Patient's Query
Hello doctor,
I am just asking a straight question. I got married more than a year before, but whenever I ask my wife if she enjoys sex movements she always denies it. I do not know the reason, I do foreplay, but all in win at the beginning after marriage I think she felt pain now we have one baby but still she does not feel any pleasure. Why?
Hello,
Welcome to icliniq.com
I read your query and understand your concern. Low Libido has many reasons
1. Infections – can be due to urine infection (can do urine complete and ultrasound of pelvis) to diagnose the cause
2. Diabetes, hypertension – make sure blood pressure and blood sugar are under control. Already on medication, share medication name?
3. Hormonal disturbances- Low testosterone, low levels of thyroid, high levels of prolactin – check for TFT (thyroid function test), Prolactin, and testosterone.
4. Obesity - plan for regular exercise and yoga.
5. High cholesterol – check for lipid profile and plan for regular exercise.
6. Chronic disease or on any chronic medication – share details.
7. Anxiety can also cause libido issues.
Need to do
USG Pelvis to rule out Pelvis infection, Thyroid check-up Free T3, T4, TSH (thyroid stimulating hormone), lipid profile to know cholesterol level, blood pressure, and random blood sugar. Kindly Share more details regarding the above reason, so we can work on the cause and treatment.
Can use Tab Mildfil 5 mg twice a day as a temporary solution Questions you need to ask your partner frankly and with an open mindset. Do not grill her with these questions.
1. Pain during sex - avoidance of sex stems from a painful sexual experience with you or someone else or her past?
2. If the partner is left unsatisfied in the sexual act before?
3. Is she afraid of getting pregnant?
4. Does she think of the sexual act as sinful, dirty, or immoral?
5. Does she disapprove of the kind of sexual behavior that is expected of her?
6. Does she have unresolved emotional issues with you?
Let the answers emerge organically in the course of an open-minded discussion. Seek out relationship counseling if you are unsure how to approach the subject. I hope I have cleared all your doubts.
Thank you.
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