Question 1

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?

Accepted Answer

_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.

Question 2

I've noticed my neck has been getting bigger over the past two weeks. It's not affecting my breathing or swallowing, but it is noticeable, and my family can see it too. I'm worried it might be something like a thyroid issue or a goiter since thats what my quick internet search suggested. Is there anything specific I should do, or is it okay if I send a picture for a closer look?

Accepted Answer

This needs evaluation,visit Surgeon for the same

Question 3

Why my sugar level is high after taking insulin?

Accepted Answer

There are many reasons for having high sugar level after taking insulin such as insulin resistance, inappropriate dose of insulin, taking insulin at same site (that area may scar, which can affect how your body absorbs insulin) and dehydration.

What is insulin dependant type 2 diabetes?

The pancreas is unable to produce enough insulin to manage blood sugar levels.

More Endocrinology Health Queries

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?

Why my sugar level is high after taking insulin?

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