Summary

Core ideas

• Sexual health is part of relationship health, not a side issue.
• Consent and dignity are non-negotiable.
• ED and libido changes are common and multi-causal.
• Honesty protects trust; silence breeds shame.

The CARE mini-plan

C - Compassion first
Treat this as a health and relationship challenge, not a moral failing.

A - Assessment
Check medical contributors (sleep, stress, meds, health changes) and emotional contributors (shame, fear, resentment).

R - Replace pressure with connection
Keep affection alive without performance demands.

E - Engage help early
Use primary care, specialists, or therapy before the issue hardens.

Dignity rules

• No mocking, pressure, or scorekeeping.
• Consent every time; either partner can pause or stop.
• Talk about this as a team problem, not a character flaw.