Dr. Berman also wants to make sure Courtney and Pierce have thought through the emotional changes that come with sex. "The first time, it comes with intense emotions, intense feelings—especially afterward," she says.

Questions Dr. Berman says they need to consider are:

• What does this mean for who I am as a person?
• What does this mean for my body?
• What does this mean for my relationship with this person?
• What happens next?
  

If they do have sex, have Courtney and Pierce discussed their expectations for how frequently it would happen? "It's not really up to me," Pierce says. "It's her decision how often she wants to continue doing it, so I don't really have a choice."

Good answer, Dr. Berman says. "She's got to consent. That's good," she says. "That's part of the conversation as well."