Prolonged sexual abstinence does not in itself pose a direct risk to physical health. The body continues to function, and most effects depend on context, lifestyle, and overall health.
That said, research highlights certain benefits of regular intimacy: more stable cardiovascular function, better maintenance of erectile capacity, and possibly even a stronger immune response thanks to higher levels of immunoglobulin A.
Sexuality, then, is not essential for survival, but — like good nutrition and regular exercise — it can contribute to a broader sense of balance and well-being.