Decreased libido in men

Today we are talking with the urologist of the mobile clinic #DobroDoc_plus - Tymoshenko Anastasia on a delicate topic:
22.06.23

A short-term loss of intimate life may be normal, but what can lead to this on a long-term basis? Let's figure it out

A short-term loss of intimate life may be normal, but what can lead to this on a long-term basis? Let's figure it out

Decreased testosterone levels.

  • The main male sex hormone is produced in the testicles and is responsible for muscle growth, sperm production and sexual desire.

Medical preparations.

  • Chemotherapy, hormone therapy for oncology, and radiotherapy.
  • Corticosteroids.
  • Opioid pain relievers.
  • Antifungal drugs (ketoconazole).
  • Cimetidine (H2 receptor blocker).
  • Anabolic steroid.
  • Antidepressants.

Restless Leg Syndrome.

  • According to studies, men who experience these problems are more prone to erectile dysfunction.

Depression.

  • Depression can cause a decrease in interest in sex, and drugs to treat it also affect libido. Duloxetine, Fluoxetine, Sertraline affect sexual desire the most, Bupropion the least.

Chronic diseases.

Sleep problems.

  • Men with obstructive sleep apnea (OSA) have lower testosterone levels. Also, the hormone may decrease simply due to a limited amount of sleep (less than 5 hours a day).

Stress.

  • Stress has a direct impact on the sexual health of both men and women.

Low self-esteem.

  • Yes, that matters too. Dissatisfaction with oneself can lead to the fact that a person generally refuses sexual relations.

Alcohol abuse.

Drugs.

  • Drug use reduces testosterone production and impairs sperm counts. 

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