Obniżone libido – Rokowania, prognozy i postęp choroby

Obniżone libido
Rokowania, prognozy i postęp choroby

Obniżone libido, dotykające około 20% mężczyzn i większy odsetek kobiet, charakteryzuje się zmniejszonym zainteresowaniem aktywnością seksualną i osłabieniem popędu. Rokowanie jest zróżnicowane i zależy od etiologii, wieku pacjenta, czasu trwania problemu oraz współpracy w terapii. Terapie hormonalne, takie jak TRT u mężczyzn z hipogonadyzmem oraz HTZ u kobiet w okresie menopauzy, mogą poprawić libido, choć efekty są zmienne. W przypadku chorób przewlekłych (cukrzyca, choroby sercowo-naczyniowe, niedoczynność tarczycy) skuteczna kontrola choroby podstawowej może poprawić funkcje seksualne. Problemy psychologiczne i relacyjne wymagają podejścia psychoterapeutycznego i poradnictwa, które wykazują umiarkowaną skuteczność (około 56,7% par osiąga poprawę). Wczesna interwencja i aktywne uczestnictwo pacjenta w terapii są kluczowe dla lepszego rokowania.

Prognoza obniżonego libido (utrata popędu seksualnego)

Czynniki prognostyczne w terapii obniżonego libido
Rokowanie w zależności od przyczyny obniżonego libido
Wskaźniki prognostyczne długości trwania problemu
Prognoza w zależności od metod leczenia
Jakość życia i relacji w kontekście rokowania
Rekomendacje dla pacjentów dotyczące rokowania
Rokowanie w kontekście zaburzeń pożądania seksualnego
Wnioski końcowe dotyczące rokowania
Kolejne rozdziały

Prognoza obniżonego libido (utrata popędu seksualnego)

Obniżone libido (zmniejszony popęd seksualny) to powszechny problem, który dotyka około 20% mężczyzn i jeszcze większy odsetek kobiet w pewnym momencie życia. Charakteryzuje się on zmniejszonym zainteresowaniem aktywnością seksualną lub osłabieniem siły odczuwanego popędu w porównaniu do wcześniejszego stanu.¹² Rokowanie w przypadku obniżonego libido jest zróżnicowane i zależy od wielu czynników, w tym przyczyn leżących u podstaw problemu, wdrożonego leczenia oraz indywidualnych uwarunkowań pacjenta.

Czynniki prognostyczne w terapii obniżonego libido

Badania nad skutecznością terapii seksualnej w przypadkach obniżonego libido u kobiet wykazały, że około 56,7% par osiąga pozytywne rezultaty leczenia. Głównym predyktorem ukończenia terapii jest wyjściowa motywacja partnera płci męskiej. Gorsze rokowanie wiąże się z młodszym wiekiem pary (szczególnie partnera) oraz krótszym czasem trwania problemu seksualnego.³ Te umiarkowane wyniki leczenia podkreślają potrzebę głębszego zrozumienia czynników przyczyniających się do problemu obniżonego libido oraz rozwoju nowych strategii terapeutycznych.

Obniżony popęd seksualny często nie jest izolowanym problemem, lecz objawem innych chorób lub stanów. W takich przypadkach rokowanie zależy w dużej mierze od możliwości leczenia choroby podstawowej oraz od czasu wdrożenia odpowiedniej terapii.⁴⁵

Rokowanie w zależności od przyczyny obniżonego libido

Rokowanie różni się znacząco w zależności od głównej przyczyny obniżonego libido:

Przyczyny hormonalne – W przypadku hipogonadyzmu u mężczyzn, terapia zastępcza testosteronem (TRT) może przynieść poprawę funkcji seksualnych, w tym zwiększenie libido. Metaanalizy badań interwencyjnych wykazały, że leczenie niskiego poziomu testosteronu wiąże się z poprawą pożądania seksualnego, jednak efekt ten jest niewielki i wysoce zmienny.⁶
Menopauza – U kobiet w okresie menopauzy, hormonalna terapia zastępcza (HTZ) może poprawić libido, szczególnie gdy niskiemu popędowi towarzyszą inne objawy menopauzalne.⁷⁸
Choroby przewlekłe – Rokowanie zależy od możliwości kontroli choroby podstawowej. Choroby takie jak cukrzyca, choroby sercowo-naczyniowe, przewlekła choroba nerek czy niedoczynność tarczycy mogą wpływać na libido, a ich skuteczne leczenie może poprawić funkcje seksualne.⁹¹⁰
Problemy psychologiczne – W przypadku depresji, lęku czy stresu, odpowiednie leczenie tych stanów może przynieść poprawę libido, choć niektóre leki przeciwdepresyjne (szczególnie z grupy SSRI) mogą same powodować obniżenie popędu seksualnego.¹¹¹²
Problemy w związku – Terapia par i poradnictwo psychoseksualne mogą znacząco poprawić satysfakcję seksualną i zwiększyć libido, gdy przyczyną są problemy relacyjne.¹³¹⁴

Wskaźniki prognostyczne długości trwania problemu

Długość trwania problemu z obniżonym libido jest trudna do przewidzenia i zależy od wielu czynników:

Wiek pacjenta – problem może nasilać się z wiekiem, szczególnie u mężczyzn w wieku 66-74 lat, gdzie częstość występowania znacznie wzrasta (do 41%) w porównaniu z młodszymi mężczyznami w wieku 18-24 lat (6%).¹⁵
Nasilenie objawów podstawowych – bardziej nasilone objawy chorób współistniejących mogą prowadzić do dłuższego utrzymywania się problemu z libido.¹⁶
Czas od wystąpienia problemu do podjęcia leczenia – wczesna interwencja zazwyczaj wiąże się z lepszym rokowaniem.¹⁷
Współpraca pacjenta w procesie leczenia – aktywne uczestnictwo w terapii i stosowanie się do zaleceń poprawia rokowanie.¹⁸

Prognoza w zależności od metod leczenia

Skuteczność leczenia i związane z nią rokowanie zależy od zastosowanej metody terapeutycznej:

Terapia hormonalna – W przypadku niedoboru testosteronu u mężczyzn, terapia zastępcza może przynieść poprawę, choć efekt jest zróżnicowany. U kobiet w okresie menopauzy, hormonalna terapia zastępcza może łagodzić objawy genitourologicznego zespołu menopauzalnego (GSM), czyniąc seks bardziej komfortowym, co pośrednio może zwiększać libido.¹⁹²⁰
Zmiana leków – Jeśli przyczyną jest działanie niepożądane leków (np. przeciwdepresyjnych), zmiana leku lub dostosowanie dawki może przynieść szybką poprawę.²¹
Poradnictwo psychoseksualne – Terapia zorientowana na pary i edukacja seksualna mogą przynieść dobre rezultaty, szczególnie gdy problemem są kwestie relacyjne czy psychologiczne.²²²³
Zmiany stylu życia – Moderacja spożycia alkoholu, odpowiednia aktywność fizyczna, rzucenie palenia i zdrowa dieta mogą poprawić ogólny stan zdrowia, co przekłada się na poprawę funkcji seksualnych. Efekty mogą być widoczne po kilku tygodniach lub miesiącach stosowania zdrowego stylu życia.²⁴²⁵

Jakość życia i relacji w kontekście rokowania

Długotrwałe obniżenie libido może negatywnie wpływać na jakość życia i relacji. Badania wykazały, że zarówno mężczyźni, jak i kobiety cierpiący na klinicznie niskie libido zgłaszają znacznie niższy poziom satysfakcji seksualnej oraz niższy poziom ogólnego dostosowania w związku.²⁶

Satysfakcja seksualna w związku ma bezpośredni związek z ogólną satysfakcją ze związku i jego dobrostanem. Dowody empiryczne pokazują, że pożądanie seksualne jest czynnikiem, który silnie wpływa na zadowolenie pary i trwałość związku.²⁷ Z tego powodu leczenie obniżonego libido nie powinno koncentrować się wyłącznie na aspekcie fizycznym, ale również uwzględniać psychologiczne i relacyjne aspekty problemu.²⁸

Rekomendacje dla pacjentów dotyczące rokowania

Osoby zmagające się z obniżonym libido powinny być świadome, że:

Zmiany w popędzie seksualnym są typowe i stanowią część każdego związku oraz każdego etapu życia.²⁹
Nie istnieje uniwersalna definicja normalnego libido – ważne jest to, czy zmniejszone libido stanowi problem dla danej osoby lub jej związku.³⁰
Wczesne zgłoszenie się do lekarza w przypadku utrzymującego się obniżonego libido może poprawić rokowanie.³¹
Kompleksowa ocena i indywidualnie dostosowany plan leczenia mogą znacząco poprawić rokowanie.³²
Nie ma konieczności spełniania konkretnej definicji medycznej ani czekania na pogorszenie się obniżonego libido przed szukaniem pomocy.³³

Rokowanie w kontekście zaburzeń pożądania seksualnego

W przypadku gdy obniżone libido jest na tyle znaczące, że kwalifikuje się jako zaburzenie pożądania seksualnego (SDD) lub zaburzenie pożądania seksualnego i pobudzenia u kobiet (FSIAD), rokowanie może być bardziej złożone. Według DSM-5, sama dysharmonia w poziomie pożądania między partnerami nie jest wystarczająca do diagnozy FSIAD, a konieczne jest zmniejszenie lub brak aktywności seksualnej, fantazji seksualnych, receptywności na inicjację aktywności seksualnej przez partnera oraz zmniejszenie odczuwania bodźców seksualnych.³⁴

Objawy lękowe wydają się silnymi wskaźnikami niskiego pożądania u mężczyzn, a używanie alkoholu może być następstwem tego zaburzenia. Ogólnie jednak stan ten dotyka tylko niewielką część populacji męskiej (1,8%) w wieku od 16 do 44 lat.³⁵

Wnioski końcowe dotyczące rokowania

Rokowanie w przypadku obniżonego libido jest generalnie dobre, gdy zostanie wdrożone odpowiednie leczenie ukierunkowane na przyczynę problemu. Jednakże, skromne wyniki leczenia obniżonego libido w przedstawionych badaniach podkreślają potrzebę dalszego zrozumienia czynników przyczyniających się do tego problemu oraz opracowania nowatorskich strategii leczenia.³⁶

Kompleksowe podejście terapeutyczne ukierunkowane na wiele przyczyn tego stanu przynosi najlepsze rezultaty. Zalecenia mogą obejmować edukację seksualną, poradnictwo, a czasem leki i terapię hormonalną.³⁷ Warto pamiętać, że odpowiedź na leczenie obniżonego libido to więcej niż tylko sięganie po leki. Uznanie istnienia problemu i szukanie profesjonalnej pomocy może być początkiem odzyskania satysfakcjonującego życia seksualnego.³⁸

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Materiały źródłowe

#1 Low Libido (Low Sex Drive) Causes & Treatment
https://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] Low libido (low sex drive) is common. It affects up to 1 in 5 men and even more women at some point in life. […] The main symptom of low sex drive is wanting sex less often or less strongly than you used to. […] Many things can lower your libido including your physical and mental health, aging, relationships and stress levels. […] Some health conditions that may affect your sex drive include: Cancer, Chronic kidney disease, Chronic pain, Diabetes, Headaches, Heart disease, High blood pressure, High levels of the hormone prolactin, Rheumatoid arthritis, Underactive thyroid. […] Mental health and life stress can also lower your desire for sex. […] If menopause is lowering your sex drive, hormone therapy (HT) may help. […] For men with low testosterone, treatment may include testosterone replacement. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. […] See your healthcare provider if low sex drive is hurting your well-being or your relationship.
#2 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Loss of libido (sex drive) is a common problem affecting up to 1 in 5 men and even more women at some point in their life. […] However, an unexpected loss of libido especially when it lasts for a long time or keeps returning can also indicate an underlying personal, medical or lifestyle problem, which can be upsetting to both partners in a relationship. […] If youre concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment to see your GP to discuss any underlying causes and possible medical or psychological treatments. […] Relationship problems are among the most common causes of loss of libido. […] Your GP may feel you will benefit from psychosexual counselling. This is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your loss of libido.
#3 Low sexual desire: sex therapy results and prognostic factors – PubMed
https://pubmed.ncbi.nlm.nih.gov/1883302/
In a prospective study of 60 couples who entered sex therapy because of the female partners’ low sexual desire, 38 (63.3%) completed treatment and 34 (56.7%) had a positive outcome. […] The principal predictor of completion of treatment was the male partners’ apparent motivation at the outset. Poorer outcome was associated with younger age of the couple (especially the male partner) and a shorter duration of the sexual problem. […] The modest outcome of treatment for low sexual desire in this and other studies emphasises the need for further understanding of factors which contribute to this problem and for the development of novel treatment strategies.
#4 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Loss of libido (sex drive) is a common problem affecting up to 1 in 5 men and even more women at some point in their life. […] However, an unexpected loss of libido especially when it lasts for a long time or keeps returning can also indicate an underlying personal, medical or lifestyle problem, which can be upsetting to both partners in a relationship. […] If youre concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment to see your GP to discuss any underlying causes and possible medical or psychological treatments. […] Relationship problems are among the most common causes of loss of libido. […] Your GP may feel you will benefit from psychosexual counselling. This is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your loss of libido.
#5 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
It may feel uncomfortable to talk about low libido with your partner and your health care team. Unfortunately, it’s a common problem that affects adults everywhere, yet many people have never been asked about their sexual health by their health care teams. […] Many primary care, psychology and OB-GYN professionals are trained to care for and treat hypoactive sexual desire disorder, or HSDD. This is the persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. It’s often referred to as having a low libido and can cause significant distress and relationship problems. […] A thorough evaluation of your symptoms and possible causes, along with an individualized treatment plan, may put you in the mood more often. […] Remember, the answer to treating a low libido is more than turning to medications. Acknowledging there’s an issue and seeking professional help can be the start of getting back something great.
#6 The role of testosterone in male sexual function
https://pmc.ncbi.nlm.nih.gov/articles/PMC9789013/
In fact, in all the meta-analyses of intervention trials published so far, treating low T is associated with improved sexual desire. […] Overall, these data indicate that TRT is effective in improving sexual function in middle-aged and older subjects with variable definitions of low T (from lower than 8 to lower than 15 nmol/L), but the effect is small and highly variable. […] Sexual dysfunctions, such as ED and MHSDD, are associated with low T levels. This point is well accepted by all the major guidelines on the topic. Considering that loss of libido is less affected by age-associated comorbidities, it represents the most genuine symptom of T deficiency in adulthood. […] Hence, a PDE5i along with lifestyle measures such as moderate physical activity, smoking cessation and dieting are the most appropriate interventions for treating ED even in subjects with T deficiency.
#7 Low Libido (Low Sex Drive) Causes & Treatment
https://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] Low libido (low sex drive) is common. It affects up to 1 in 5 men and even more women at some point in life. […] The main symptom of low sex drive is wanting sex less often or less strongly than you used to. […] Many things can lower your libido including your physical and mental health, aging, relationships and stress levels. […] Some health conditions that may affect your sex drive include: Cancer, Chronic kidney disease, Chronic pain, Diabetes, Headaches, Heart disease, High blood pressure, High levels of the hormone prolactin, Rheumatoid arthritis, Underactive thyroid. […] Mental health and life stress can also lower your desire for sex. […] If menopause is lowering your sex drive, hormone therapy (HT) may help. […] For men with low testosterone, treatment may include testosterone replacement. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. […] See your healthcare provider if low sex drive is hurting your well-being or your relationship.
#8 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Speak to your GP if youre concerned the menopause may be having an effect on your libido. […] Less commonly, low libido may be caused by an underactive thyroid. […] A hormonal problem called hyperprolactinaemia can also have a negative effect on your sex drive. […] Some women have reported a decreased sex drive while using some types of hormonal contraception. […] Long-term (chronic) medical conditions such as cardiovascular disease, diabetes and obesity can also have a negative effect on your libido. […] Certain medications can sometimes reduce libido, such as medications for depression, including SSRI antidepressants. […] See your GP if youre worried that medication youre taking is responsible for your reduced sex drive.
#9 Low Libido (Low Sex Drive) Causes & Treatment
https://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] Low libido (low sex drive) is common. It affects up to 1 in 5 men and even more women at some point in life. […] The main symptom of low sex drive is wanting sex less often or less strongly than you used to. […] Many things can lower your libido including your physical and mental health, aging, relationships and stress levels. […] Some health conditions that may affect your sex drive include: Cancer, Chronic kidney disease, Chronic pain, Diabetes, Headaches, Heart disease, High blood pressure, High levels of the hormone prolactin, Rheumatoid arthritis, Underactive thyroid. […] Mental health and life stress can also lower your desire for sex. […] If menopause is lowering your sex drive, hormone therapy (HT) may help. […] For men with low testosterone, treatment may include testosterone replacement. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. […] See your healthcare provider if low sex drive is hurting your well-being or your relationship.
#10 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Speak to your GP if youre concerned the menopause may be having an effect on your libido. […] Less commonly, low libido may be caused by an underactive thyroid. […] A hormonal problem called hyperprolactinaemia can also have a negative effect on your sex drive. […] Some women have reported a decreased sex drive while using some types of hormonal contraception. […] Long-term (chronic) medical conditions such as cardiovascular disease, diabetes and obesity can also have a negative effect on your libido. […] Certain medications can sometimes reduce libido, such as medications for depression, including SSRI antidepressants. […] See your GP if youre worried that medication youre taking is responsible for your reduced sex drive.
#11 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Depression is very different from simply feeling unhappy, miserable or fed up for a short while. […] Youre probably depressed if youre feeling low or hopeless, or youve lost interest or pleasure in doing things you used to enjoy. In this case its really important to see your GP. […] However, low sex drive can also be a side effect of many antidepressants. […] Drinking excess amounts of alcohol can reduce your sex drive, so its a good idea to moderate your intake to no more than three to four units a day if youre a man, and no more than two to three units a day if youre a woman. […] Many people lose some interest in sex as they get older, mainly as a result of falling levels of sex hormones, age-related health problems, or the side effects of medication. […] Speak to your GP if youre concerned about this.
#12 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Speak to your GP if youre concerned the menopause may be having an effect on your libido. […] Less commonly, low libido may be caused by an underactive thyroid. […] A hormonal problem called hyperprolactinaemia can also have a negative effect on your sex drive. […] Some women have reported a decreased sex drive while using some types of hormonal contraception. […] Long-term (chronic) medical conditions such as cardiovascular disease, diabetes and obesity can also have a negative effect on your libido. […] Certain medications can sometimes reduce libido, such as medications for depression, including SSRI antidepressants. […] See your GP if youre worried that medication youre taking is responsible for your reduced sex drive.
#13 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Loss of libido (sex drive) is a common problem affecting up to 1 in 5 men and even more women at some point in their life. […] However, an unexpected loss of libido especially when it lasts for a long time or keeps returning can also indicate an underlying personal, medical or lifestyle problem, which can be upsetting to both partners in a relationship. […] If youre concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment to see your GP to discuss any underlying causes and possible medical or psychological treatments. […] Relationship problems are among the most common causes of loss of libido. […] Your GP may feel you will benefit from psychosexual counselling. This is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your loss of libido.
#14 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
The issue of low libido in women is even more complex, with causes ranging from past negative and abusive experiences with sex to fatigue and stress. […] Treatment plans focus on the many causes of low libido. Sex education and counseling may be recommended, especially to address relationship issues. Medication and hormone therapy options are available to boost libido. […] People don’t have to meet a specific medical definition or wait for low libido to worsen before seeking help. If you are bothered by low or decreased sex drive, there are changes and treatments that can move you in the right direction.
#15 Desire discrepancy – Wikipedia
https://en.wikipedia.org/wiki/Desire_discrepancy
The DSM-5 notes that low desire discrepancy, whereby a woman has a lower desire for sex than her partner, is not sufficient for the diagnosis of FSIAD but rather a reduction or absence in sexual activity, sexual fantasies, receptivity to partner’s initiation of sexual activity, receptivity to internal or external cues for sexual activity, sensations in genital or non-genital regions during sexual activity. […] Mood symptoms of anxiety are seemingly strong indicators of low desire in men. […] The use of alcohol may be a resultant outcome of this disorder. […] This disorder is more prevalent in older men aged between 66 and 74 years old (41%) and fewer young men aged between 18 and 24 (6%). […] Overall, however, this condition only affects a small proportion of the male population (1.8%) for men aged between 16 and 44.
#16 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Speak to your GP if youre concerned the menopause may be having an effect on your libido. […] Less commonly, low libido may be caused by an underactive thyroid. […] A hormonal problem called hyperprolactinaemia can also have a negative effect on your sex drive. […] Some women have reported a decreased sex drive while using some types of hormonal contraception. […] Long-term (chronic) medical conditions such as cardiovascular disease, diabetes and obesity can also have a negative effect on your libido. […] Certain medications can sometimes reduce libido, such as medications for depression, including SSRI antidepressants. […] See your GP if youre worried that medication youre taking is responsible for your reduced sex drive.
#17 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
It may feel uncomfortable to talk about low libido with your partner and your health care team. Unfortunately, it’s a common problem that affects adults everywhere, yet many people have never been asked about their sexual health by their health care teams. […] Many primary care, psychology and OB-GYN professionals are trained to care for and treat hypoactive sexual desire disorder, or HSDD. This is the persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. It’s often referred to as having a low libido and can cause significant distress and relationship problems. […] A thorough evaluation of your symptoms and possible causes, along with an individualized treatment plan, may put you in the mood more often. […] Remember, the answer to treating a low libido is more than turning to medications. Acknowledging there’s an issue and seeking professional help can be the start of getting back something great.
#18 Loss of male libido | healthdirect
https://www.healthdirect.gov.au/loss-of-male-libido
If you are worried about having a low sex drive, you can talk to your doctor for advice. […] Having a low sex drive might be a sign of physical or mental health issues. […] The best treatment of low libido depends on the underlying cause. […] If your doctor can find a medical cause they will try to treat it. […] There are no medicines that specifically treat loss of male libido. […] In some males, with low testosterone levels, testosterone therapy can help. […] Having a healthy lifestyle may improve your chances of having a healthy sex life.
#19 The role of testosterone in male sexual function
https://pmc.ncbi.nlm.nih.gov/articles/PMC9789013/
In fact, in all the meta-analyses of intervention trials published so far, treating low T is associated with improved sexual desire. […] Overall, these data indicate that TRT is effective in improving sexual function in middle-aged and older subjects with variable definitions of low T (from lower than 8 to lower than 15 nmol/L), but the effect is small and highly variable. […] Sexual dysfunctions, such as ED and MHSDD, are associated with low T levels. This point is well accepted by all the major guidelines on the topic. Considering that loss of libido is less affected by age-associated comorbidities, it represents the most genuine symptom of T deficiency in adulthood. […] Hence, a PDE5i along with lifestyle measures such as moderate physical activity, smoking cessation and dieting are the most appropriate interventions for treating ED even in subjects with T deficiency.
#20 Low sex drive in women – Diagnosis and treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Along with recommending counseling, your healthcare professional may prescribe a medicine to boost your libido. […] Some hormone medicines that aim to relieve GSM symptoms could help make sex more comfortable. And being more comfortable during sex may boost your desire. […] In the United States, these medicines aren’t approved for use after menopause. […] It’s natural to feel frustrated or sad if you aren’t able to be as sexy and romantic as you want or used to be. […] Changes in sex drive are typical. They’re part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself and your relationship. […] What could be causing my problem? […] Will my level of desire ever get back to what it once was? […] What lifestyle changes can I make to improve my situation? […] What treatments are available?
#21 Low sex drive in women – Diagnosis and treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
If low sex desire concerns you, talk with your gynecologist or another member of your healthcare team. For some women, low sex drive is part of an ongoing condition called sexual interest-arousal disorder. It involves having at least three of the following symptoms, which cause sadness or anxiety: […] Your healthcare professional can look for reasons that your sex drive isn’t as high as you’d like. […] Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medicine and hormone therapy. […] Your healthcare professional reviews any medicines you take. The review is done to see if any of the medicines tend to cause sexual side effects. […] If your antidepressant might be the cause of your low sex drive, your healthcare professional may recommend that you:
#22 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
The issue of low libido in women is even more complex, with causes ranging from past negative and abusive experiences with sex to fatigue and stress. […] Treatment plans focus on the many causes of low libido. Sex education and counseling may be recommended, especially to address relationship issues. Medication and hormone therapy options are available to boost libido. […] People don’t have to meet a specific medical definition or wait for low libido to worsen before seeking help. If you are bothered by low or decreased sex drive, there are changes and treatments that can move you in the right direction.
#23 Low sex drive in women – Diagnosis and treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Along with recommending counseling, your healthcare professional may prescribe a medicine to boost your libido. […] Some hormone medicines that aim to relieve GSM symptoms could help make sex more comfortable. And being more comfortable during sex may boost your desire. […] In the United States, these medicines aren’t approved for use after menopause. […] It’s natural to feel frustrated or sad if you aren’t able to be as sexy and romantic as you want or used to be. […] Changes in sex drive are typical. They’re part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself and your relationship. […] What could be causing my problem? […] Will my level of desire ever get back to what it once was? […] What lifestyle changes can I make to improve my situation? […] What treatments are available?
#24 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Depression is very different from simply feeling unhappy, miserable or fed up for a short while. […] Youre probably depressed if youre feeling low or hopeless, or youve lost interest or pleasure in doing things you used to enjoy. In this case its really important to see your GP. […] However, low sex drive can also be a side effect of many antidepressants. […] Drinking excess amounts of alcohol can reduce your sex drive, so its a good idea to moderate your intake to no more than three to four units a day if youre a man, and no more than two to three units a day if youre a woman. […] Many people lose some interest in sex as they get older, mainly as a result of falling levels of sex hormones, age-related health problems, or the side effects of medication. […] Speak to your GP if youre concerned about this.
#25 Loss of male libido | healthdirect
https://www.healthdirect.gov.au/loss-of-male-libido
If you are worried about having a low sex drive, you can talk to your doctor for advice. […] Having a low sex drive might be a sign of physical or mental health issues. […] The best treatment of low libido depends on the underlying cause. […] If your doctor can find a medical cause they will try to treat it. […] There are no medicines that specifically treat loss of male libido. […] In some males, with low testosterone levels, testosterone therapy can help. […] Having a healthy lifestyle may improve your chances of having a healthy sex life.
#26 Desire discrepancy – Wikipedia
https://en.wikipedia.org/wiki/Desire_discrepancy
Sexual desire disorder (SDD) is the difference between one’s desired frequency of sexual intercourse and the actual frequency of sexual intercourse within a relationship. […] Sexual satisfaction in a relationship has a direct relationship with overall relationship satisfaction and relationship well-being. […] Empirical evidence has shown that sexual desire is a factor that heavily influences couple satisfaction and relationship continuity which has been one of the main reasons for the interest in this research domain of human sexuality. […] Research has found for both men and women suffering from low sexual desire on a clinical level, significantly lower levels of sexual satisfaction as well as lower levels of overall relationship adjustment are reported. […] Due to its adverse effects on an individual’s sexual satisfaction, it has been shown to negatively affect a relationship overall.
#27 Desire discrepancy – Wikipedia
https://en.wikipedia.org/wiki/Desire_discrepancy
Sexual desire disorder (SDD) is the difference between one’s desired frequency of sexual intercourse and the actual frequency of sexual intercourse within a relationship. […] Sexual satisfaction in a relationship has a direct relationship with overall relationship satisfaction and relationship well-being. […] Empirical evidence has shown that sexual desire is a factor that heavily influences couple satisfaction and relationship continuity which has been one of the main reasons for the interest in this research domain of human sexuality. […] Research has found for both men and women suffering from low sexual desire on a clinical level, significantly lower levels of sexual satisfaction as well as lower levels of overall relationship adjustment are reported. […] Due to its adverse effects on an individual’s sexual satisfaction, it has been shown to negatively affect a relationship overall.
#28 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
The issue of low libido in women is even more complex, with causes ranging from past negative and abusive experiences with sex to fatigue and stress. […] Treatment plans focus on the many causes of low libido. Sex education and counseling may be recommended, especially to address relationship issues. Medication and hormone therapy options are available to boost libido. […] People don’t have to meet a specific medical definition or wait for low libido to worsen before seeking help. If you are bothered by low or decreased sex drive, there are changes and treatments that can move you in the right direction.
#29 Low sex drive in women – Diagnosis and treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Along with recommending counseling, your healthcare professional may prescribe a medicine to boost your libido. […] Some hormone medicines that aim to relieve GSM symptoms could help make sex more comfortable. And being more comfortable during sex may boost your desire. […] In the United States, these medicines aren’t approved for use after menopause. […] It’s natural to feel frustrated or sad if you aren’t able to be as sexy and romantic as you want or used to be. […] Changes in sex drive are typical. They’re part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself and your relationship. […] What could be causing my problem? […] Will my level of desire ever get back to what it once was? […] What lifestyle changes can I make to improve my situation? […] What treatments are available?
#30 Loss of male libido | healthdirect
https://www.healthdirect.gov.au/loss-of-male-libido
Low libido is when you lack interest in sex, also called low sex drive. […] Low libido or low sex drive refers to a lack of interest in sex and sexual desire. […] There is no definition of a normal libido. You might be concerned if your sex drive seems lower than what is normal for you for a long time, or if it starts to affect your relationship with your partner. […] Low sex drive can be caused by many things. Your libido might fall due to things like relationship problems, the birth of a child, stress or overwork, too much or not enough exercise, some medicines such as antidepressants, high blood pressure medication and epilepsy medicine, and other personal issues. […] Low libido is commonly related to psychological issues or relationship problems. You will need to speak frankly to your doctor about what is happening so that they can help you.
#31 Loss of libido | NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
Loss of libido (sex drive) is a common problem affecting up to 1 in 5 men and even more women at some point in their life. […] However, an unexpected loss of libido especially when it lasts for a long time or keeps returning can also indicate an underlying personal, medical or lifestyle problem, which can be upsetting to both partners in a relationship. […] If youre concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment to see your GP to discuss any underlying causes and possible medical or psychological treatments. […] Relationship problems are among the most common causes of loss of libido. […] Your GP may feel you will benefit from psychosexual counselling. This is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your loss of libido.
#32 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
It may feel uncomfortable to talk about low libido with your partner and your health care team. Unfortunately, it’s a common problem that affects adults everywhere, yet many people have never been asked about their sexual health by their health care teams. […] Many primary care, psychology and OB-GYN professionals are trained to care for and treat hypoactive sexual desire disorder, or HSDD. This is the persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. It’s often referred to as having a low libido and can cause significant distress and relationship problems. […] A thorough evaluation of your symptoms and possible causes, along with an individualized treatment plan, may put you in the mood more often. […] Remember, the answer to treating a low libido is more than turning to medications. Acknowledging there’s an issue and seeking professional help can be the start of getting back something great.
#33 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
The issue of low libido in women is even more complex, with causes ranging from past negative and abusive experiences with sex to fatigue and stress. […] Treatment plans focus on the many causes of low libido. Sex education and counseling may be recommended, especially to address relationship issues. Medication and hormone therapy options are available to boost libido. […] People don’t have to meet a specific medical definition or wait for low libido to worsen before seeking help. If you are bothered by low or decreased sex drive, there are changes and treatments that can move you in the right direction.
#34 Desire discrepancy – Wikipedia
https://en.wikipedia.org/wiki/Desire_discrepancy
The DSM-5 notes that low desire discrepancy, whereby a woman has a lower desire for sex than her partner, is not sufficient for the diagnosis of FSIAD but rather a reduction or absence in sexual activity, sexual fantasies, receptivity to partner’s initiation of sexual activity, receptivity to internal or external cues for sexual activity, sensations in genital or non-genital regions during sexual activity. […] Mood symptoms of anxiety are seemingly strong indicators of low desire in men. […] The use of alcohol may be a resultant outcome of this disorder. […] This disorder is more prevalent in older men aged between 66 and 74 years old (41%) and fewer young men aged between 18 and 24 (6%). […] Overall, however, this condition only affects a small proportion of the male population (1.8%) for men aged between 16 and 44.
#35 Desire discrepancy – Wikipedia
https://en.wikipedia.org/wiki/Desire_discrepancy
The DSM-5 notes that low desire discrepancy, whereby a woman has a lower desire for sex than her partner, is not sufficient for the diagnosis of FSIAD but rather a reduction or absence in sexual activity, sexual fantasies, receptivity to partner’s initiation of sexual activity, receptivity to internal or external cues for sexual activity, sensations in genital or non-genital regions during sexual activity. […] Mood symptoms of anxiety are seemingly strong indicators of low desire in men. […] The use of alcohol may be a resultant outcome of this disorder. […] This disorder is more prevalent in older men aged between 66 and 74 years old (41%) and fewer young men aged between 18 and 24 (6%). […] Overall, however, this condition only affects a small proportion of the male population (1.8%) for men aged between 16 and 44.
#36 Low sexual desire: sex therapy results and prognostic factors – PubMed
https://pubmed.ncbi.nlm.nih.gov/1883302/
In a prospective study of 60 couples who entered sex therapy because of the female partners’ low sexual desire, 38 (63.3%) completed treatment and 34 (56.7%) had a positive outcome. […] The principal predictor of completion of treatment was the male partners’ apparent motivation at the outset. Poorer outcome was associated with younger age of the couple (especially the male partner) and a shorter duration of the sexual problem. […] The modest outcome of treatment for low sexual desire in this and other studies emphasises the need for further understanding of factors which contribute to this problem and for the development of novel treatment strategies.
#37 Low sex drive in women – Diagnosis and treatment – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
If low sex desire concerns you, talk with your gynecologist or another member of your healthcare team. For some women, low sex drive is part of an ongoing condition called sexual interest-arousal disorder. It involves having at least three of the following symptoms, which cause sadness or anxiety: […] Your healthcare professional can look for reasons that your sex drive isn’t as high as you’d like. […] Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medicine and hormone therapy. […] Your healthcare professional reviews any medicines you take. The review is done to see if any of the medicines tend to cause sexual side effects. […] If your antidepressant might be the cause of your low sex drive, your healthcare professional may recommend that you:
#38 Low libido causes & treatments – Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
It may feel uncomfortable to talk about low libido with your partner and your health care team. Unfortunately, it’s a common problem that affects adults everywhere, yet many people have never been asked about their sexual health by their health care teams. […] Many primary care, psychology and OB-GYN professionals are trained to care for and treat hypoactive sexual desire disorder, or HSDD. This is the persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. It’s often referred to as having a low libido and can cause significant distress and relationship problems. […] A thorough evaluation of your symptoms and possible causes, along with an individualized treatment plan, may put you in the mood more often. […] Remember, the answer to treating a low libido is more than turning to medications. Acknowledging there’s an issue and seeking professional help can be the start of getting back something great.