How to manage disparity in sexual desire?

Hello doctor,

I am experiencing a significant disparity in sexual desire between my partner and me. Additionally, intercourse causes me considerable pain, which has begun to create substantial issues in our relationship. Consequently, I have been inclined to pretend that everything is fine just to ensure my partner's satisfaction. However, expressing my discomfort or lack of interest makes me feel guilty due to my partner's response.

Currently, my medication regimen includes a birth control pill (low ogestral), an antidepressant (Wellbutrin), which was initially prescribed to increase my sex drive, and a beta-blocker (propranolol). I have discovered that Propranolol can lead to a reduced libido as one of its less common side effects. Despite discussing these concerns with my gynecologist, she advised against discontinuing these medications, citing their importance in managing my existing health issues.

Feeling lost and unsure about what steps to take next, I approached my OB, who also admitted to being unsure of the root cause of my issues. She proposed a trial-and-error approach to determine a suitable solution. This situation is starting to affect my self-esteem, making me feel abnormal and distressed. Any suggestions or advice would be greatly appreciated.

Thank you.