According to Dr. Kerner, "The problem is so many couples, and especially women, lack the will to have sex. Women need to do whatever it takes to feel sexy, and to rediscover their sexy sense of self-esteem. This is something men just don’t understand. They see their wives and think they look pretty hot. Meanwhile, mom feels peed on, pooped on, hasn’t showered in days, been to the gym in two weeks, or hasn't had a pedicure in four months. Guys aren’t really seeing all of those details and what goes into building a sense of sexual-esteem. I think women need to be more proactive in doing those things and communicating to guys how they can help."