Discussion: We are not old yet, but my spouse is an alcoholic and not sexually functioning. What am I supposed to do?

Alcoholics sometimes have a sharp decline in sexual function (primarily in men), but the condition is reversible after alcohol withdrawal and rehabilitation of the liver. (Which may be a lengthy process) Unfortunately, coping with a spouse's long-term illness is expected in the modern age. The question of how to behave with a sick spouse is a question that few talk about.

Living with a spouse who has a prolonged addiction to alcohol is the ultimate test of any relationship, not just sexuality. Chronic conditions usually intensify the relationship, positive or negative. Some couples strengthen their bond during sickness, but other relationships may not survive. The decision to stay together is a joint decision between the two partners, but the healthy spouse must not feel he is making a painful sacrifice.
Many years ago, a naturopathic therapist told me that if the emotional connection between the couple before the prolonged outbreak of the disease were excellent, the relationship would only deepen. And if the bond weren't proper, it probably wouldn't survive either! (I'm not an expert in the field; I believe she was right.)

Prolonged betrayal of the "healthy" spouse is not only sexual but emotional abandonment!
The sick spouse, usually aware of the infidelity, sometimes consciously ignores it to avoid conflict with the spouse "doing him or her a favor" by staying with them. But the patient pays for it an energetic price of "humiliation" and a feeling of inferiority.

Link: Improving sexual function In chronic patients and the disabled.
https://www.sf-healing.com/page/224 (Copy & Paste)