Welcome. So, he graduated in Dec. Is he in a good place career -wise now? If not, that's going to be a big part of it still.
Speaking from exp., feeling like you're falling behind your own partner in bread-winning wipes out a guy's self-worth feelings pretty quick KWIS?
Sounds physiological possibly. He won't go? Tough. Go ahead and schedule a doc appt. for him anyway. Tell him tough cookies. And tell him if he cancels you'll be whacked with a cancel fee and will be very very angry. Have to fvor Viagra script. as it is.
An idea. Recovering from back, right? Not much physical activity? Why don't you give him a nice oil back massage to help the recovery etc. Then flip him over and work on aheam....well....ya know.....
Some warm oil and your hand might get things moving. Sheesh. I often wonder why [not you necessarily] so many OP think you have to have IC every single friggin time out.
-Stigmata-
PS. There are exercises he can do to increase circumference, but probably not a wise idea to hear this explanation from your W. Insecurity City! Plus he might wonder how the heck ya know that? Who the hell you been talkin' to??
The difference between a warrior and an ordinary man is the warrior views everything as a challenge; the ordinary man views everything as either a blessing or a curse.
-Yaqui shaman Don Juan-
...and that holds 2x true for nice guy wussies, DJ