He has 'difficulty' [='trouble'] reading without his glasses. [=it is difficult for him to read without his glasses]
It was only 'with' (great/considerable) 'difficulty' that we were able to continue.
She underestimated the 'difficulty' of saving so much money.
(..) Internet research, and there's this great show on VH- about how to pick up girls. Oh, if only I had his confidence. I have such difficulty speaking to women, or around women... or at times even effeminate men. If that's a working stethoscope, maybe you'd like to hear my heart skip a beat? (..)2007 TvShow: The Big Bang Theory Title: The Middle Earth Paradigm Season: 1 Episode 6