His prudishness has always been there. He has been off and on different meds, most recently paxil. The anti-depressants make it worse but aren't the cause.

I think you have all banged it into my head that this isn't my fault, or me being selfish, or something to feel terrible for needing.

My tough choice is to stay, because for my kids, I will fight for my family. I truly have tried everything that can be tried, except:
1) Masturbating in front of him and not letting him do anything
2) Asking for extra-marital um...

A sex therapist would probably be the best medicine.
Tonight I was pretty fiesty with him for dropping the ball, no easy way out of it.

oy - this is going to be a long haul. But as I said, your empathy is appreciated and just being reassured that I'm not to blame.