Decreased Libido

Bradley Anawalt, MD

What is libido?

Libido is the desire to engage in sexual activity. About 5% of men have decreased libido, a condition that increases with age.

What causes decreased libido?

Decreased libido often accompanies other sexual disorders. Although most men with erectile dysfunction do not complain of decreased libido, after time, persistent failure with erections and sexual performance can lead to reduced sex drive in some men. Men who have other causes of decreased libido also often have trouble getting erections.

Common causes of low libido include:

  • Medications (SSRI antidepressants; medications that reduce testosterone levels, such as those taken for prostate cancer)
  • Excessive alcohol use or recreational drug use
  • Excessive fatigue
  • Systemic illness (such as chronic lung, heart, kidney and liver failure, cancer)
  • Low testosterone (male hypogonadism)
  • Depression
  • Relationship problems

What is the treatment for decreased libido?

As is the case with ED, treatment of decreased libido depends on the cause of the condition. For some men, adopting a healthier lifestyle, such as exercising regularly, eating a healthy diet, getting enough sleep, reducing stress, and/or limiting alcohol, can help resolve the problem.

Other treatment options may include switching medications, treating an underlying condition, testosterone replacement hormone therapy if the man has hypogonadism, or relationship counseling.