No, we haven't been to any couseling because he says he is too busy and can't take time off of work. And no, he hasn't had a physical. Our communication is horrible, as he doesn't like to talk and is very defensive.
Better, hum, anything would be better. He is satisfied with a couple time a month. Me, I'm a bit of a nimph. I don't need it every day, but I wouldn't mind either. There are also issue with sex being only about him and not caring if I get off or not.
I realize that I may sound selfish, but these are things that we've talked about before and he agrees that things sound change and then doesn't.