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Audrey, 29 y.o.
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Date: October 10, 2022
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I think you have to lay it out gently to him as you have here. Tell him you love him dearly, but you are worried about the future and want to have a partner that is as goal driven as yourself. Go in with an open mind, try to explore what other things he might be interested, and encourage him to pursue them. At the end of the day, however, sometimes people become too comfortable with the status quo, and it may take something drastic like a break up as an impetus to change. There's no easy way forward and I can tell from your last paragraph that you know this too.
It sucks and you shouldn’t have to do this, but you have to push for investigation on this. It’s not normal to have such bad periods you’re missing work/other activities and they absolutely need to investigate so they can find a solution. If one doctor doesn’t listen then you have to find a second opinion, and a third, etc. try to find a female doctor, it’s not a guarantee, but they’ll generally understand a little better. Also consider that this can unfortunately take a while and birth control may be a solution to stop you being in so much pain in the interim at least.