Even without your wife, seeing a therapist will help you learn how to communicate with her, and give you new ways of looking at your marriage and strategies for coping. Some people with dementia show increased interest in sex and physical closeness , but they may not be able to judge what is appropriate sexual behavior. In most cases, medical treatment can help. I read the frustration and despair in your story and I thank you for being willing to share it here. Infidelity is never the right answer!! Always talk to your doctor before taking any herb or supplement.
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Herant Katchadourian, professor of human biology at Stanford University. Talk with your partner. I think he is doing it on purpose to let you know that he really wants sex, but that is quite rude. Furthermore the AFIB and some remaining heart failure issues make sex not safe to engage in, even if counseling could resolve our relationship issues from the past. Take action. Did it used to add something to your marriage?