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Aortic Dissection can be the most traumatic event within a relationship and family unit.
Coming to terms with the condition immediately after dissection is the most difficult. Depression not only affects the patient in many cases it will affect the spouse/partner too and family members also.
Understanding the fact and talking to other survivors and medical professionals will help.
There's no real reason why a relationship cannot overcome the difficulties and changes, but it can be hard work in a relationship.
It can be difficult with medications too affecting libido, if this is the case, talk to your GP and they can prescribe a different medication.
I know this from personal experience.
Do not be embarrassed in talking about it to your doctor.