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Lack of sex drive in men (lack of libido)



Lack of sex drive in men (lack of libido)
Lack of sex drive (lack of libido) is common in women, but quite rare in men. Even men with who have difficulty maintaining an erection (erectile dysfunction) usually have a normal sex drive.
However, some men do find that their interest in sex diminishes as they get older. And a very few have never experienced any sexual desire in their lives.
In 2009, it is commonplace to see adverts suggesting that low libido can be cured with nasal sprays. Such claims should be treated with caution.
How common is lack of libido in men?
Lack of libido in men is far less common than erectile dysfunction – with which it should not be confused.
At our clinic we see only one man with low libido for every 15 with erectile dysfunction.
Most men with lack of libido can achieve erections, but have lost the desire to have sex.
What are the causes of lack of libido in men?
As is the case with women, lack of desire in men can be of either physical or psychological origin.
Physical causes
Alcoholism – quite common.
Abuse of drugs such as cocaine.
Obesity – quite common; slimming down will often help.
Anaemia - unusual, unless the man has been bleeding for any reason.
Hyperprolactinaemia – a rare disorder where the pituitary gland produces too much of the hormone prolactin.
Prescribed drugs – particularly Proscar (finasteride), a tablet used for prostate problems.
Low testosterone level - contrary to what many people think, this is rare, except in cases where some injury or illness has affected the testicles.
Any major disease such as diabetes.
Psychological causes
Depression – very common.
Stress and overwork.
Hang-ups from childhood.
Latent homosexuality.
Serious relationship problems with your partner.
What should a man do about lack of libido?
Begin by seeing your GP. Do not start by visiting a private clinic, where you could be relieved of a lot of money. In 2009, there are various private organisations where men are charged hundreds of pounds for simple tests which could be done by your general practitioner.
If your doctor can't help, he or she can refer you to a specialist.
All the above causes of lack of libido can respond well to therapy.
The most difficult to treat are those that involve marital problems or hang-ups about sex. For these, a good place to go is a Relate clinic.
Are there any medicines for low sexual desire?
At the moment there are no medicines available that will increase male libido except where there is a testosterone deficiency, in which case it is worth prescribing this hormone.
Drugs for ED such as Cialis, Levitra and Viagra have no effect on sexual desire - only on erection.