When a couple does not have sex for a long time, it is called a sexless marriage. There are various reasons why this may happen such as emotional distance between the partners, physical illness in one partner, stress, or long-standing problems. Sexless marriages may lead to strained intimacy and dissatisfaction with the relationship as a whole thereby causing feelings of frustration or worthlessness. For this reason, addressing the problem involves open and honest communication between spouses so they can know what is causing their problem and how to solve it. The couples could then seek counseling or therapy on emotional and relational issues as well as intimacy. The only solution to treating a sexless marriage is to understand what each person needs and then join efforts in making things better in the relationship.