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 04/07/2025