1.) I have OCD and I am very happily married!
2.) The medication can lower your sexual drive a bit, but I still enjoy sex with my husband regularly. I am thinking of either trying a different medication or possibly taking something called "BuSpar" which is supposed to help reverse the effects of lowered libido.
3.) I am currently on very mild medication and it has massively reduced my OCD, along with the comfort of knowing that obsessive thinking is a physical problem with my brain and that I am not just a freak. My psychologist says I should stay on my meds for another year, and after that, ween off of them and I should be in the same state as I am now. My obsessive thoughts are mild and I can recognise when they are happening and choose to ignore them.
4.) No one in my family has OCD. My symptoms developed when I was 8 and my parents got divorced. I had no big reaction to the divorce except that I was obsessively checking things. I thought the problem had passed when I was older, but I learned that it had just passed into obsessive thinking rather than obsessive actions. A person can develope or discover their OCD in their teen years, yes, but it doesn't necessarily have anything to do with genetics.
I'm not a doctor, but I hope that all helps