Viscous cycle.
Seems the cycle started with the abortion, so start there. Was it a mutually decided upon? Arguments sake would lead me to believe he was the father so in that regard, he has some feelings toward the decision whether or not he was involved as it's ultimately your body and right to do that. Apparently this decision has had extreme effects on both of you. You went into depression as a result of this so that is one issue that needs to be resolved one way or another. His feelings toward this also have to be resolved.
Secondly, is it necessary for you to work in a medical facility given the effect it's had on you? If it is then you need to resolve your issues with what policies, procedures, and work environment that is having the ocd like effect on you. I'm inclined to believe the ocd is purely work related and a change of environment may have a positive effect on you. From your OP, yeah, I think he does believe that there is nothing he can do to make you happy as you've built walls around you due to the environment and emotional state that he can't seem to break.
That's not saying he's not without his own issues he has to deal with. Leave the premature ejaculation out of this for the time being and focus on what he may be able to do himself to strengthen the relationship. His drinking as well as his actions could be a result of depression on his own. I don't think that's out of the realm of possibilities. Avoidance is another things that may lead to believe there's some depression on his part also. So I'd suggest working on those things and if you two do want to make this work, then I'd consider some form of counseling to at a minimum find out those areas that are most important in getting the relationship back on solid footing.
Gaining confidence and security back into the relationship could help in getting your sexual relationship back to where you both are enjoying it. Personally, given what you've written, I would not make this a primary issue but work on it through reassurance and relaxation.




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