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Most long-term marriages hit rough spots from time to time. There is no shame in seeking out sex therapy if your trouble is related to sex and/or intimacy. About 93% of couples who visit a sex therapy counselor report their relationship improving after a month or two in counseling. Why does this kind of marriage help work? Because a counselor skilled in rooting out the cause(s) of your difficulties makes a treatment plan tailored to your needs to address them. In my North Carolina practice, I help couples with a wide range of sexual issues, including erectile dysfunction, premature ejaculation, low libido, sex or porn addiction, erectile dysfunction, difficulty coming to orgasm, pain during intercourse, infidelity and more. Many marital problems come down to not being willing or able to share your needs and desires clearly. In sex therapy, couples learn new communication skills and behaviors, then practice them at home.