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Dr Hetal Gosalia explains common marital intimacy concerns. She highlights that reduced sexual desire in men may be linked to hormonal changes, stress, or health issues, and recommends medical consultation. The advice stresses communication, consent, & respecting personal boundaries in sexual preferences, while encouraging couples to seek counselling to strengthen their relationship.

For some inexplicable reason my husband has stopped having Intercourse. He is 56 and I am 47 years old. When I asked him he was not forthcoming with a reply. Please advise. RD, Khar

There has to be a genuine reason for his behaviour which needs to be understood from a medical point of view. It is definitely a point of confusion and worry for you as he has stopped getting physically intimate with you. The most common reason is: As fem - ales pass through menopau - se, men too pass through hormone changes called Andro - pause. It leads to decrease in testosterone and reduced desire, mood changes or erection issues. Difficulty in getting erection leads to an avoidance mechanism.

He stops physical intimacy. Other reasons can be pressure at work, family discord, physical health issues, etc. He still loves you the same but is unable to express physically. You cannot be his teacher here. On your asking, he feels ashamed and it hits him bad at heart. Silence too will create a gap in the relationship. Best is to take professional help. It is very simple. A sexologist will listen to you both and a right pill will solve his problem. And bedroom life will spice up again.

My husband insists on oral sex as part of foreplay. But I detest it. In fact I find it a sick thing to do. What should I do? AS, Thane