A reader recently wrote to a sex advice column about a concern she has with her boyfriend. He has been asking her to perform oral sex while he is driving, a situation she finds unsafe. The columnist responded by emphasizing that repeated requests for something after a clear "no" can be a form of coercion. The advice included setting firm boundaries in the relationship, even if that meant ending it if necessary. Another reader shared a different but related struggle. She has experienced coercive sexual situations in the past and now finds herself in a marriage where she feels obligated to perform sexually, despite not enjoying it. She is concerned that she may be doomed to a life of disliking sex and is seeking guidance on how to improve her relationship with it. The columnist encouraged her to explore her feelings and consider therapy or counseling to address the emotional and psychological aspects of her experience. A third reader wrote about her experience with the weight-loss medication Ozempic. She has successfully lost weight and improved her health but has noticed a significant decrease in sexual desire and pleasure. This change has had an emotional impact on her, and she is unsure if the medication is responsible for these effects. The columnist advised her to consult a psychiatrist who specializes in GLP-1 drugs and hormone disorders, and to consider non-medication alternatives if appropriate. The reader also expressed difficulty in finding pleasure in activities she once enjoyed, including sex, and is struggling with the decision of whether to continue using the medication.