According to McCarthy (1999), “When sexuality functions well in a marriage, it is 15 to 20% of the relationship, creating special feelings and energizing the bond. When sexuality is dysfunctional or nonexistent, it plays an inordinately powerful role, 50 to 75%, draining the marriage of intimacy and vitality” (p. 297). Couples who are engaged in pursuer-distancer dynamics often present with sexual symptoms. While these symptoms vary, the common denominator is that one seemingly desperate partner pursues the other in the context of a sexually related activity. The pursuer may pursue for any sex, more sex, a particular type of sex (e.g., oral), more passionate sex, higher functioning sex (e.g., firmer erection), or sex initiated by the distancing partner. The distancing partner tends to avoid giving the pursuer whatever he or she is after, and the dynamic ensues.