I feel that sex is important because as others pointed out it is an intimate thing that helps create and maintain a special bond between two people. And if you are married or serious, it is a bond that should be unique and special to just that couple. Of course, just sex isn't the most important, but also physical contact in general, which can be cuddling or other forms of physical contact.
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Originally Posted by Crack
To be completely rejected any and every time by someone must start to take a toll. Personally, I would be hurt at first, then frustrated, and then I would begin to resent them.
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This is very true. If you are with somebody and you are constantly thwarted, you start wondering why and those are the exact order of the feelings one would feel. Plus, it makes one think 'What is wrong with me?' Especially if low self-esteem has been an issue in the past. I think that this is one of the main factors that cause people to search for something outside the current relationship.
Communication is important, but once hurt and resentment is formed, communication begins to drop off as well. If you stated your feelings and you get a not-so positive response, why keep going on about it? People just disengage from the issue and either accept it how it is or think of other ways to fix the problem. And some of the solutions may be damaging.