Where do you turn to when you need to confide in someone? Who can you trust to listen to your problems, not judge you, and show you basic human decency? Some people are lucky enough to have one or more person they can turn to during difficult times.

For me, it’s my parents. Both my mother and my father have always been there for me, no matter what I’m going through. I can tell them anything and I know they’ll listen. They won’t judge me. They won’t tell me to just suck it up. They’ve helped me through some pretty difficult times and I love them deeply for that.

Some people aren’t as lucky. They don’t have close friends or family members they feel they can turn to. This is especially true for those with poor social skills or severe social anxieties. These issues affect everyone, regardless of race, gender, or sexual orientation. However, in recent years, the impact on men has been more pronounced.

As a result, some of those men have been turning to an unexpected source when they need to confide in someone. It’s not friends, family members, or licensed therapists. It’s sex workers. While there are plenty of ugly politics surrounding sex work, some of which I’ve discussed, this unusual phenomenon makes sense, albeit for tragic reasons.

Rather than speculate on those reasons, I’ll let Nicole Emma share the distressing details from her recent Ted Talk. While I strongly recommend everyone to listen to the full lecture, this one anecdote she shared nicely sums up the issue.

“Yesterday, a miracle happened. Since my wife passed, I’ve been very lonely. I haven’t so much as been hugged in over two years. I’m not handsome. I’m not rich. I don’t know how to talk to women, but you held me. You rubbed my back. You listened to me vent about my grief. This might just be a job for you, but today you saved my life.”

Think about this aside from the fact that a man hired a sex worker. This man was lonely, having lost his wife and not experienced much physical intimacy since then. He’s not some charismatic character from a beer commercial. He’s just an ordinary man with the same basic needs as everyone else. He felt like he couldn’t meet those needs so he turned to a sex worker.

Why he felt this way is difficult to surmise, but as a man, I can make a few educated guesses. Like it or not, there’s a stigma associated with men who share their insecurities. I learned that first-hand last year when I dealt with the death of someone very close to me. Even though I was comfortable confiding in my parents, I still felt inclined to hold back.

I know I’m not the only man who has felt this and there are people far smarter than me who have studied this. There are many factors behind this taboo. Some will blame “toxic masculinity,” a flawed concept at best. Others will attribute it to certain expectations about men that we simply don’t scrutinize as much as we should.

Regardless of the cause, the issue comes back to having few outlets for their feelings. Not everyone can afford a therapist and some are even reluctant to share these sentiments online. Given the prevalence of trolling these days, I can’t say I blame them. In that context, a sex worker is in a perfect position to help these men.

Logistically, it provides them with something clear and transparent. The man knows what the woman wants. The woman knows what the man wants. The price is clear and predetermined. There’s no uncertainty or mixed messages.

Beyond the logistics, the exchange fulfills some of basic of needs. There’s actual, physical intimacy. There’s no screen between the man and the sex worker. There’s real human contact and that, in and of itself, provides significant health benefits. Add the inherent health benefits of orgasms and the impact of a sex worker can be more therapeutic than any therapist.

Even without the sex, a sex worker offers the man something that’s difficult to find, even in today’s hyper-connected world. For once, they’re with someone who will listen to them in a way that’s objective, unbiased, and free of judgment. A sex worker may see them as a client, but part of their work involves providing intimacy. Oftentimes, the line between physical and emotional intimacy isn’t clear.

Ms. Emma, having been a sex worker for years, understood that and, based on her personal testimony, she did her job very well. That man she referenced benefited from having that kind of intimacy. Unlike a therapist or a counselor, she didn’t treat him as someone who was sick or in need of medication. She just treated him as a lonely man who needed some intimacy.

I think many men can empathize with that situation. I doubt don’t that women can empathize with it as well. Sometimes, you don’t want therapy and you don’t want the complexities of other social interactions. You just want someone who provides a service that allows you to feel some basic level of emotional and physical intimacy.

Regardless of how you feel about the legality of prostitution or the men who hire sex workers, there’s no denying that this sort of intimacy is a fundamental need. We’ve seen what happens when people don’t get it. In recent years, we’ve seen it get downright ugly and hateful.

People need emotional and physical outlets, regardless of gender. The fact that sex workers are the primary outlet for some men is emblematic of a much larger problem. Beyond the taboos, stigmas, and misguided gender politics, we’re still human. We all still seek intimate connections. Without it, people will suffer and ignoring that suffering will only make it worse.