My hypothesis is that Americans are both hypersexual (due to media, porn abuse, etc) and thus deprived of good sex as a result of the over stimulation toward faked, idealized, porn-ified sex. I have no evidence for this, it is merely a hunch and seems to align with what I have heard from people who have moved here from other countries. My parents themselves were immigrants and were shocked at the hypersexuality when they moved here. Simultaneously to that, they were shocked you couldn't even see a boob on TV. The natural human body itself was censored but gigantic fake boobs and butts were plastered all over MTV and VH1, albeit clothed. They'd also never heard of the over emphasis and anxiety over penis size until they came here.