phone conversations.
300
00:17:42,945 --> 00:17:45,631
The more two people communicate online,
301
00:17:45,632 --> 00:17:49,602
the more likely
an in-person encounter will occur.
302
00:17:49,830 --> 00:17:53,060
But you can always blame your genes.
303
00:17:54,031 --> 00:17:58,390
The gene DRD4
has been isolated in cheaters.
304
00:17:58,391 --> 00:18:04,241
And the sexless marriage's just
the environment to turn on that gene.
305
00:18:04,490 --> 00:18:07,190
It's based on a system
of pleasure and reward.
306
00:18:08,135 --> 00:18:11,494
The stakes are high,
the rewards, substantial.
307
00:18:11,495 --> 00:18:17,580
It is the perfect cocktail
to turn that love drug back on, PEA,
308
00:18:17,581 --> 00:18:19,901
and the cycle begins again.
309
00:18:20,096 --> 00:18:25,419
Historically, marriage was
not based on mutual love
310
00:18:25,420 --> 00:18:28,830
But rather it was an institution
to acquire, of all things,
311
00:18:28,831 --> 00:18:33,600
in-laws, property, and physical labor.
312
00:18:33,601 --> 00:18:36,921
But at the turn
of the 20th century, in America,
313
00:18:36,922 --> 00:18:41,066
egalitarian ideals and the emerging
Hollywood movie industry
314
00:18:42,016 --> 00:18:45,156
burdened marriages
with promising romantic love forever.
315
00:18:45,227 --> 00:18:48,082
And now we are living forever.
Fantastic! Congratulations!
316
00:18:48,083 --> 00:18:51,633
You get to have sex with the same person
for the rest of your life!
317
00:18:52,183 --> 00:18:55,251
The second most common question
that I hear from patients
318
00:18:55,252 --> 00:18:57,082
is, "When does sex end?"
319
00:18:57,653 --> 00:19:01,593
A 44-year-old asked me; he said,
"When does sex end, Maureen? 65?"
320
00:19:01,622 --> 00:19:04,505
I answered him this way,
"A 22-year-old asked me,
321
00:19:04,506 --> 00:19:09,465
'When does sex end, Maureen? 35?'
Everybody is older, until you get there."
322
00:19:09,466 --> 00:19:12,400
I am here to tell you that sex never ends.
323
00:19:13,050 --> 00:19:15,249
If you are healthy, you can have
324
00:19:15,250 --> 00:19:16,619
(Cheers)
325
00:19:16,620 --> 00:19:18,140
(Applause)
326
00:19:20,811 --> 00:19:22,019
If you are healthy,
327
00:19:22,020 --> 00:19:25,970
you can have a great sex life
well into your 80s and 90s.
328
00:19:26,652 --> 00:19:29,812
Sex is good for you. Sex is healthy.
329
00:19:30,374 --> 00:19:32,594
Yet, sex is shrouded in shame.
330
00:19:33,570 --> 00:19:35,193
In the ancient aristocracies,
331
00:19:35,194 --> 00:19:36,317
the wealthy men
332
00:19:36,318 --> 00:19:39,317
had courtesans for pleasure
and concubines for quick sex.
333
00:19:39,318 --> 00:19:43,258
In the way we are going,
computers will be our concubines;
334
00:19:43,779 --> 00:19:46,679
internet pornography,
our mistress of the day.
335
00:19:47,321 --> 00:19:52,051
Technology is fast replacing
human connection at high speed.
336
00:19:53,057 --> 00:19:56,057
So, how do you rev up
the sexless marriage?
337
00:19:56,515 --> 00:19:59,945
Sex is about blood flow, it's exercise.
338
00:20:00,669 --> 00:20:03,059
Everyday, you want
to have a daily workout.
339
00:20:03,081 --> 00:20:05,641
It increases your agility, your stamina.
340
00:20:06,301 --> 00:20:09,431
Women will experience
more sexual sensation
341
00:20:10,171 --> 00:20:12,641
when blood is flowing to the genitalia.
342
00:20:12,923 --> 00:20:15,773
It also helps to treat
erectile dysfunction.
343
00:20:16,472 --> 00:20:19,732
Also, get help for any of the sexual
dysfunctions you may have.
344
00:20:20,057 --> 00:20:23,636
Vaginal dryness is an issue
that happens to women
345
00:20:23,637 --> 00:20:26,781
who are on the oral contraceptive pill,
who are breastfeeding,
346
00:20:26,782 --> 00:20:28,701
perimenopausal, postmenopausal,
347
00:20:28,702 --> 00:20:30,712
and there are treatments for you.
348
00:20:30,713 --> 00:20:34,293
Pay more attention to your spouse
than you do to your smartphone.
349
00:20:34,908 --> 00:20:39,328
Spend more time in your bedrooms
than you do in your boardrooms,
350
00:20:39,597 --> 00:20:43,016
or your bedrooms
are going to become boardrooms.
351
00:20:43,017 --> 00:20:44,723
(Laughter)
352
00:20:44,724 --> 00:20:46,675
Deal with your marital issues.
353
00:20:47,276 --> 00:20:50,225
Go to sleep in the same bed,
at the same time,
354
00:20:50,226 --> 00:20:53,785
and don't bring anything or anyone
into your marriage,
355
00:20:53,786 --> 00:20:57,245
except for a great sex toy
and a darn good sex therapist.
356
00:20:57,246 --> 00:20:58,866
(Laughter)
357
00:21:00,614 --> 00:21:02,843
You must establish guidelines
358
00:21:02,844 --> 00:21:05,882
that govern those moments
when you are struck
359
00:21:05,883 --> 00:21:08,871
by someone's attractiveness
outside of your marriage.
360
00:21:09,531 --> 00:21:11,190
But don't think for a second
361
00:21:11,191 --> 00:21:13,900
that you have to have sex
with the same person
362
00:21:13,901 --> 00:21:15,436
for the rest of your life.
363
00:21:15,437 --> 00:21:17,057
That's not what I mean.
364
00:21:17,997 --> 00:21:21,167
In your mind, that is, fantasy is key.
365
00:21:22,225 --> 00:21:24,705
Your brain is your largest sex organ.
366
00:21:25,231 --> 00:21:29,811
And one more thing: I would like
to leave you all off with a bang:
367
00:21:29,826 --> 00:21:31,300
(Laughter)
368
00:21:31,301 --> 00:21:36,800
settle all marital arguments
in the bedroom, naked.
369
00:21:36,801 --> 00:21:38,381
(Cheers) (Laughter)
370
00:21:38,382 --> 00:21:40,182
(Applause)
28684
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