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Michael Roizen, MD, Internal Medicine, answeredThe stress of unemployment, especially if it lasts for months to years, can wreck havoc on your health and emotional well-being. And that stress can cause problems in the bedroom. If you are all stressed out, you may lose the desire to have sex. You may lose the ability to get and keep an erection that’s rigid enough to have satisfactory sex – the definition of erectile dysfunction (ED). While most cases of ED have a physical cause, constant stress can certainly interfere with your sex life. So your first stop should be at your good doc, to rule out a physical cause. If it’s stress, talk with your partner. If you go to a therapist to work on your ED, he or she would likely work with both of you to focus more on pleasing each other, without trying to have intercourse. This may also include talking to each other about your feelings and expectations. Even if you can’t afford a psychosexual therapist right now, you can talk to your partner about how you are feeling, and how to help each other feel better intimately.