I'm probably the wrong person to ask this, as I have my own 20-year SSM issues with which we struggle.
I will say this: one of the biggest regrets I've had in my marriage is that I didn't PUSH HARDER for my wife and I to do more MCing and/or sexual therapy along the way. Saying "he won't" isn't acceptable, I don't think, if it's affecting YOUR satisfaction in the marriage.