First of all, whatever the issues are, spend time thinking things over with yourself first before you try to communicate with your husband. Be clear on your own thoughts, feelings, etc, because it will be easier for you to express yourself. A friend of mine has communication issues with her husband as well, and when she just sits him down and tries to work all her feelings out during the conversation, it sounds like a babbling brook and talking in circles.
Secondly, reflective listening. When you do sit down to talk, take turns..you speak ("I feel like (insert here) when (insert here) happens"), then he speaks ("I am hearing you say that you feel..when..."). Then you can clarify what you said if it's incorrect. Rinse and repeat.
Third, ONE thing at a time. Men can get into conversation overload when they're bombarded with tons of issues at the same time. Since by this point you've clarified you own thoughts, prioritize the issues.
Hope this helps.