What should the pmhnp consider

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A couple in their late thirties presents for care. They have been married for eight years, and the wife is becoming increasingly frustrated by their sex life. As their marriage has progressed she has become increasingly disturbed by the fact that her husband cannot ejaculate during intercourse. It is more of an issue lately because she really wants to have a baby. She admits that their sex life has never been -ideal, but that she has been able to reach orgasm, often using a sex toy during sex with her husband. Her husband has ejaculated with manual stimulation, but never during intercourse. The husband is rather quiet during the whole evaluation, but he says he does not ejaculate during intercourse and he is-OK with that. What should the PMHNP consider?

Reference no: EM132470773

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