I'm really struggling with erectile dysfunction and it's starting to ruin my marriage. It wasn't such a big deal at first, but it just hasn't gone away. We've been married for four years now and it's gotten to the point where we don't even have any intimacy anymore because of this. What should I do? Can you help?
Erectile dysfunction (ED) can be emotionally challenging, especially in a marital context; consider consulting a urologist or a sex therapist to address underlying causes, which may include physical factors (e.g., diabetes, hypertension), psychological factors (e.g., anxiety, depression), or lifestyle factors (e.g., smoking, obesity); counseling and therapy can also help you and your partner reconnect and strengthen your relationship.