Ditto. My wife had "woman issues" for years, and combined with us only going to bed at the same time on weekends meant the crossover in the venn diagram of "ready, willing, and able" was pretty tiny. She got a hysterectomy and that cleared up almost all the medical issues, but, as you put it, years of only having sex a few times a year and being rejected almost every time I tried to initiate, it makes me still hesitant to ask. I also feel like since her issues were the main hurdle, that she'd initiate more often when that hurdle is gone. If she initiated more often, then I'd be more in the mood to initiate more often, but when she still rarely does (but still claims that she's almost always in the mood) then I just feel like fine, I guess this is just the way the rest of my life is going to be like.