When one's marital partner receives a diagnosis of dementia, it has major ramifications for a couple. Such a diagnosis affects every aspect of marital life, including the most intimate areas. This qualitative study (1) focuses on the perspectives of married couples, caregivers, and their spouses in the early-stage dementia as they discuss their intimate relationships, both positive and negative aspects, (2) identifies how they cope with these changes to their marital relationship, and (3) develops evidenced-based recommendations for other couples in the early stages of dementia and for their healthcare providers.