Even in 2018, people may not believe that Sex Therapy is a real “thing”. Its similar to many other forms of counseling: you sit down and have a meeting like with a psychiatrist, psychologist, marriage, or sex counselor to work through everything like sexual dysfunction and intimacy issues. Even if you think everything is firing on all eight cylinders, couples can learn a thing or two from sex therapy.
Signs maybe this is right for you.
You have stopped having sex.
At least 15% of marriages are either partly or completely sexless. What's worse the more time that goes by, the harder it can be to get back into the swing of things. The more time that goes by, the more you may see your significant other as a non-sexual friend or roommate instead of a romantic partner. Divorce may be the first option that comes to mind but may not be the right choice just yet.
You are fighting after sex.
Boiled down to the lowest common denominator, good sex makes you feel good and bad sex and make you feel bad. People tend to practice avoidance when it comes to activities that make them feel bad. If you or your partner associates sex with bad feelings, you may tend to avoid it. Avoiding it may cause anxiety. Anxiety may cause you to reinforce your bad feelings and then you are caught in a vicious cycle. (Sex that is degrading or inflicts pain may be signs of deeper issues that may want you to seek a divorce attorney sooner than later.)
You are happy when your partner is too tired.
Being turned down after proposing sex and being happy or relieved is a big warning flag.
Your couples counseling doesn't seem to be working.
This type of therapy doesn't always focus on this part of your relationship. You will most likely hear different questions that will lead to different areas of your relationship.
Considering different types of counseling is worth the effort to save your relationship. I'm sure you won't forget, you can always get divorced.