Hi there, gr8, I was reading through this string and thought I would check in to see how your appointment went. Good for you for being proactive to seek solutions. On another note, I would highly recommend you pick up a copy of Michele's book, The Sex Starved Marriage as it speaks to the ramifications of misunderstandings couples may have when they approach their sex life. It sounds to me that both you and your wife have had times when you wanted to have sex, but the other said no. This book might shed some significant light on your situation and give you some specific actions to take which will be helpful.