Why your libido might be on a downward spiral

Well-being and fitness

Why your libido might be on a downward spiral


Question: To help! I am a married man with a low sexual appetite. I am normal ?

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Yes, you are normal. A low libido is a normal phenomenon as one ages. However, possible contributing factors should be ruled out before fully asserting that you are fine.

A low libido is a reduced sex drive that has been present for a long time, usually six months. This can occur with erectile dysfunction which is the recurrent inability to achieve or maintain an erection of sufficient hardness and duration for sexual intercourse. These two conditions can occur together or in isolation.

Sexual problems tend to increase with age, becoming more pronounced from around age 40. As you age, the frequency of sexual activity decreases while the occurrence of sexual problems increases.

Other causes

In addition to age, other causes of low libido and erectile dysfunction are cardiovascular disease, diabetes, hypertension, obesity, dyslipidemia, smoking, depression, and drug use. Erectile dysfunction (ED) can also be caused by any of several medical conditions.

These include diabetes, hypertension, prostate cancer, kidney disease, obesity, venous leaks, and neurological problems such as Parkinson’s disease, Alzheimer’s disease, and multiple sclerosis. The use of certain medications and injuries resulting from an accident can also cause erectile dysfunction.

How to improve appetite

This is mainly aimed at identifying the cause of low libido and offering specific treatment. Lifestyle modification (weight loss, physical activity) and medical management of cardiovascular risk factors may be effective in improving sexual function in some men.

Certain drugs (phosphodiesterase-5 inhibitors) can also be used as part of the initial treatment. If they do not meet the above measures, vacuum assisted erection devices can be used while severe cases can undergo surgical procedures such as a penile prosthesis.

Dr. Felix Oindi, Consultant Obstetrician Gynecologist at Aga Khan University Hospital


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