Health

Couples who have sex once a week are happiest — having any more doesn't make a difference

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Pandemic stress and uncertainty led to a decline in sex among couples, leaving many concerned if — and how — they could ever reignite their sex lives.

For partners who need a place to start, having sex once a week may help.

Couples who commit to having sex one time each week are more likely to have happy and fulfilling relationships, inside and outside of the bedroom, according to sex therapist Ian Kerner.

During an appearance on the podcast Pregnant ish, Kerner spoke with host Andrea Syrtash about how couples can overcome hurdles in their sex lives — especially when trying to get pregnant.

Having sex once a week for fun supports relationship satisfaction, research suggests

A 2015 study, in the journal Social Psychology and Personality Science, found that couples who had sex once a week were more likely to feel satisfied in their relationships than those who had less sex. The researchers also found that having sex more often than once a week didn't add to relationship satisfaction.

And the type of sex you're having matters, too. 

Kerner explained that sex falls into three categories: Recreational, or just for fun, relational, or to feel connected to your partner, and procreative, or to have babies.

Though all three types of sex have important roles, putting too much focus on one type of sex can turn the moment into an anxiety-ridden activity. 

For example, Kerner works with many couples who underwent IVF to conceive, and has found their sex lives crash when fertility treatments start. Often, they forget sex can be a tool to boost intimacy, not just to have babies, he said.

"I think really making that effort to hold on to sex is important and not waiting until you get on the other side of something to get back to being sexual," Kerner, who recently wrote the book "Tell Me About the Last Time You Had Sex," told Syrtash.

Fitting relational and recreational sex into your procreative sex routine can help relieve the pressure, according to Kerner.

How to fit sex into your weekly schedule

When it comes to relational sex, the type of sexual experience that helps you feel bonded with your partner, Kerner suggested committing to sexy time once each week.

If you aren't in the mood for penetrative sex, Kerner said broadening your ideas of what counts as relational sex can help keep intimacy alive.

He often tells his patients to schedule a weekly "willingness window" where they dedicate time to a fun and intimate activity with their partner, like reading erotica to each other, taking a shower together, or making out.

"And it's meant to be something that's scheduled, something that you'll show up for, because it's important, but also something that's non-pressured and that could actually be fun," Kerner told Syrtash.

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Julia Naftulin
Julia Naftulin is an editor on Business Insider's Special Projects team, where she leads editorial initiatives spanning the business, tech, and lifestyle spaces.She has launched and managed series covering how companies adopt and implement AIthe business of food, the 2026 World Cup, and innovation in supply chain management, as well as projects like the AI Power List.Previously, Julia served a five-year tenure as health reporter at Business Insider, covering general wellness and the intersection of relationships, psychology, and culture.Julia reported on the life of a Wall Street accountant-turned-professional-girlfriend, took readers inside Goop's first cruise, explored the dating industry, and delved into the latest plastic surgery trends. She was also Business Insider's resident relationship advice columnist, penning the now-defunct column Doing It Right.She has held editor roles at Health.com and Dotdash Meredith. Her work has been published in Health magazine and on Time, Apartment Therapy, The Knot, and Bicycling.com.Julia graduated from Syracuse University with a Bachelor of Science in Magazine Journalism. Julia lives in Philadelphia with her dachshund, Gretchen.