I'm 63 and my husband is 86 and we've been together for almost 40 years. I have yet to go through the formal diagnosis process (we see the GP this week) but I have no doubt that he is suffering from dementia and has been for a while. He recently had a fall and although there appeared to be no damage beyond a dislocated thumb things have taken a sharp turn for the worse. I am now having to dress him and look after him in a way I haven't had to do before and the husband with whom I've had a lively, loving relationship is no more but the trouble is he still wants sex, if anything more often than before. I'm sure many people reading this will agree that for them sex is always much more than a physical commitment, for it to work there's got to be an emotional and dare I say it intellectual connection / respect as well. I find that in the absence of this I really don't "fancy" him and find it impossible to work up the required degree of enthusiasm. I've tried saying no or finding excuses but it makes life so unpleasant that I end up giving in. If he were in possession of all his faculties the situation would be totally different and we would be able to discuss any such problems honestly but that isn't an option now. Any similar experiences or helpful suggestions would be very welcome.