I'm going to play devils advocate here as I take a very different stance to most on this thread. I agree with the poster who said it doesn't offend her as what people do in their own relationships is their business - it may not be something you agree with, but it's a very personal thing and everybody is different.
I myself thanks to being on anti-depressants and probably partly to do with having CF as well - have virtually no interest in sex anymore. I used to have a very healthy appetite, but for the last year or so, to be honest, i'd rather read a good book than indulge in any chandelier swinging wild sex.
However, my partner is not chronically ill physically, but he does have Bi-Polar disorder. One of the symptoms of this, when he is in manic phase (which is most of the time), is that he has a huge and unstoppable sex drive........hmmm, obviously then this is a big issue for us and I had to find a solution to prevent him getting extremely grumpy and then being horrid to live with.
My answer is, that i've told him he is free to use prostitutes whenever he feels he needs to - but no one night stands with 'whoever' from the pub, and absolutely no emotional involvement with anyone else. As far as I know he hasn't utilised this 'perk' yet, but I'm fully prepared to cope if and when he does.
To me, I have no doubt that he adores me, as I do him, however the reality is we have a huge discrepancy in sex drive and he has a huge need for it, where I don't. The way I see it, a working girl will always make him shower first, will always make him wear a condom and there is virtually no chance an emotional entanglement will be the result. I figure it's the safest way to resolve the issue and not being an overly jealous person, I believe I can tolerate this if it stops him getting grumpy and makes him easier to live with. People think I'm strange, I think i'm just realistic. Sex is a need for most men, mine more than some - but there are rules and boundaries which he must adhere to.
Kat (37 with CF, NZ)