Tim... I also joined the board when you and a few others were doing the heavy PM work, and your insights and resolve helped me so much. I agree with you that at some pint, both partners have to get in the act of making the relationship an intimate one, but I don't think you have reached the limit in what you can do. Your W " knows" that she can placate you with some attempts at a sexual connection, and then she knows the issue will eventually disappear. So, in a way, you are showing her that it is not all that important to you to have a consistent sex life. If this sounds unempathic believe me I do know what you are going through...the work, the frustration, the disappointment and responsibility of it all, only to see that she still doesn't "get it." However, she does not sound as stubborn as some of the other spouses I read about here and you were making progress... perhaps now is the time to try again.