Ram Sadhwani* is a banker in his late 40s who spends at least two-three days a week travelling. His long hours at work and travel have had a negative impact on his marital life. A few months ago, while on a short vacation with his wife, Sadhwani found he couldn’t keep an erection firm enough for making love. His wife assured him the situation would resolve itself—after all it had been a while since they had had sex. But when the problem persisted, she suggested they visit a doctor.