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| Causes and signs of frigidity |
Losing sexual desire or low libido in men is an issue that troubles many males, negatively impacting their lives. This can result in psychological and social troubles like persistent guilt, shaken self-confidence, and tension in the relationship with his life partner. Although sexual desire varies over different times and gradually decreases with advancing age, persistent low libido for long periods might signal another health issue. In this article, we will explore the causes of low libido in men and methods for its treatment.
What is Low Libido in Men?
Dr. Ahmed Adel—a consultant in andrology and infertility treatment—explains that low libido in men is the patient's lack of desire for marital relations. Weak sexual desire stems from physiological or psychological factors, which differs from erectile dysfunction, defined as a man's inability to attain a firm erection to complete a successful marital relationship.
Dr. Ahmed Adel clarifies that a strong connection exists between them; when there is weak sexual desire, the man will likely suffer from erectile difficulty when attempting marital relations. Conversely, if he experiences erectile dysfunction issues after multiple failed attempts, this creates a psychological barrier leading to low libido.
Signs of Low Libido in Men
The indicators of low libido in men include:
A complete loss of inclination for marital relations.
No thoughts or any ideas concerning marital relations occur.
Difficulty in feeling satisfaction from the sexual act.
Feelings of guilt and self-reproach regarding the preceding symptoms.
Causes of Low Libido in Men
Dr. Ahmed Adel points out that psychological or organic factors lead to the absence of desire in men. Here are these causes:
Hormonal Imbalance
Dr. Ahmed Adel explains that hormonal imbalance is the most common organic reason for low libido in men, as testosterone levels—the male hormone responsible for developing men's physical traits, such as facial hair and muscle mass, in addition to maintaining sexual desire and aiding sperm production—decline. A man might experience low libido concurrently with a sharp drop in this hormone's levels.
A decrease in testosterone levels can arise from several problems, such as chronic ailments like high blood pressure, Type 2 diabetes, and heart disease, as well as obesity, Klinefelter syndrome, pituitary gland disorders, or testicular issues.
Suffering from Depression
Depression affects many aspects of a person's life, and the patient suffers a loss of passion or interest in previously enjoyed activities, including marital relations. Depression can cause low libido in men. Compounding the issue are the side effects of some antidepressant medications, which can generally affect sexual desire.
Side Effects of Certain Medications
The likelihood of experiencing decreased sexual desire increases in men when taking certain medications, though to varying degrees. For instance, some blood pressure treatments affect ejaculation or erection, resulting in reduced sexual desire. Below are some other medicines that might affect male hormone levels:
Hormonal treatments for prostate cancer.
Chemotherapy or radiation therapy for cancer.
Opioid pain relievers.
Some antifungal agents.
Steroids used by some athletes to boost muscle mass.
Certain types of antidepressants and antipsychotics.
Some types of antispasmodics.
Medications for treating high blood pressure.
Prolonged usage of Cimetidine, an over-the-counter medicine for acidity relief.
Stress and Psychological Pressure
Regrettably, stress has become a constant companion for most people in our current era, affecting numerous life aspects, including psychological and physical health, and this naturally includes sexual health. Stress elevates the secretion of cortisol, a hormone that assists the body in managing stress by regulating many vital functions, such as blood pressure, sugar levels, and reducing inflammation. This leads to blood vessel constriction, which can impact erectile difficulty. It might also cause a reduction in testosterone levels, leading to low libido in men.
In addition to the above, stress is linked to insomnia and sleep disturbances, which increase fatigue and exhaustion levels, also affecting sexual desire.
Lifestyle
There are several life habits that some people follow which impact male sexual desire. These can be easily managed, and sexual desire can be restored merely by avoiding or stopping some wrong behaviors. These include:
Alcohol and drug addiction.
Over-exercising or abstaining from exercise.
Obesity, as excess weight directly affects metabolism and hormone functions, potentially causing a decrease in testosterone.
Smoking.
How to Treat Low Libido in Men
Dr. Ahmed Adel clarifies that treating low libido in men starts with the man realizing he has a sexual problem and then consulting an andrologist for evaluation.
The initial treatment steps begin with identifying the underlying cause. Here are the specifics:
If the Cause is Psychological
The team, comprised of a specialized andrologist—like Dr. Ahmed Adel—and a psychiatrist, assesses the nature of the problem, and each plays a role in formulating the treatment plan. Here, we focus on the andrologist's role, as they prescribe certain medications to stimulate increased sexual desire.
If the Cause is Organic
Dr. Ahmed Adel confirms that managing low desire resulting from organic problems leads to gradual improvement in performance. The doctor measures the success based on both partners' satisfaction with the marital relationship. For example, if the cause stems from a deficiency in the male hormone, the doctor prescribes treatments that stimulate the body to re-secrete the male hormone. Dr. Ahmed Adel stresses avoiding direct testosterone administration, particularly if the patient is a young man, as this causes the body to become accustomed to obtaining the hormone from an external source.
Nevertheless, direct testosterone might be prescribed in cases of gland inactivity for some older patients, but only after the patient undergoes certain examinations, such as a prostate check.
In addition to the above, the doctor provides some advice regarding the patient's daily lifestyle, which can resolve the low sexual desire issue and promote good sexual health. This advice includes:
Exercising regularly.
Maintaining a healthy weight.
Getting adequate sleep.
Abstaining from smoking and alcohol consumption.
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