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The sight of a couple sharing a joke and walking hand in hand, their faces lined with wrinkles, and their hair gray, begs the question: How did they remain a happy couple for so many years?Given that about half of all first marriages for men and women under 45 end in divorce, it's a legitimate question.That future, according to most marriage experts, should include a healthy sex life.While sex isn't everything to happy couples, sexual problems can lead to marital discord."If both partners are motivated, they can turn things around," Markman tells Web MD. is now encrypted, except for our Electronic Reading Room, to assure visitor confidentiality.As a result, the Web address for pages and documents in our site has changed from to https://.In addition, CIA Careers has moved to a new location within the Web site Please use the links or the search form below to find the information you seek.

"I tell them, 'If this were a business, would you let it flounder like this? Presenting sex in this light makes problems, and solutions, more concrete for couples.

Some couples simply aren't prepared to tell, or hear, the truth. He also strongly urges couples to plan for financial emergencies.

This helps diffuse any potential blowups, such as who will sacrifice personal spending money when urgent house repairs must be funded.

That men and women tend to have different ideas about sex doesn't help matters.

"Generally speaking, women tend to see sexuality as part of a larger construct. Sheridan, a judge and founder of Marriages That Work, a nonprofit organization in Michigan that teaches instructional courses on how to strengthen marriages. Men have to be in the room." Many times, misunderstandings over these differences lead to a break down in a healthy sexual relationship within a marriage, even among happy couples. Patti Britton, president of the American Association for Sexuality Educators, Counselors and Therapists, calls sexless marriages an "epidemic." She reports that many of the married clients she sees haven't had sex in 10 years.

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Every couple faces adversity, from slumps in their sex lives to bickering over the checkbook balance.

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