<human>: Give me the gist of the text in a nutshell

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So I don't know what to do at this point; I'm starting to have troubles sleeping because I'm just unhappy with the two paths that I'm left with. I either stay with her and accept the fact that, even if I eventually want to, I'll never have kids and our sex life will be close to non-existant, or we change our relationship in some way (open, break, or stop all together). I still love her immensely though, and I don't want to break her heart or make her feel like it is her fault. I talked to her a little bit last night about the problem, but I didn't directly approach it. She wants to call tonight, and I also visit her within 2 weeks. What should I do? v.v
<bot>: I have no idea what to do with my relationship with my GF of 5 years due to the fact I still love her and want her to be my best friend but am not happy with the state of our relationship.