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Sex is certainly not the foundation of a relationship, but it is one of the pieces of the puzzle that when fit together with all of the other pieces, make for a relationship.
How important it is changes, and couples that love each other go with the ebb and flow of it. Stress at work can make one partners sexual desires go down, newborns at home, hectic schedules...sex lives evolve over the course of a relationship and sex can go from being the most important thing, to being the least and then move back up the scale at another point in time
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