First time i tried Stendra, prescribed by my urologist I had a quick psychiatric reaction; made me hypomanic. I have bipolar. So I told my wife what was going on. She blew up. Ranted about how disgusting it was that men are taking those medicines to have sex. I countered that Viagra or other such drugs are saving marriages or relationships. She wasn't hearing it.This was widely known decades ago. The longer the marriage, the less sex. Notable milestones were after kids, after menopause or a hysterectomy. Many older women said they were no longer interested in sex and felt their husbands should just accept it. Probably a reason why so many men in this situation would look for release elsewhere. Later, feminists began pushing the idea that the reason for women's lack of interest, wasn't due to biology, but due to men not doing enough to maintain her interest. If you google this scenario, you will find countless articles on this, along with ones telling women (that have lost interest) to do this, that or the other, to bring it back, along with saying that if a woman isn't interested, there must be something wrong with her. What they always fail to acknowledge is that a lot of women just lose interest and are fine with that. When Viagra became popular, there were countless statements from women complaining about it, as they didn't want their husbands "pestering" them for sex. So, if a man wants a healthy sex life, and perhaps uses testosterone, etc., to support this, what is he supposed to do if his mate wants nothing to do with it?
As I've written, my wife has emotional problems and sexual issues. I learned some things about her life before we met, some of which she indirectly confirmed, and she would have been better off continuing dating women. I believe she's a lesbian but she could never accept herself. I feel sorry for her. Certainly, in our marriage, we've both been dissatisfied and, in later years, miserable. Now she has worsening dementia. As it continues on its downward trajectory, she'll be in long term care in the next six months or no more than a year, IMO. And I'm back to being single.