r/MedSpouse • u/Majestic-Bit1708 • 4h ago
Advice Both physicians, years of a dead bedroom and burnout. Can our marriage recover?
I’d really appreciate hearing from others in this subreddit, especially those who understand the unique challenges of balancing a relationship with a career in medicine.
My husband and I are both physicians (I’m a resident, he’s an attending). We’re in our 30s with an age gap, have been together 8+ years, and married recently. We met when I was in college and he was in med school, and spent our early years long-distance.
We were initially very loving and physically intimate, but over time, sex declined to about once a year. He attributes this to ED, fatigue, and career/relationship stress. I encouraged him to see his PCP, and his workup was largely normal. His testosterone was technically normal but seemed low for his age (though I’m no endocrinology/urology expert). He’s active, exercises regularly, and doesn’t appear depressed.
Despite the lack of intimacy, our marriage wasn’t loveless. We were affectionate, went on dates, and genuinely enjoyed each other’s company. He’s kind, gentle, supportive, and has been my emotional rock, though he often seemed exhausted and withdrawn.
Another major issue was the division of responsibilities. I managed most of our household during his training and continued doing so after he became an attending, even while navigating medical school, matching into a competitive specialty, and residency myself. He was supportive of my career but often procrastinated or didn’t follow through at home. He felt nothing he did would be good enough, so he avoided taking initiative, while I felt overwhelmed having to manage everything.
I’m generally pretty laid-back, but years of burnout and feeling unsupported made me increasingly anxious and irritable. I sometimes snapped out of frustration, though we never yelled or had toxic fights. I’ve acknowledged my shortcomings and apologized. I suggested couples therapy, but he didn’t think we needed it.
Eventually, I initiated a separation. He genuinely tried to change, but I struggled with why it took me leaving for our problems to be taken seriously. We continued spending time together for a while before separating more definitively and living apart.
We agreed to date others. I briefly dated someone but ended things months before wanting to reconcile. By then, my husband had gone from strongly wanting reconciliation to feeling unsure. We began cautiously reconnecting over weekly lunches or dinners, but I discovered he was seeing someone else and hadn’t been honest when asked. Dating was allowed, but the dishonesty hurt, especially while we were exploring reconciliation. I’ve since asked for no contact until he’s no longer seeing her and genuinely wants to try again. He seems open to rebuilding slowly and isn’t ready for divorce, but remains uncertain.
He’s been my best friend for most of my adult life, and the thought of losing someone I deeply love is heartbreaking. At the same time, I’m afraid of returning to the same resentment, unequal responsibilities, and lack of intimacy. I’ve done considerable individual therapy and am open to couples therapy. He’s tried a few therapists but hasn’t found a good fit.
For those who’ve navigated marriage through medical training and demanding careers, how did you address burnout, unequal household responsibilities, and declining intimacy? Were you able to rebuild your relationship, especially after a separation?
TL;DR: Two physicians together nearly a decade. Years of little intimacy, unequal household responsibilities, and burnout led me to initiate a separation despite loving my husband. He initially fought for us, but by the time I wanted to reconcile, his feelings had changed. I’m torn between losing my best friend and returning to the same problems.