I feel hopeless

For the past year, a lot has happened in my life. From an unfaithful partner to chronic pain, increased bouts of severe depression and anxiety.

Recently my sex drive has just died down, and I am struggling to communicate how little I feel. I feel like there is no effort from his side. There is no spark. I feel like he doesn't have any desire for me anymore, and that if I don't instigate anything then nothing happens.

In truth, I already feel like less of a woman, but this is wearing me down even more. I just don't know how to approach the subject anymore to communicate my desires, because I feel like I am not worthy of them. I just feel so hopeless in this matter.