If one adopts an arbitrary criterion of being sexual less than 10 time
s a year, approximately 20% of married couples have a nonsexual relati
onship. This is a major mental health problem that poses a threat to m
arital satisfaction and viability. The strategy in confronting a nonse
xual marriage is to treat it as a couple issue. The prescription for c
hange is to take personal responsibility for sexuality, rebuild intima
cy, reintroduce nondemand pleasuring, and add erotic stimulation.