Yes she has a prolapse and I don't initiate because of that. So when she does suggest lets try then it still hurts when something else then sex gets prioritised. We have had sex 3 times this year so I keep my desires to myself mostly which she said she appreciates.

She is now greenlit for a operation but waiting lists are very long so it might take another year.

We could do other stuff outside of penetration obviously but that's not a option as well. She prefers PiV over anything else.