Factsheet: Low Libido (Sexual Desire)

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Factsheet

Low libido (sexual desire)

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Sex can be fun, exciting,


and a time of intimate
sharing. However, sex can
also be a time of anxiety and
vulnerability, especially when
there is a sexual problem.
What is low libido?

Other factors that can affect libido include:

Low libido is the term used to describe


a lack of interest in sexual activity.
Sexual desire or libido is produced by a
combination of biological, personal and
relationship factors.

stress or tiredness from work


too little or too much exercise
feelings of dissatisfaction with the
relationship.
It is often difficult to separate how
much a mans sexual interest is
affected by biological or psychological
factors, especially when there is
chronic illness, chronic pain, fatigue or
body image problems (e.g., following
surgery for cancer).

Sexual desire is different for each


person and may change over time
depending on what is happening in
a persons life. Low libido may not
be seen as a problem for some men;
however, if a man loses interest in
sex for no apparent reason, and it is
a concern for him, talking to a doctor
may be helpful.

What causes low libido?


Low libido can be caused by acute
(short-term) or chronic (long-term)
medical or psychiatric conditions,
particularly depression.

How is low libido diagnosed?


If a man loses interest in sex for no
apparent reason a doctor will check the
man to try to find the cause.
Checking a man with low libido
might include:
a medical history including medicine use
a physical examination
blood tests.

Men with low levels of testosterone


(androgen deficiency) can have
problems with low libido.

If low libido seems to be related


to relationship issues, talking to a
psychologist or counsellor may help to
find the cause.

Prescription medicines, such as


antidepressants and blood pressure
medicines, as well as frequent alcohol
or marijuana use can lower feelings of
sexual desire.

How is low libido treated?


Antidepressants can be helpful if a man
is depressed, but they can also lower
sexual interest.

If low libido is caused by androgen


deficiency (low testosterone) that
has been confirmed by a blood test,
testosterone replacement therapy may
be needed. Low libido related to stress
or tiredness may be helped by stress
management strategies or counselling.
Partner dissatisfaction is the most
common reason for people seeking
treatment for low libido.
The identified patient (the one who is
less interested in sex) may seek treatment
because their partner is frustrated, angry
or resentful. This situation is also known
as desire discrepancy.
Low libido often hides a desire for
more non-sexual sharing and intimacy.
Individual or couple counselling can be
helpful in identifying and addressing
any issues to improve sexual desire.

Who can help a man with low libido?


The local doctor (GP) can help to identify
the extent and cause of low libido.
Depending on the likely cause, the
doctor may refer to other professionals
such as a sex therapist, a psychologist, a
urologist, or an endocrinologist.
For more information visit
www.andrologyaustralia.org, call
1300 303 878, or speak to your doctor.

Dr Michael Lowy
MBBS MPM FAChSHM

Sydney Mens Health, Sydney


Date reviewed: December 2014
Andrology Australia 2014

Andrology Australia is an initiative funded by the Australian Government Department of Health


c/o School of Public Health and Preventive Medicine, Monash University
PO Box 315, Prahran
Victoria 3181, Australia
The information in this fact sheet has been provided for educational purposes only.
It is not intended to take the place of a clinical diagnosis or proper medical advice from a fully qualified health professional.
Andrology Australia urges readers to seek the services of a qualified medical practitioner for any personal health concerns.

AA15.1.2 LOW LIBIDO/FS

Expert reviewer

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