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This has worked for us for many years, but I don't know how well it would work for someone else. Most of all it takes a deep love, committment and understanding from both partners.
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In 1972 my mother had a stroke at the age of 38 and was not expected to live. After 2 years of rehabilitation, she learned to walk with a cane and leg brace. Her mental capcity is pretty good although the process of the brain sending messages to the mouth and body are not. Needless to say she became sexually inactive at 38.
My dad at some point (don't really recall when we first found out) had taken on a "female friend". She drove some sort of car called a Rabbit...could have been a VW? Anyway, we dubbed her as "Bunny" which is how we would refer to her in a joking manner. We only learned her name about 10 years ago.
Anne has provided emotional support among other things I am sure for over 20 years. (She lost her husband due to a heart attack over 30 years ago.
We recently learned that our mother knows about Anne, and her words which I quote... "I am glad Dad has someone to talk to...but he always comes home to me".
Perhaps they have talked about it...not really a subject you bring up with your parents!, but it has worked for them for over 20 years and continues to work, and they are still totally committed to each other.
L The Female Half