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Explanation
The Joke
A daughter approaches her mother and says it is time they had "the sex talk." This immediately sets up the expectation of the classic awkward parent-to-child birds-and-bees conversation. However, the roles are reversed: the daughter is giving the talk to the mother. She tells her mom that she and dad have not had much sex since having kids, and that while this is not uncommon, they need to improve their communication and maintain a "healthy, exploratory erotic relationship."
The mother starts to respond with "I..." and asks if the daughter is weirded out that she is the one delivering this lecture. The daughter says no -- it has just been so long that she cannot remember how sex works. In the final panel, the daughter is reading from a book to her mother, explaining the basics of sex, and the mother reacts with childlike disgust: "Ewww! Noooo! Really?"
The Humor
The comedy comes from a complete inversion of the traditional "sex talk" dynamic. Instead of the parent awkwardly explaining sex to a child, the child is awkwardly counseling the parent about their stale sex life. The reversal escalates when the mother -- an adult woman who has obviously had sex (she has children) -- reacts to the explanation with the same wide-eyed horror that a child would show during the traditional talk. The suggestion that it has been so long she has literally forgotten how sex works is an exaggerated but relatable joke about how parenthood can kill a couple's romantic life.