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I am 48 my gf is 30 .my desire for sex is healthy,however we have not had any sex or sexual contact for four mths now ....her excuse is an implant that is causing irregular and almost constant periods....but she has not made an effort to get it sorted it causes aggressive outbursts ....with excuses like "oh I forgot to go to doctors" " the doctor was called out"(eight doctors at our local practice)and the best one " the nurse was off sick". Do I end this sexless relationship and move on or hang in and hope things will improve?

Yeah Jaisen, intimacy plays a big part in relationships. Usually when its gone, then the relationship is usually finished. In this case, your GF may a have good reason for no sex, but she isn't really demonstrating any mature thinking about solving the issue. Her excuses are just plain ludicrous. You're 48 and so, you should well know, where there's a will, there's a way. If she really wanted to be intimate with you, she'd doing everything in her power to enable that. Instead, she's doing the exact opposite and in the process, basically playing you for the fool.

I feel your pain! I am in a simlar situation, except it is my husband that has no desire for sex. I understand your frustration with her lack of concern over the issue, I imagine you feel very hurt by her unwillingness to address the very real pain she is causing you. After a long marriage my husband still wont seek medical help for his problem either. An open honest discussion is needed. If she can't or wont seek medical help then make it clear to her that her hurtful disreguard of your feelings and concern for the relationship are too much to ignore and that you will be left with no choice but to leave. Hope you can reach a positive outcome :)