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Joint pain cum sex problem
I am 43 yr old. I am bone tb patient past 10 months. I have done my course. But not reliefs in back pain. My uric acid is 12.4, esr is not maintained, thyroid levels is upper. Also I have  sex problem past 4 months. Please suggest me
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1)Psychologically, an individual with tuberculosis may lapse into depression, anxiety, performance anxiety and reduced libido(sexual interest) just like people with other chronic illnesses do. 2)Tuberculosis can also lead to low blood level (anemia). Anemia is a cause of fatigue, reduced libido and erectile dysfunction. 3)Again Hypothyroidism may also present with similar symptoms. 4)Back pain that results from TB spine may bring about phobia and apathy for sex. The back pain may worse with sexual activity. Need some more history for further management. Thanks.
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