<human>: So I'm 33yr old male and 24 year old fiancé have been dating 4 years. She comes from a difficult childhood but is amazing in many ways. She is going to be very successful in her profession one day. Right now I pay for almost everything. Like 90%. She does not budget or save anything with the little she makes. 

My issue is she has had stretches with depression and anxiety that make it tough for her to work or really do anything. She routinely is messy and does not clean up after herself. She also has auto immune disease. I am afraid to pass the depression and auto immune disease to kids eventually. I don't want them to deal with that. I also want a partner that doesn't need to always sleep and rest for huge stretches since I want to be more active.

 Anti depressants have numerous side effects and neither of us want her on them. She has been on them before. That said she is not dilligent about going to the gym and taking care of herself.

I am no saint but I am in good health and have a good job and have been saving for a long time. I know the age difference plays a factor in that. She says I'm controlling. It's more parent child like. She doesn't always take care of her responsibilities. I feel the need to parent her because of that. I feel like she can't take care of herself and just relies on me. Not ideal for a partnership. This has me talking down to her and it creates a negative spiral. 

Despite all these issues I love her we laugh a lot and share many interests and values. I'm just not sure if love is enough and if I can get around the genetic issues and have to eventually be the caretaker always for the multitude of issues. Mixed feelings here on what to do. I know she senses it and I just don't know if I should stay or go. Or even what to think or how to act. I'm all mixed up. Thanks for your input. I know it's a lot to read.

Could you distill the essence of the text into 1-3 sentences?
<bot>: so in summary do you leave some one over genetic issues and not being responsible to take care of themselves? Is love enough? What should I do?