Hi Mam, I am a 30 year old woman, married since 11 years. My husband is 36 years years old and have a normal intellectual relationship. The problem is since the past 2 years, we have had a very poor physical relationship. we have intercourse once in a month or 2 months (we indulge in foreplay weekly though) since my husband has been facing medical issues relating to the same and somewhat refrains visiting a doctor. He has even confessed to self consummate occasionally. We do not have a child and since many years we have been trying naturally and medically, but results have not come favorable. We have noticed that recently that our interests in each other has begun fading. My husband really loves me and takes care of me at the same time, I love him too, but things have not been very good of late. We both are very eager to start a family as well and plan to go for another medical attempt soon. Can you guide us how to get back to the healthy relationship we had?

Ans: I'm sorry to hear that you're going through a challenging time in your relationship. It's important to address both the physical and emotional aspects of your relationship to work towards a healthier and happier dynamic. Here are some steps you can consider:

Open Communication: Sit down with your husband and have an open and honest conversation about your feelings and concerns. Share your thoughts about the changes in your physical relationship, the impact it's having on your emotional connection, and your mutual desire to start a family.
Seek Professional Help: Since your husband is experiencing medical issues related to your physical relationship, it's crucial for him to consult a doctor. Encourage him to see a medical professional who specializes in sexual health. It's common for people to feel uncomfortable discussing such matters, but a doctor's guidance can help identify the underlying issues and recommend appropriate treatment.
Counseling or Therapy: Consider seeking couples therapy or counseling to address the emotional aspects of your relationship. A therapist can help both of you communicate more effectively, understand each other's needs, and work through any emotional barriers that might be affecting your intimacy.
Quality Time: Spend quality time together outside of your physical relationship. Engage in activities you both enjoy, communicate openly, and strengthen your emotional bond. This can help rekindle the connection you had before.
Support Each Other: Going through medical challenges and fertility issues can be emotionally draining. Support each other during this time by being patient, understanding, and showing empathy. Remember that you're a team, facing these challenges together.
Intimacy Beyond Sex: Explore ways to maintain intimacy that don't necessarily involve intercourse. Engage in activities that foster emotional closeness, like cuddling, holding hands, or having deep conversations.
Manage Stress: Fertility struggles and relationship issues can lead to increased stress. Find healthy ways to manage stress, such as exercise, meditation, or engaging in hobbies you enjoy.
Set Realistic Expectations: While it's natural to want to conceive and start a family, try not to let this desire put excessive pressure on your relationship. Setting realistic expectations and timelines can help alleviate some of the stress.
Rediscover Each Other: Take time to learn about each other anew. People change over time, so invest effort into discovering your partner's evolving interests, dreams, and aspirations.
Stay Positive: It's important to maintain a positive outlook. Focusing on the strengths of your relationship and the progress you make, both emotionally and physically, can make a significant difference.
Remember that relationships go through ups and downs, and it's not uncommon to face challenges. With open communication, patience, and a willingness to work together, you can navigate these difficulties and work towards reestablishing a healthy and fulfilling relationship. If needed, consider reaching out to professionals, such as therapists or doctors, to provide specialized guidance.