At the age of 25, experiencing low libido after childbirth, could it be a gynecological disease?

Patient's question:

Okay, here is the translation following your instructions:
And, from having the baby until now, our sexual frequency has been measured in months. I basically don't think about it, because due to the stitches from a vaginal birth, it's not very comfortable during intercourse, so I have some aversion. Moreover, no one helps, I take care of the child myself, and I'm extremely tired every day.

Doctor's answer:

Hello! This condition can be caused by endocrine disorders; it is recommended to have an ultrasound examination at the hospital to determine the condition.

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