The suitor who wooed at the senior center seemed so charming until after the wedding ,when he become sexually abusive . When she told her doctor that her husband “hurts me sexually,” the physician gave her a vaginal cream. When she persisted and said, “He makes me do thing I don’t want to do ,” the doctor said, “Just tell him no.” She thus endured several months of additional abuse until she had another opportunity to seek help . This is another manifestation of the potential health risks when physicians refuse or do not know how to discuss sexual matters with their patients, and are ignorant about sexual abuse in later life.