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Urology (Expert Forum)
Lack of Libido / Interest in Sex
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital
West Bloomfield - MI
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Lack of Libido / Interest in Sex
by Mike287, Mar 24, 2008 09:51AM
I am a relatively healthy 45-year-old male. For most of my 20+ year marriage, I simply have not been very interested in sex. There have been times when I had trouble maintaining an erection, but that's not a common occurrence. I consulted my pcp about it. He suggested Viagra but that didn't really feel like the right solution because 99% of the time I don't have that particular problem. I am just always tired and sex seems like the last thing I have energy for. I eventually asked my pcp about testing my testosterone level. He told me that if I had a testosterone problem I wouldn't be able to have erections and that was that. I still have a nagging suspicion that testosterone might be the real medical issue with me. I've just never heard other guys say anything about not being interested in sex - no matter how tired they were or how late it is. And, it's not like my wife is asking for too much. But I know I'm not giving her what she needs and deserves and it bothers me. Do you have any thoughts or suggestions?
Doctor's Answer
by Stephen Liroff, MD, Mar 25, 2008 12:33AM
, Mar 25, 2008 12:33AM
Tiredness can definitely be a cause of decreased libido but so can hypogonadism (low testosterone). Men can often have adequate erections with low levels of testosterone just as they can have impotence with normal levels. The two are related but not exactly.
Get a total testosterone, prolactin and TSH (thyroid stimulating hormone), CBC and SMA-12 (general set of labs for kidney and liver function). You may need another pcp's opinion.
Can you get away for a long weekend of rest and play? That may give you the answer.
It is good that you are looking into figuring out the problem.
Good luck in your quest!
S.A.Liroff, M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
Get a total testosterone, prolactin and TSH (thyroid stimulating hormone), CBC and SMA-12 (general set of labs for kidney and liver function). You may need another pcp's opinion.
Can you get away for a long weekend of rest and play? That may give you the answer.
It is good that you are looking into figuring out the problem.
Good luck in your quest!
S.A.Liroff, M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
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