Sex File: Why doesn't he make an effort in bed? 

"Emotional and sexual disconnection often go hand in hand and although you are still having sex, he is withholding intimacy."

Pic: iStock

My partner was always very attentive in bed, but in recent years he's stopped making the first move, and even if I do, he doesn't seem to be interested in foreplay, or doing anything intimate other than penetrative sex. 

When I've tried to talk to him he's got upset and accused me of pressuring him. We are in our mid-40s. How do I end this impasse?