Hi, OnceMore, welcome to PsychCentral (PC).

What do you want to do? If he doesn't want to have kids, is wrecking your relationships and communication between you and your family and is no longer pleasant, much less very supportive, I would not want to stay with him.

It sounds like, for the marriage to work, you would need marriage counseling, both of you together, not just you. If you don't want to take meds you certainly don't have to but they're not just for zombieing out, they can actually help you feel better if you get the right combination, which is often hard work.

I would do something good for yourself, start thinking about what you want and how much work you want to put into this marriage if it doesn't look like your husband is willing to do the same? I'd see if I could sit and talk to him in an open way about the marriage, without any blame going back and forth and just see what you can learn about what you both want, individually and perhaps together.