When you have ED, it is possible to feel self-conscious. This may make it much harder to receive therapy and enjoy yourself during sexual activities. ED can be a troublesome subject for couples because it can be hard for you and your partner to talk about it together. Couples that don't speak openly to one another are more likely to experience issues with sexual intimacy. Men who have trouble expressing their emotions to others may also find it hard to talk to their spouses about their sexual concerns. Kamagra reviews you and your partner have trouble communicating, counseling could be very helpful.