This post probably needs a trigger icon for sexual content. Go no further if such talk is triggering for you.

Tigersassy, I see that you're taking at least three drugs that can inhibit both sexual desire and response. Add carpel tunnel on top of it all and it creates a difficult situation.

Atomicc is right, talking to your spouse is the first order of business, telling her what you're experiencing and how you feel and asking for her assistance so that you can both have a good time.

If you're physically unable to do certain things because it causes you pain maybe the two of you can find some inventive solutions, for example, perhaps you could hold her and fondle her while she self-pleasures in the way she knows will bring her to climax.

The two of you could figure out what sort of things she would like to hear that you would feel comfortable with.

It's possible to combine self-pleasuring with a sex toy along with oral pleasuring in a way that would not cause you discomfort and would give her what she needs and wants to climax.

Somewhere in the discussion and in the sex play and experimentation, I hope you will put some focus on your own needs and wants. Probably the most important thing of all is that you both enjoy what's going on, even if you're not feeling highly charged yourself. If providing sex becomes a chore for you, the feelings of frustration will get worse over time.

So start by talking. Go slowly if necessary. And laugh whenever you can.