The main reason couples in the U.S. do NOT use condoms is because

A) condoms are expensive.
B) they believe safe sex is not romantic or spontaneous.
C) condoms significantly affect the experience of sexual pleasure.
D) they are unaware of the effectiveness of condoms as a birth control method.

Studies show that many couples in the U.S. avoid using condoms because they believe safe sex is not romantic or spontaneous. This attitude is often fueled by popular culture and societal norms that portray condom use as a barrier or obstacle to intimacy. While cost, pleasure, and awareness are also factors that can influence condom use, the belief that safe sex is unromantic is one of the most common reasons why couples do not use condoms.