There is evidence that emotional connectedness can buffer the distress associated with sexual difficulties. Considering that older adults are at an increased risk of chronic illness, many of which (including their medical treatment) can impact their sexual well-being, this relationship may be particularly relevant for older couples. To start bridging the gap in the understanding of links between older couples’ emotional intimacy, distress about sexual function, and seeking professional help for sexuality-related issues, the current study used a 4-country sample with 218 Norwegian, 207 Danish, 135 Belgian, and 117 Portuguese couples aged 60-75 years. Two hypotheses were explored with a hybrid dyadic analysis: (1) Couple’s emotional intimacy is negatively related to partners’ distress about sexual function, but (2) positively associated with their help-seeking for sexual health issues. Less than 10% of participants in the current study reported seeking professional help, with the majority reporting their primary care physician as the contacted person. Emotional intimacy was consistently (and negatively) associated with female partner’s distress about sexual function across countries, but was unrelated to help-seeking for sexual problems. Understanding the link between a couple’s emotional resources and sexual distress can help health professionals, educators, and therapists to tailor effectively their work with older partnered adults who experience sexual health difficulties.