Dear Dr. Mahler,

I am 68 years old and have had COPD for about 4 years. I am interested in having sex with my wife, but I have difficulty getting an erection. My family doctor is not too concerned as he tells me that sexual activity shouldn’t be that important at my age. He probably doesn’t understand because he is much younger.

I try to stay active most days, and quit smoking when I was told of COPD diagnosis. I don’t need oxygen.

My wife says that she is fine with or without having sex. However, she knows that I am still interested.

Do you have any suggestions?

Ray from Baton Rouge, LA