This is why I believe sex work should be legalized and regulated with training and extra health insurance provided by the state.
There are a multitude of women and men who are so starved for emotional intimacy and physical intimacy it places those that are brave enough in a position to use sex workers properly, but then they are not realizing due to the huge mental damage by others in their life, that they are trauma bonding with the worker.
I believe there is an island (cook islands I believe) where older women train younger boys in sex with women. In fact they actively push both young girls and boys to masturbate and remove the taboo from sex. However, in this culture, once mated with a partner, extramarital affairs are not allowed.
Given how stunted American life is around sex everyone has issues, and if you don't one is in denial.
Wouldn't it be a great society if everyone didn't have the guilt, and puritan sex play only happened in consensual sex play :)