Decreased Libido in Men - Men's Health Issues
What is low libido?
Low libido describes a decreased interest in sexual activity. libido common to lose interest in sex from time to time, and
libido levels vary through life. libido also normal for your interest not to
match your partner’s at times.However, low libido for a long period of time may cause
concern for some people. libido can sometimes be an indicator of an underlying
health condition.Here are a few potential causes of low libido in men.
When a Man's Sex Drive Is Too Low
The male libido is always in overdrive, right? Wrong -- one
out of five men actually have a low sex drive.So what's behind low sexual
desire? Aging plays a role, though many older men have a robust interest in
sex, Goldstein points out. Like most other human traits, the sex drive
Low libido should not be confused with erectile dysfunction
(ED), although the two conditions can co-exist. Communication and honesty are
needed for a couple to cope while identifying the possible causes. Treatment
can vary and may involve psychotherapy, hormone replacement, lifestyle changes,
or the adjustment of drug therapies.
Low Testosterone
Low testosterone (hypogonadism) commonly develops as a man
ages, but can also affect younger men for any number of reasons. Testosterone
is the male hormone essential to development, strength, and sex drive. If the
total testosterone drops below 300 to 350 nanogram per deciliter (ng/dL), the
male libido can plummet, sometimes dramatically.
While testosterone replacement therapy may be useful in
restoring the male sexual drive, it may increase the risk of blood clots and
strokes in men with an underlying cardiovascular disorder. Sleep apnea, acne,
and breast enlargement (gynecomastia) are other common side effects.
Normal testosterone levels will vary. However, adult men are
considered to have low testosterone, or low T, when their levels fall below 300
nanograms per deciliter (ng/dL), according to guidelines from the American
Urological Association (AUA).
When your testosterone levels decrease, your desire for sex
also decreases.
Decreasing testosterone is a normal part of aging. However,
a drastic drop in testosterone can lead to decreased libido.
Talk to your doctor if you think this might be an issue for
you. You may be able to take supplements or gels to increase your testosterone
levels.
Medications
Taking certain medications can lower testosterone levels,
which in turn may lead to low libido.
For example, blood pressure medications such as ACE
inhibitors and beta-blockers may prevent ejaculation and erections.Other medications that can lower testosterone levels
include:
chemotherapy or radiation treatments for cancer
hormones used to treat prostate cancer
- corticosteroids
- opioid pain relievers, such as morphine (MorphaBond, MS Contin) and oxycodone (OxyContin, Percocet)
- an antifungal medication called ketoconazole
- cimetidine (Tagamet), which is used for heartburn and gastroesophageal reflux disease (GERD)
- anabolic steroids, which may be used by athletes to increase muscle mass
- certain antidepressants
Once any underlying factors are identified, your doctor can
suggest appropriate treatment options. For example:
- If loss of sex drive is related to stress or depression, psychotherapy alone or in combination with antidepressant medication may help.
- Some medical conditions, such as obstructive sleep apnea, can cause an unusually low testosterone level, and treatment can return your testosterone level and sex drive to normal. If no medical cause is found, treatment options may include testosterone replacement therapy.
- If a certain medication is contributing to loss of sex drive, your doctor may suggest an alternate drug.
- Some people have a hard time discussing sex with their doctors. But treatments are often available for a loss of sex drive, so it's worth it to have an open and honest talk with your doctor.

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