The author of the Kama Sutra states that it is also practiced by "unchaste women", but mentions that there are widespread traditional concerns about this being a degrading or unclean practice, with known practitioners being evaded as love partners in large parts of the country. The author appears to somewhat agree with these attitudes, claiming that "a wise man" should not engage in that form of intercourse while acknowledging that it can be appropriate in some unspecified cases.
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The frequency of sexual activity might range from zero (sexual abstinence) to 15 or 20 times a week.[17] In the United States, the average frequency of sexual intercourse for married couples is 2 to 3 times a week.[18][obsolete source] It is generally recognized that postmenopausal women experience declines in frequency of sexual intercourse[19] and that average frequency of intercourse declines with age. According to the Kinsey Institute, the average frequency of sexual intercourse in the US for individuals who have partners is 112 times per year (age 18–29), 86 times per year (age 30–39), and 69 times per year (age 40–49).[20]

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