There was a time when it was considered inappropriate to discuss sex and sexual anxieties. Certainly, what you got up to in the bedroom was nobody's business but your own. You would probably rather have all your teeth removed with no anaesthetic, than admit to a complete stranger that your sex life had dried up.
We do have a long way to go, even if SCOTUS takes up the issue this fall. But our society is clearly moving in the direction of marriage equality for all. More than ever before, couples of all stripes are demanding equality, freedom and recognition in their marriages, and are refusing to abide by laws that lag behind.
The California state legislature unanimously passed a bill this month requiring universities to redefine their official definitions of consent as an "affirmative, conscious, and voluntary agreement to engage in sexual activity." The bill's passing is an incredibly needed step in the right direction.