Dear Prudence,
My wife has a serious medical condition that will eventually take her life. In addition to the stress of being a caregiver for her and our child and working full time, I also find myself increasingly lonely. She may live for years with this condition, though not fully as herself. Already I am more a caregiver than a husband. Sex ended a year and a half ago. I find myself wanting to be with someone but fearing it may never happen. I didn’t date that much before we married, and even if I could give myself permission to be with someone while she is still alive, it would get complicated with family and friends who would see it as not honoring our vows. I’m currently middle-aged, but I may be old by the time my wife dies. Am I doomed to years essentially alone with no prospects of sex or companionship?
—Lonely Caregiver