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Decreased Libido is a reduction in sex drive. Possible causes include psychologic factors (such as depression, anxiety, or relationship problems), drugs, and low blood levels of testosterone.

Decreased Libido (intimate drive = interest in the intimate activity) is a common problem affecting up to one in five men – and even more women – at some point in their life, and libido levels vary through life.

Sometimes, your level of interest does not match that of your partner. However, Decreased Libido for a long period of time may cause concern for some people.

A fact indeed, decreased libido can sometimes signify the presence of an underlying health condition.

What Causes It?

There are several causes for this frequent complaint, some are organic and some are of psychological nature. Sometimes it is a combination of both.

Hormone Imbalance

Libido is directly influenced by testosterone levels. Testosterone is an important male hormone.

It is mostly produced in the testicles. It is responsible for building muscles and bone mass and stimulating sperm production. It has a major impact on sexual desire; when your testosterone levels decrease, your desire for sex also decreases. Hyperprolactinemia (elevated serum Prolactin level) also has a negative impact on libido.


Taking certain medications can lower testosterone levels, which in turn may lead to low libido (e.g. medication for high blood pressure, including diuretics). Also of note, Anti-depressants and medications for Psychosis and Seizures (fits) can decrease libido.


Testosterone levels, with its impact on increasing libido, are at their highest when men are in their late teens. In older years, it may take longer to have orgasms, ejaculate, and become aroused.


Chronic stress, in particular, can interfere with your body’s hormone levels, and result in low libido. Moreover, it can reduce your libido by distracting you and taking your mind off sexual desire.


Libido and depression share a complex link; it is harder to feel aroused or desiring intimacy when you are depressed.  Some antidepressant medications commonly used to treat depression may also lower libido as a side effect.

Erectile Dysfunction

Low libido is a common emotional consequence for ED. When a man develops Erectile Dysfunction, he may get anxious, his confidence and self-esteem are shaken, and he might be afraid his embarrassment would shame him again.

He refrains from intimate relations with his libido waning to preserve his manhood ego.

Domestic Conflicts

When a couple starts to have relationship problems; frequently fighting or feeling distant from each other, they are less likely to want to have intimate contact. Communication problems, anger, resentment — all these negative emotions can cause waning of libido.

Is It Treatable?

Treating Decreased Libido relies heavily on treating the underlying issue.

Your Andrologist will assess your complaint, medical history and accordingly, decide on the best suitable management plan.

Through certain lab investigations, if the testosterone level proves to be low, supplemental testosterone can be given. If it is related to an abnormal rise in serum prolactin level, then a course of medication should be prescribed to lower prolactin to its normal range.


If your low libido is because of psychological nature, Pyscho-sex therapy could be of great benefit for relationship counseling.

On a prophylactic basis, for some men, adopting a healthier lifestyle, such as exercising regularly, eating a healthy diet, getting enough sleep, reducing stress can help maintain a satisfactory sexual drive.