Patient's Query
Hello doctor,
I am a 45-year-old woman with a history of hypothyroidism and mixed connective tissue disease. Currently, I take Plaquenil (hydroxychloroquine), levothyroxine, probiotics, and magnesium glycinate on a daily basis.
Over the past several months, I have noticed a significant decrease in my libido, which has begun to affect my quality of life and personal relationships. I am wondering whether this could be related to my underlying medical conditions, hormonal changes, medication use, or other factors.
Could you please advise on possible causes of low libido in someone with my medical history and recommend any evaluations, lifestyle changes, or treatment options that may help improve it?
Thank you for your guidance.
Please help.
Hello,
Welcome to icliniq.com.
I went through your query and can understand your concern.
Low libido has many reasons :
1. They can be due to urine infection. I suggest you do a urine test and an ultrasound of the pelvis to diagnose the cause of infection.
2. Check to make sure blood pressure and blood sugar are under control. If you are already on medication, share the name of the medication.
3. Low testosterone, low thyroid levels, and high prolactin levels. I suggest you check for thyroid function tests, prolactin, and testosterone levels.
4. Plan regular exercise and yoga for obesity.
5. Check for a lipid profile and plan for regular exercise for high cholesterol.
6. Chronic disease or any chronic medication can cause libido.
7. Anxiety can also cause libido issues.
I suggest you take a 5 mg tablet of Mildfil (a phosphodiesterase inhibitor) twice a day as a temporary solution. Also, I have a few questions for her.
1. If her partner is left unsatisfied in the sexual act before?
2. Is she afraid of getting pregnant?
3. Does she think of the sexual act as sinful, dirty, and immoral?
4. Does she disapprove of the kind of sexual behavior that is expected of her?
5. Does she have unresolved emotional issues with someone?
Let the answers emerge organically in an open-minded discussion. If you are unsure how to approach the subject, seek relationship counseling.
Kindly consult a specialist, talk with them, and take medications with their consent.
Hope it helps.
Thank you.
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