I can totally live without sex scenes because I honestly just do not care at all. And 99% of them are just totally cringe. I mostly watch shows that don't have any because the genres I prefer usually don't involve sex scenes. The only exception to that is Outlander. And I have to say that in recent seasons, they've increasingly been doing the "fade to black" thing rather than having an actual sex scene. Which is fine for me, but I am certain infuriates the hardcore fans out there (especially those who wish every episode was just the Wedding episode from season 1 over and over again). In fact, the only sex scene that didn't do that in the season 7 first half didn't even involve Jamie and Claire -- it was a Roger and Bree scene.
I've been thinking more of the last sentence of your post -- differences with non-US productions. As I said, I don't gravitate towards shows that would by default include romantic/sex scenes because that's not my thing. And in terms of non-US/Canadian productions, I mostly watch British stuff. I will say that one big difference in general is that UK shows cast actors who look like real people -- e.g. older, not stunningly beautiful model types. So if there is any sort of romantic scene (not just sex scene), it's maybe more relatable because the people look like normal people? I've watched a lot of Danish productions too, e.g. Borgen, Forbrydelson, Bron/Broen, etc. but again, not shows where sex scenes were really going to come up much, if at all.
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I've been thinking more of the last sentence of your post -- differences with non-US productions. As I said, I don't gravitate towards shows that would by default include romantic/sex scenes because that's not my thing. And in terms of non-US/Canadian productions, I mostly watch British stuff. I will say that one big difference in general is that UK shows cast actors who look like real people -- e.g. older, not stunningly beautiful model types. So if there is any sort of romantic scene (not just sex scene), it's maybe more relatable because the people look like normal people? I've watched a lot of Danish productions too, e.g. Borgen, Forbrydelson, Bron/Broen, etc. but again, not shows where sex scenes were really going to come up much, if at all.