Therapists focus on issues in the wider relationship, which may make a woman more amenable to providing the intercourse a man wants. A woman may enjoy pleasuring her lover when she feels that she has had rewards elsewhere in the relationship. Early in relationships, women enjoy the emotional connection they feel for a man they love. But this wears thin if a man never shows his appreciation of the pleasure that a woman offers him without obtaining any reward for herself. Some women are content with upper-body lovemaking - kissing and caressing - but any woman who is familiar with orgasm (from masturbation) will find sex lacking.
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