Those are valid questions and concerns. I have seen counseling for couples who want to confront those issues and determine whether the foundation of their relationship can handle the shake this type of shift would make. Many marriages don't survive. What I have learned from friends in this situation is that it is based 100% on communication.
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Communication is key. The people here who think marriage cannot be open may have a bias with faith, religion, or ignorance to the fact that other cultures view things differently.