I am 35, with not a healthy sexual life. I am married since 11 years now, and have a daughter. Me and my wife have sex once in 3-6 months coz my wife does not like it as she is mostly down with UTI time and time again. The frequency of making love has reduced considerably since the birth of our child, which was about 8 and a half years ago. I used to get very horny before till about 2-3 years ago, but now my sexual desires have completely mellowed down coz my wife did not want it, and I never liked the idea of making the needs met from any other source besides my wife, coz of the love. As a result, now I have many problems when we do indulge occasionally. Premature ejaculation, not turned on enough, not getting a proper hard on are the highlights of the problems. The stress that comes on post the failure is another one of the problems. I understood the need to consult a doctor, and the doctor provided me medication (tadalafil) to take an hour before the indulgence. Problem now is, the timing never co-inside. If I take the medication for an hour later, we never make love. And when I don't, she shows interest sometimes, still rarely though. Coz when she feels like, maybe I happen to not be in mood. I understand there are a combination of problems here maybe and I don't know what kind of a Doctor to consult with here! Is there an alternative to the medicines which can have log term affect without having to take any medicines altogether?