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Does anyone else run into any problems with personal pronoun confusion when writing sex scenes in third person in same-sex situations?

I can write all kinds of scenes with multiple people of the same gender – conversations, fights, action, whatever – but for some reason, I hit a wall when writing sex scenes. In first person, I’m fine. In third, I either end up with pronoun confusion or repeating names too often.

Anyone else? Or am I as crazy as I think I am?