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Many men – almost about one in five –have low sexual desire. Actually, many women have — the ones hearing the phrase “Not tonight, dear.” But in fact, almost 30% of women say they have more interest in sex than their partner has.”

Different causes of low libido

1. AGE, getting older is one of the common cause for low desire but it has also been observed that many older men have a significant interest in sex. So we can say that the sex drive varies from men to men.. Most men are in the normal range, some are extraordinarily driven toward addiction-like sexual behavior. At the other end some are with very low sexual interest. These are men who

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suffer from hypo-active sexual desire disorder (HSDD).

2. Hormonal causes, “Testosterone is the most important hormone responsible for sexual desire. Low testosterone levels usually mean low sexual desire. With the increasing age levels of testosterone falls, some other reasons for low testosterone are chronic illness, some medications, alcohol and drug abuse. Low thyroid hormone levels, high levels of prolactin hormone (Hyperprolactinaemia, a rare disorder where the pituitary gland produces too much prolactin) also affect the level of testosterone in body.

3. Psychological causes. Stress and anxiety from the strain of daily life, relationship or family problems, depression, exhaustion, hang-ups from

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childhood, latent homosexuality and mental disorders are among the many factors that can affect sexual desire.

4. Medical problems. Chronic diseases like diabetes, obesity, anemia, high blood pressure, and high cholesterol and some drugs like HIV drugs, some hair-loss remedies and some prescribed drugs – particularly finasteride, a drug used for prostate problems and also medications affecting the brain. Other medications can negatively affect sexual desire. It has been noted that Parkinson’s disease patients treated with dopamine-stimulating drugs had increased sexual desire

5. Head injury

Treatment: Most of the above causes of lack of libido can respond well to therapy.

Its always better to see specialist. A physical check-up and any blood tests which the physician thinks necessary, like a blood count or thyroid tests , serum

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prolactin level, serum testosterone level etc. The most difficult to treat are those that involve marital problems.

For Men: Each cause of low sexual desire has its own treatment. In cases where the problem is low testosterone, men can take testosterone supplements if they have measurably low levels. A person can go for weekly testosterone shots or skin patches or gel formulations applied directly to the skin of the chest, shoulders, or abdomen. Some physicians are advising dopamine-increasing drugs, although this treatment is not

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currently approved by the FDA. When the cause of low sexual desire is psychological, psychotherapy and sex therapy can offer men specific techniques and strategies for regaining their enjoyment of sex.

For Women: A new drug now in clinical trials does increase dopamine levels while decreasing a specific kind of serotonin in the brain. Early clinical studies suggest the drug could help women with low sexual desire.

Important to note that medicine used for erectile dysfunction such as Sildenafil, Tadalafil have no effect on sexual desire – only on erection

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