James and Yelena have been married for 22 years and have three grown children, now out of the house. Sex was never particularly enjoyable for Yelena, primarily because James was uninterested in much foreplay and Yelena felt it was unfeminine to make any sexual demands of her husband. However, because of her love for James, she accommodated his desire for sex two or three times a week, and consistently “faked orgasms.”
James also does not think “a real man” should receive any “help” from his wife to get an erection, even when his erections became less firm and less predictable. As a result, over the last two years, James rarely initiated sex and Yelena felt relieved, thinking she would now be “excused from sex.” Furthermore, she is in perimenopause, and has begun to experience increasingly uncomfortable penetration. Suddenly, James’ vigor and sexual interest has returned with greater intensity than ever. Yelena discovered he was secretly taking Viagra, which he obtained over the Internet.