Is there hope for our marriage?

Everyone is gonna think this is small but not to me We of course have other issues. Two times this yr and tonight being one of them my husband called me ugly. We have been married 6 yrs both times he was mad. This upsets me bcuz I think he really feels this way Especially since lately the past 2 or 3 times he has been loosing his erections in bed He has to wake me up later or keep retrying till he performs for his ego. But im ok I tell him just leave me alone because I know he is trying to proove to himself. Anyways this hurts me bad because i have many other stresses I have had colon surgery I get 3 day migranes twice a month I work a rotating schedule I have had vaginal prolapse twice. Im have a 5 and a 10 yr old I struggle to take care of Im tired a lot I told him with my health issues my life is depressing enough I dont need him calling me names. Plus i think one of every womens basic needs is to feel desired by their husband and affection. Additional facts Im 33 he's 38 Please help with your thoughts and advice