How often is it normal to have sex?

Patient's question:

I and my husband are very inconsistent in this aspect now. We have been together for 5 years. Before, it was once a day or every two days, but now, sometimes even once a week is hard to achieve!
He always says he's tired and has to wake up early for work, refusing to have sex. It makes me feel very uncomfortable. Now, we get along at most 4 times a month, usually 2 or 3 times. He's 25 years old, and I'm 31, making me older than him. We have a great relationship, but in this aspect, I often feel very lost. I always wonder if he's a bit sexually cold? How often should one have sex to be considered normal? Is what we have like this normal?
I am a full-time homemaker.

Doctor's answer:

Hello, how often do you engage in hobbies? It depends on the needs of both parties and their physical condition. There is a significant individual difference in sexual frequency. If there is no impact on normal daily life the next day and no physical discomfort after each sexual activity, then it is acceptable. I believe everyone knows that assisted reproductive technology causes considerable harm to patients. Therefore, it is important to seek treatment as soon as possible. In daily life, attention should be paid to dietary issues, with a preference for light meals and avoiding foods. Additionally, regular follow-up visits may be necessary when needed.

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