I've been on eltroxin 100 mg for the past ten years, and I recently had a blood test that showed my T3 and T4 levels are normal, but my TSH level is up to 8.1. I'm a bit worried about what this means. Should there be any adjustments to my medication?

Dr Dhankecha Dineshbhai

General Practitioner

• MBBS
• 6+ Yrs

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_Difficulty with Consummation: Possible Causes and Treatment Options_ I understand your concern, and it's essential to address this issue to achieve your goal of having a child. _Possible Causes:_ 1. *Vaginismus*: Involuntary muscle contractions, making penetration difficult or painful. 2. *Erectile Dysfunction (ED)*: Difficulty achieving or maintaining an erection. 3. *Painful Intercourse (Dyspareunia)*: Pain during sex, which can be physical or psychological. 4. *Performance Anxiety*: Stress or anxiety related to sexual performance. 5. *Lack of Arousal*: Insufficient arousal or lubrication, making penetration difficult. _Treatment Options:_ 1. *Couples Therapy*: Addressing emotional and psychological aspects with a therapist. 2. *Sex Therapy*: Focused on addressing specific sexual concerns and improving intimacy. 3. *Vaginal Dilators*: Gradual dilation to help relax vaginal muscles and reduce pain. 4. *ED Medications*: Prescription medications like sildenafil (Viagra) or tadalafil (Cialis) to address erectile dysfunction. 5. *Relaxation Techniques*: Practicing relaxation methods, such as deep breathing, progressive muscle relaxation, or mindfulness meditation. _Immediate Action:_ 1. *Schedule a doctor's appointment*: Consult a healthcare provider, preferably a urologist or a gynecologist, to rule out underlying medical conditions. 2. *Open communication*: Discuss your concerns and feelings with your partner to strengthen your emotional connection. Remember, addressing this issue requires patience, understanding, and a willingness to work together.

Answered 16 days ago