Q. I’m 56 and happily married. Recently I’ve had trouble starting and keeping up an erection, and my wife wants me to see our doctor about it. Problem is she is a young woman, and I’m embarrassed about it. How can I talk to her about something so personal? She may not be able to help anyway.

A. Don’t be shy about it. She will have heard your story many times before and will be very professional about it. You will be put at ease. She will want to find out why you have become impotent, so you may have to have some tests, but they are simple and not embarrassing. I’m sure you will benefit from seeing her, and it will hugely improve the quality of life for both of you.