When a couple is in a long-term monogamous relationship, symptoms affecting sexuality as the result of medical issues, chronic illness or disability, or even natural aging, are inevitable. Naturally, as we pass through life, our bodies experience physiological changes which affect our sexual functioning. Physiological changes might include pregnancy and nursing, coronary artery disease, cancer treatments, arthritis and chronic pain, injuries, diabetes, multiple sclerosis, aging, prostate problems or autoimmune disorders. Learning how to navigate through these changes by means of communication and compassion can be helpful for the sexual relationship. Medical issues, chronic illness, disability and aging are all capable of affecting the sexual relationship and can create symptoms that…