He is quite young though. Isn’t he in mid 40s? 45? That’s honestly very young. Men still have kids at this age. Is he having health problems? (I see now you said he does)

Maybe he needs to talk to his doctor? He might be embarrassed that he needs to take something for it so he avoids it all together (my thought)? Is it recent or he was always not into it as much? Everyone has different level of that need. He just seems way too young for all this. I don’t judge though. I am post menopausal and kind of losing it myself but I am approaching mid 50s.

What’s he think is the deal? Is he embarrassed to discuss this topic? It’s a sensitive topic