"Not that he has ED and is ashamed to tell his wife; not that external stresses can depress his libido without narcissism being involved; not that the wife is a shrew, her pop-psych book about being sex-starved is an expression of her own narcissism, and he needs to get out of the marriage; not that sex drive peaks later for women than for men; not that libido might change unequally between two p" . . . .