"You really think Amy went an entire year or longer without experiencing a single orgasm?"
I find myself sitting in the cold, windowless office of Dr. Campbell. I decided that if Amy refused counseling, maybe I could benefit from it. I mean, my life was definitely messed up enough. Sarah was insistent that he was single handedly responsible for challenging her, and Geoff's views of their own tragic situation. Even if my life with Amy was permanently over, maybe I could better appreciate how I screwed up in the last act and learn from my numerous mistakes.
"I guess you would have to ask her to be sure. Perhaps on a few occasions she got close, or maybe just experienced a few shallow ones. But no, for the most part, I am pretty certain our encounters were mostly one sided after she started on the anti-hormone treatments. At least, that's what I chalked it up to be."
"It's not hard to imagine why she was disinterested in sex. Especially if it was painful too, right? And you on the other hand continued to carry on as if nothing had changed?"
"Well, no clearly things had changed. She complained to her doctor, I was even there. He was mostly unsympathetic, and insisted things would normalize as she adjusted to treatment and fully recovered from all of the surgeries. He looked me in the eye and suggested we stay the course, it will get better. Things never really improved. And, on his advice I never really tried changing anything."
"That's too bad. I wish we had met sooner, I would have offered considerably different advice. Remember that it's the oncologist's job to save the patient's life; sometimes, a more realistic preview of what happens on the medications discourages patients from ever adhering to the prescribed therapy. That said, I want you to focus on the things you may have done, intentionally or otherwise, that actually hurt your marriage vs. the consequences that arose from your actions - or in some cases, inactions."
"The things that I have done or...not done? I don't follow."
"Kyle, you walked in today believing that your emotional affair was the cause of Amy filing for divorce, and blaming yourself for the error. Your attempted affair was actually a symptom, not a cause of your marital problems."
"So, blame Amy and her cancer treatments for the demise of our previously happy marriage?"
"Sadly - no. I mean to a degree of course you are both to blame, maybe Amy more innocently as she didn't ask to be diagnosed with a life threatening illness. This caused a silent resentment to build across the board, most acutely concentrated around your troubles in the bedroom. Kyle, if we had met earlier I could have helped you with this - Amy was fundamentally a different person after the illness and its associated treatments. She needed you to be a fundamentally different husband, to better accept that she is a dramatically changed wife."
"Yeah, and definitely not for the better..."
"Stop Kyle. You think she was any less upset about this than you? How do you think she felt, attempting to be intimate, when sex previously gave her pleasure and now offers pain? Do you think she was a little bit jealous, to say the least, that she didn't orgasm for over a year and you could climax virtually on demand? You were already sleeping on a bed soaked in gasoline, and seeing a photograph with you and another woman was the match that lit it on fire and burned your loving home straight to the ground."
"Assuming I had met you six months earlier...could we have saved our marriage?"
"It depends, maybe, maybe not. In these situations, there are really a range of outcomes, I can distill them down to the four big ones. The best case is I work with couples to reinvent their entire approach to initiating and sustaining intimacy. Basically, throw out everything you think you know about your partner, and start over as if it was a fresh, new relationship - because in many ways, it is."
"That sounds impossible when we've already been a couple for over 20 years."
"I didn't say it was easy, or even likely. Just possible. There are a number of ways to interest a woman in sex, and most established couples don't ever take the time for actual exploration. Dirty talk, role play, toys in the bedroom. Fantasies, fetishes, sometimes even BDSM - for a lot of couples, a hidden undiscovered world awaits, and she wouldn't even know especially if you tried asking directly. These secret urges exist for nearly everyone, even if only subconsciously, and even in cases where a woman is postmenopausal or on hormone suppression. You probably didn't bother exploring these before, because you didn't have to. In earlier times, your natural hormonal drive was more than enough to sustain a healthy relationship. When this disappeared for Amy, you replaced it with...well, nothing at all. I typically spend a dozen or more coaching sessions with qualified, open minded couples teaching how to explore this, with successful results in at least half of all cases."
"We never actually tried any of that. So, this leaves 3 more options. I'm listening"
"The next 2 most common options involve some degree of celibacy for either the couple, or at least the sexually compromised spouse. Often, mature older couples gravitate to this naturally. They accept their fate, and the change is recognized usually as a cessation of physical sexual activity. These couples try and successfully refocus their marriages around companionship. For younger couples, this usually isn't an acceptable option. In those cases, I would expect some sort of intentionally renegotiated marriage contract. Oftentimes, one where the marriage itself is maintained typically to preserve continuity for the children, or really for any other good reason. But essentially, the compromised spouse is agreeing in a sense to turn a blind eye to the fact their spouse is seeking fulfillment of their physical, and oftentimes their emotional needs related to sex, beyond the boundaries of their traditional marriage."
"You mean opening the marriage? Does that actually work?"
"Well, more often than you might think when there are no other alternatives besides divorce. The concept is called ethical non monogamy. Essentially, the uncompromised spouse seeks their own extramarital partner with the full knowledge and consent of their sexually compromised partner. Usually though, these open arrangements are somewhat of a stop gap. Frequently, couples gravitate back to a mostly celibate lifestyle as they age - with maybe some occasional opportunistic indiscretions, which are usually forgiven in context. Or, in other cases, the uncompromised partner eventually becomes completely infatuated with their extramarital partner and naturally moves to divorce from their compromised spouse. This most commonly happens as children age out of the marital home, or sometimes more spontaneously as events spiral out of control...a lover forces an ultimatum, an unintended pregnancy occurs beyond the marriage, etc. And that leaves us with the 4th most common outcome."
"And that would be personified in Amy simply kicking me out of the house?"
"Well - more or less. But yes, it's not at all uncommon for couples to just declare irreconcilable differences up front and divorce. In these cases, usually it's a merciful dissolution for both parties. In Amy's example, she most likely is viewing herself as a liberator - freeing herself from the obligation to perform sexually for a husband who no longer can physically pleasure her, while at the same time offering you an open opportunity to establish a healthy, more mutually satisfying sexual relationship with a new partner.
"So, you're saying I should officially accept Amy's intent to divorce me, and move on? I was foolish to think there was ever really a chance at reconciliation."
"I don't see a chance at reconciliation from here. I wish I had gotten with you sooner. From your descriptions of Amy, I actually think you could've had a shot at reinventing your physical love life, or at least given it a genuine try before either seeking other arrangements or giving up altogether. But it seems as if it's probably too late now. Kyle, I'm sorry."
"One final question Dr. Campbell - if you'll indulge me. In the instance where a couple agrees to explore the concept of ethical non monogamy, are there any rules or frameworks you see to help this actually be successful over the long term?" I was being a bit self-serving here with my question, not sure if Dr. Campbell had connected the dots between Sarah's referral, the fact she was the woman in Amy's photo exposing me as a perceived adulterer, and her own status as an affiliated patient with a compromised partner of her own.