Ralph dives into a unique and complex relationship concern that's been submitted by one of our listeners, who goes by the pseudonym "Could be worse." In this episode, Ralph tackles the anxiety and insecurity surrounding permission-based intimacy in long-term relationships, especially in the face of health-related challenges.

In our listener's scenario, his wife suffers from unspecified health issues that inhibit frequent, fulfilling intimacy. Despite this, she enjoys and permits him to "use" her between their infrequent, yet mutually satisfying sessions. This episode centers on understanding the psychological and emotional dynamics at play, including feelings of guilt, consent-based fantasies, and addressing the complexities of orgasm-related insecurity in men. Ralph delves into whether these feelings are rooted in genuine discomfort or societal pressures around sexual satisfaction.

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