Can every couple live without sex?

Although some may be able to be satisfied, most will feel a gaping hole in their relationship, the experts insist.

Dr Lee: "For the majority, the sex or lack of sex is a big factor and can lead to a breakdown in the relationship. In fact, for many, the lack of sex can signal bigger problems."

Mr Koh: "Some couples may think they are happy because they're too busy and distracted to think about it, but once their job stabilises or they become less focused on this other factor, they will realise how empty the relationship is."

What are the negative effects of not having sex?

The biggest problem with not having sex is how it affects the individual, who will then bring these negative feelings into the relationship.

Mr Koh: "Saying no to your partner may make them feel neglected or rejected. Or they may become suspicious and lonely, leading them to seek affection outside the marriage.

"This misunderstanding will lead to couples drifting apart emotionally and physically, and lead to affairs or breakdowns in the relationship.

"It could be a great hit to their self-esteem, and they could fault themselves and become resentful of their own bodies."

Dr Lee: "Not having sex is rarely just about not having sex - it can be an indicator of bigger problems in the relationship, like a loss of love or attraction.

"Some people will decline to make love and attribute it to being busy or tired when in reality, there is a problem with the relationship or they are just not attracted to their partner any more."

Are there other ways to make a relationship work?

Doe not having sex mean the relationship will not be happy? The experts say there are other ways to make it work.

Mr Koh: "There are three ways of maintaining a relationship - sex, intimacy and communication.

"Couples may not have sex, but still do something else together like share a hobby or hold hands and hug. They must freely and frequently communicate.

"These things can keep a relationship going strong too. It is only when a relationship has none of these at all that it will not be happy.

"Sometimes, companionship is enough."

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