Toronto Star

How will catheter affect man’s sex life?

- Ellie

Is it possible for a man with a long-term catheter in place to obtain an erection? Curious

The precise answer in this case should come from a doctor.

Yet, there IS a relationsh­ip issue involved, too.

Either your partner now needs a long-term catheter through his penis to his bladder, or you are the man who requires this treatment and are concerned about having sex.

Still, the first step is a full discussion of the reasons for the catheter and the implicatio­ns for achieving an erection, with a medical profession­al — preferably the one who prescribed it. Now for the relationsh­ip factor.

Lots of couples experience periods when intercours­e is difficult, painful or no longer possible.

If you or your partner are worrying about losing all intimacy, talk to a counsellor.

And explore through a sex manual, or see the still-relevant Kama Sutra, how you can stay emotionall­y loving and physically connected.

If the medical answer in this case is no intercours­e, the partner can be sexually satisfied in other ways, and the person with the catheter still valued for himself. My adult sisters often get together and I’m never included.

I called my sister New Year’s Eve to wish her a happy New Year, and she had all the sisters there except me. Even though I’m middle-aged myself, it still hurts.

I’m not asking them to include me. I’m just wondering how to deal with the slap in the face.

My self-esteem has taken a beating this year. I lost my job and it’s been tough, and then no support from my family.

I will get over it, it just takes a bit of time. The Other Sister

This isn’t new between you and your sisters, but it is bad timing for you.

Your sadness about their gathering without you is understand­able, but it makes your confidence that you’ll get over it all the more impressive.

Whatever developed this pattern of older sisters was about them, not you.

You have your own life and need to focus on finding a way to replace your job and feel productive and healthy.

Make sure you stay fit during this time of change — looking for work is a job in itself and you need your energy and good spirits for the task. Feedback regarding who gets to keep the ring after an engagement’s broken (Jan. 3):

Reader 1: The writer’s understand­ing that returning an engagement ring that was given on a holiday (e.g. Christmas) isn’t necessary, as the recipient can say it was a gift, rather than part of a contract between them. That was a new one to me. In my experience, the return of the ring depends on who broke the engagement.

If she broke it, he gets the ring back.

If he breaks it, she gets a consolatio­n prize — keeping the ring.

Reader 2: I believe that the ring recipient should return the engagement ring if she decides not to marry the giver.

But if he ended things, she should keep the ring.

Let’s get modern and real about this: Those rings are expensive.

And some couples with engagement rings are same sex, so gender doesn’t count here any more than blame should determine the ringkeeper.

If the commitment to marry someone is gone, both sides are better off moving on.

Keeping the ring is just bitter spite. Legal opinions on this may differ, but I say, give it back.

Lots of couples experience periods when intercours­e is difficult, but you can stay emotionall­y loving and physically connected

Tip of the day If a health issue affects your sex life, discuss this first with your doctor, then see a counsellor if needed. Read Ellie Monday to Saturday. Email ellie@thestar.ca or visit her website, ellieadvic­e.com. Follow @ellieadvic­e.

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