Clearly some women and men do say "I'm too tired" when they mean "I don't want to", "I'm too stressed", "I have other things on my mind", or "I'm annoyed with you". What it means probably depends on the person. Often it is a way of getting out of sex without a confrontation -- she could just be mad that you came home late and didn't call or didn't empty the dishwasher.

But the take-home message from this study should be that women (and likely men) are not getting enough sleep, bottom line, and that there are ways men and women, as partners, can improve this. Sleep has a very important effect -- including having enough energy for sex as well as sexual performance.

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