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What if the other head is not in the mood?
Then they wouldn't do it.
It's hard for us to imagine but they have to live in agreement of everything they do.
They have been doing it since birth so imagine they've worked out a lot of ground rules around this sort of thing.
They have same blood circulation, so hormones etc. affect both.
There's more to being "in the mood" than hormones. Non-consensual sex can trigger a similar hormonal response as consensual sex, but that doesn't mean the victim "enjoys it" or whatever.
So I wonder how much the brain dampens the orgasm response if you're not interested.
Being physically aroused and mentally aroused are two different things. I hope that they would take her body-mate's feelings into consideration. I bet they both are romantically involved with the husband but legally could only marry one.