Causes and Treatments of Low Libido in Men

Sexual desire, or libido, is an important aspect of human sexuality and can play a significant role in an individual’s overall well-being. However, it is common for people to experience periods of low libido at some point in their lives. Low libido can be caused by a variety of factors, including hormonal imbalances, certain medications, psychological issues, and lifestyle factors. It is important to address and manage low libido in order to maintain sexual health and well-being. In this blog post, we will delve into the various causes and treatments for low libido, as well as provide tips for managing this common issue.

What is Libido?

Libido refers to a person’s sexual desire or drive. It is an important aspect of human sexuality and can be influenced by a variety of factors, including physical, emotional, and psychological factors. Physical factors that can affect libido include hormonal changes, illness, and certain medications. Emotional and psychological factors that can affect libido include stress, anxiety, depression, and relationship issues.

The concept of libido was first introduced by Sigmund Freud, the founder of psychoanalysis, in his theory of personality. Freud believed that libido was a form of psychic energy that drives a person’s sexual and creative impulses. He believed that this energy was derived from the id, the unconscious part of the psyche that contains a person’s primitive instincts and desires.

Libido can vary widely from person to person and can also fluctuate over time. Some people may have a high libido and be interested in sex frequently, while others may have a low libido and be less interested in sex. It is normal for libido to change, and there is no “right” or “wrong” level of sexual desire. However, if a person is consistently unable to experience sexual desire or pleasure, or if their lack of libido is causing distress, it may be helpful to speak with a healthcare provider or mental health professional for further evaluation and treatment.

What is Low Libido?

Low libido refers to a decreased interest in sexual activity. It is a common concern, and many people experience a decrease in their libido at some point in their lives.

It is important to note that what is considered a normal or healthy level of libido can vary greatly from person to person and can change throughout a person’s life. Some people may have a naturally high libido and desire frequent sexual activity, while others may have a lower libido and be satisfied with less frequent sexual activity.

Low Libido in Men

Causes of Low Libido in Men

There are many potential causes of low libido in men, and the specific cause can vary from person to person. Here are some common causes of low libido in men:

  1. Physical causes:

  • Low testosterone levels: Testosterone is a hormone that plays a role in the development of male sex organs and secondary sex characteristics, such as facial hair and a deeper voice. It also plays a role in sexual function, including libido.
  • Erectile dysfunction: Erectile dysfunction (ED), or the inability to maintain an erection sufficient for sexual activity, can be a cause of low libido. When a man is unable to achieve or maintain an erection, it can be frustrating and lead to feelings of inadequacy, which can in turn affect his desire for sexual activity
  • Chronic illness: Certain diseases like cancer might lower the number of sperm you produce. In addition to type 2 diabetes, obesity, high blood pressure, high cholesterol, and chronic lung, heart, kidney, and liver failure, other chronic conditions that might affect libido include these.
  • Certain medications: Low libido can be an adverse effect of some drugs, including blood pressure and antidepressants. For instance, ACE inhibitors and beta-blockers, which are used to treat high blood pressure, may suppress ejaculation and erections.
  1. Psychological causes:

  • Stress: By lowering testosterone levels and raising cortisol levels, which can hinder sexual desire, chronic stress might have an impact on libido. According to a study of soldiers with post-traumatic stress disorder (PTSD), the likelihood of sexual dysfunction was more than tripled.
  • Anxiety and depression: Libido can be impacted by despair and anxiety as well. People who are depressed report having little to no interest in once-pleasurable activities, including sex. Some antidepressants might also cause low libido as a side effect.
  • Negative body image: Body image is the way that a person perceives and thinks about their own body. If a person has a negative body image, they may feel self-conscious or anxious about their appearance, which can affect their desire for sexual activity.
  • Performance anxiety: Performance anxiety, or fear of not being able to perform sexually, can also cause low libido. Performance anxiety can lead to feelings of stress and pressure, which can interfere with the ability to relax and enjoy sexual activity. It can also lead to physical symptoms such as difficulty achieving or maintaining an erection, difficulty becoming aroused, or difficulty reaching orgasm.
  1. Relationship factors:

  • Poor communication: Poor communication with a partner can lead to misunderstandings and conflict, which can affect libido.
  • Lack of emotional intimacy: A lack of emotional intimacy can also contribute to low libido.
  • Conflict in a relationship: Relationship conflict can affect libido by causing stress and reducing feelings of connection with a partner.
  1. Other factors:
  • Age: Low libido in males can be caused by a normal fall in testosterone levels that occurs as men age. Men reach their peak testosterone levels in their late teens, which are related to libido. It could take longer to ejaculate, experience orgasms, and feel aroused as you age. Your erections could not be as strong, and your penis might take longer to erect.
  • Lifestyle factors: Alcohol and drug use can affect libido, as can lack of sleep. In a recent study of young and healthy men, testosterone levels decreased by 10% to 15% after a week of sleep restriction to five hours per night.

There are many potential causes of low libido in men, and the specific cause can vary from person to person. Therefore, keep reading for tips on how to improve low libido.

Tips on How to Improve a Low Libido

Here are some tips for improving low libido:

  1. Practice relaxation techniques: Stress and anxiety can reduce libido. Practicing relaxation techniques, such as deep breathing, meditation, or yoga, can help reduce stress and improve sexual desire.
  2. Exercise regularly: Regular physical activity can improve mood, increase energy levels, and boost libido.
  3. Get enough sleep: Lack of sleep can decrease libido. Aim for 7-9 hours of sleep per night.
  4. Eat a healthy diet: A healthy diet rich in fruits, vegetables, and lean proteins can improve overall health and increase libido.
  5. Avoid substances that can impair sexual function: Alcohol and tobacco can impair sexual function and reduce libido. Limiting or avoiding these substances may help improve libido.
  6. Communicate with your partner: Discussing your feelings and concerns about low libido with your partner can help improve intimacy and strengthen your relationship.

Besides these tips for improving low libido, there are also some effective treatment options you may want to consider if you’re experiencing low libido.

How Can Low Libido Be Treated?

There are several medical treatment options for managing low libido that may be effective.

  1. Hormonal therapy: Hormonal imbalances, such as low testosterone levels in men or low estrogen levels in women, can contribute to low libido. Hormonal therapy, such as testosterone replacement therapy or hormone replacement therapy, can help correct these imbalances and improve libido.
  2. Medications: Certain medications, such as antidepressants, blood pressure medications, and hormonal contraceptives, can affect libido. Changing medications or adjusting the dosage may improve libido. For example, some antidepressants can cause low libido as a side effect. Switching to a different type of antidepressant or adjusting the dosage may improve libido.
  3. Counselling: Counseling or therapy can be an effective treatment for low libido that is caused by psychological issues, such as stress, anxiety, or relationship problems. Counseling or therapy can help individuals address these issues and improve their overall well-being and sexual desire.

It is important to consult with a healthcare provider to determine the best course of action for your specific situation, and to rule out any underlying medical conditions that could be causing low libido.


Low libido, or reduced sexual desire, is a common issue that can have a variety of causes. These can include hormonal imbalances, certain medications, psychological issues, and lifestyle factors. Treatment options for low libido may include hormonal therapy, medication adjustments, counseling, and lifestyle changes. It is important to identify the underlying cause of low libido in order to determine the most appropriate treatment. It may be necessary to try a combination of treatments to find what works best, and it is important to discuss any concerns about low libido with a healthcare provider, which you can get at HRT Doctors Group. With professional help at HRT Doctor Group, you can effectively get the best, personalized treatment to increase your libido. Don’t let low libido hold you back any longer, schedule an appointment now and let us help you reclaim your vitality and enjoyment of intimacy!

Research Citations

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  • “Testosterone Therapy in Adult Men with Androgen Deficiency Syndromes: An Endocrine Society Clinical Practice Guideline.” The Journal of Clinical Endocrinology & Metabolism.
  • Nehra A. Erectile dysfunction and cardiovascular disease: efficacy and safety of phosphodiesterase type 5 inhibitors in men with both conditions. Mayo Clin Proc. 2009 Feb;84(2):139-48. doi: 10.1016/S0025-6196(11)60822-7. PMID: 19181648; PMCID: PMC2664585.
  • Leproult R, Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA. 2011 Jun 1;305(21):2173-4. doi: 10.1001/jama.2011.710. PMID: 21632481; PMCID: PMC4445839.
  • Breyer, B.N., Cohen, B.E., Bertenthal, D., Rosen, R.C., Neylan, T.C. and Seal, K.H. (2014), Sexual Dysfunction in Male Iraq and Afghanistan War Veterans. J Sex Med, 11: 75-83.