If the doctor brushes you off because of your age, find another doctor, One who will listen to you.
But basically come in prepared. Write down everything that you are feeling, that you want to discuss with them.
Main points being:
1. Painful intercourse.
2. Diminished libido
3. Options in birth control. You need to be on BC because of the Accutane, but what you are on right now, from what you have read (and do research the side effects) isn't working for you . What else is there? Let the doctor give you some guidence there and ask about the side effects.
4. Personal conflicts you are going thru right now, and how you would benefit from talking to someone.
And seriously, write it down, doctors are often rushed, their appointments are often double booked, by writing it down, and having those notes with you, you aren't trying to remember things.
When you get to the therapist, also write down your concerns there. Family history, diminished libido, painful intercourse again (if it's been ruled out that it's nothing physical causing the problem), you've mentioned more than once that you don't think you treat kevin that well, I would also mention that... You are paying a therapist -- don't withhold and really be honest.
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Free your heart from hatred. Free your mind from worries. Live simply. Give more. Expect less.
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