Loss of sexual desire in men

Loss of sexual desire in men: Definition, common factors, treatment

Definition of a lack of sexual desire in men

Low sexual desire in men is the absence of sexual fantasies and thoughts and/or desire or acceptance of sexual activity, which causes a personal and relationship crisis.

Three criteria must be met for the diagnosis:

  • Lack of sexual fantasies or desire for sexual activity
  • Lack of sexual fantasies and desire leads to a personal crisis or a marked crisis in a relationship. This crisis affects both spouses.
  • It must not be the result of a psychological disorder, a medical condition, or the misuse of certain substances

The prevalence of low sexual desire in men

Low libido in men is a common problem in sex therapy clinics and couples therapy. An estimated 20% of men have low or no sexual desire. However, it increases with increasing age. Although sex interest problems are less common among men than among women

Often, a man with a problem does not care as much as his wife, who often objects not only because of a lack of intimacy and physical touch but also because of a lack of reproductive opportunities, especially for young women who want to start a family.

Factors Responsible for Male Sexual Desire Loss 

Common factors that lead to a lack of sexual desire for men :

Individual factor:

  • stress/anxiety
  • Loss of self-confidence and low self-esteem
  • Poor health or the presence of sexually transmitted diseases
  • feeling rejected
  • feeling abandoned
  • work over energy
  • Being sexually abused
  • subjected to physical abuse
  • Previous emotional trauma
  • Misconceptions about sexual matters
  • Obsessive-compulsive disorder
  • Having conflicts over sexual orientation

Reasons related to family upbringing ( generational conflict ):

  • Religious/personal values ​​and beliefs regarding sex or/and sexual intimacy
  • Cultural beliefs about sex and/or sexual intimacy
  • Obstacles resulting from family upbringing.

The relationship between the spouses :

  • Matters related to the relationship and marital crises
  • Intimacy and intimacy difficulties
  • Treason
  • Constant criticism on the part of the wife
  • Chronic/Severe Wife’s Illness
  • The difficulty of the wife having intercourse

Medical factors :

  • sexual dysfunctions, such as:

erectile dysfunction

○ premature ejaculation

  • homosexuality/sexual addiction
  • Medical conditions, such as:

○ Hormonal imbalance, such as a deficiency of the male hormone or an increase in the hormone prolactin

○ hypogonadism

○ Cardiovascular disease

○ Crabs

○ Epilepsy

○ diabetes

  • Mental disorders, such as:

○ depression

○ schizophrenia

○ Anxiety

  • medicines, such as:

○ Antipsychotics

○ Antidepressants

○ Heart Drugs

○ Recreational drugs

Treatment of low sexual desire in men includes :

Determine the medical condition.

In the case of a lack of sexual desire, the patient’s full medical history and complete physical examination should be taken with testing and examinations to rule out the presence of any endocrine disorders, any chronic disease, or long-term drug use. Please consult your physician to manage any medical condition and before stopping or changing any of your medications. 

Drug therapy.

The use of testosterone in cases of male hormone deficiency.

Antidepressants may help treat the low sexual desire related to depression, although many of these medications cause a decrease in sexual desire, at least initially.

Please consult your physician for appropriate medical assistance and medical treatment when necessary.

Sexual treatment/counseling

Couples or individuals are advised to seek treatment through sexual counseling in the absence of a medical reason.