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Couples interested in incorporating a full size sex doll into their relationship should openly discuss boundaries, expectations, and comfort levels to ensure mutual understanding and consent. Keeping an open line of communication about the doll's role can help prevent misunderstandings and ensure both parties feel respected and valued.

It’s crucial to balance the use of sex dolls with efforts to foster relationships, ensuring that the doll enhances rather than replaces real interactions. For some couples, using a sex doll under the guidance of a therapist can help resolve specific sexual or emotional issues without disrupting the primary relationship.