He said that if the doctor thought testosterone might be the problem, he would have suggested it. It really ticks me off that he doesn't want to get it checked. I am so tired of hearing him say that he is too tired. If he is okay with me initiating, why would he be too tired to initiate?
If you're initiating, that means you really want it and he needs to take care of you right now unless he's physically unable to. If you're not initiating, that means you can wait until he feels a bit better, so he's not going to initiate if he's feeling tired.
Of course that way of thinking only works if he's actually going to feel better in the near future. So fixing his sleep problem, if it's fixable, is actually a sensible course of action. Now there are other possible reasons for him feeling tired all the time, including but not limited to clinical depression, and his entire life (and yours) will be degraded by a chronic low energy level, so it needs to be addressed one way or another.
a fine and enviable madness, this delusion that all questions have answers, and nothing is beyond the reach of a strong left arm.