Go back and read what you wrote about your W. She demands to be held? Demands to stay married. Is a total mess on some days and sleeping around with several people.
Up one day. Down another. Good mom one day, neglectful another. Fine with D, working out, dressing to kill one day, having fun being single, and then wham....she's demanding to be married and be kissed. Another day she can't touch you.
FIB. You are a Dr. You KNOW this is something that needs therapy and pills. Not lengthy posts on analyzing her committment level to the M, her choices to "woman up" and prove herself.
She has amazing changes day to day. I don't think she can really help it. I honestly think it's beyond making simple choices.
So, I will tell you what I tell myself. This isn't personal. It's chemical. It may not change the outcome, but it is what it is. You have to admit, read aroudn here, and your W (and my xh) are a little more than the usual MLC story.
