Paul and Fatima Are in Their Late 20s and Have

Paul and Fatima are in their late 20s and have been married for 2 years. Their sexual intimacy includes various sexual behaviors. Paul has noticed that while he has no difficulty getting an erection, he does have difficulty ejaculating when he and Fatima are having intercourse. Fatima rarely feels sexually satisfied after intercourse and often relies on self-stimulation to achieve an orgasm. Fatima doesn't see her lack of orgasm with Paul as a problem; however, Paul does. Paul is beginning to make excuses for not having sex.
-What is the best initial approach to resolving the conflict in Paul and Fatima's sexual relationship?

A) Fatima should fake orgasm to make Paul more comfortable and boost his confidence.
B) Paul should seek a prescription drug for his sexual dysfunction.
C) Fatima and Paul should drink before having sex to become more relaxed about it.
D) Fatima and Paul should establish open communication about what they want in their relationship.