Low Libido in Men: Causes, Symptoms, Risk Factors, Treatment, and Solution

Lack of Libido in Men Treatment in India: Dr. Sunil Dubey

If you are facing difficulties in your married or personal life due to a persistent lack of sexual desire (low libido), it can be a cause for concern. If you are looking for a qualified and experienced sexual healthcare expert to provide the right treatment and counseling for the early stages of a 'sexual response cycle disorder,' you have come to the right place. Here, you will find comprehensive information regarding your sexual issue, including appropriate treatment methods, medications, and an integrated medical approach.

From the perspective of sexology, libido (sexual desire) is the result of an interplay between the brain, hormones, physical health, emotions, and relationships. In cases of low libido or reduced sexual desire, there is rarely just a single underlying cause; rather, it is often the combined effect of multiple factors or conditions—such as hormonal imbalances, imbalances in brain chemistry, stress, depression, chronic kidney disease, diabetes, heart disease, thyroid issues, sleep deprivation, side effects of certain medications, high alcohol consumption, smoking, a sedentary lifestyle, relationship problems, and a lack of partner’s communication.

Renowned Ayurvedacharya worldwide, Dr. Sunil Dubey is a certified Ayurvedic physician specializing in the treatment, counseling, and research of sexual dysfunctions. As a leading Ayurvedic sexologist in India, he offers his comprehensive treatment to all over India people those who struggle with any forms of sexual problems, practicing at Dubey Clinic. At the clinic, he and his expert team—sexual therapists, MBBS doctors, PhD and MD qualified experts, sexual counselors, Ayurvedic experts, and pathologists—are dedicated to assisting individuals facing challenges in their personal or married lives due to various sexual issues. Over his 35-year career as a clinical sexologist, Dr. Dubey has conducted extensive research on a wide range of sexual problems and developed effective, standardized, integrated Ayurvedic treatments for them.

What is Lack of Libido in Men?

Low libido—also known as a lack of sexual desire or libido disorder—is a common issue among men, affecting individuals of all ages over 20. Essentially, low libido in men refers to a reduced interest, or a complete lack thereof, in sexual activities. Since libido (sexual desire) varies from person to person, low libido is considered a cause for concern only when there is a noticeable change from an individual's baseline level, or when it causes distress or impacts relationships. In such a scenario, the individual constantly struggles with the desire for sexual activity or thoughts. Consequently, they withdraw from sexual life because of this lack of sexual desire—which is the initial stage of the sexual response cycle.

From an Ayurvedic perspective, a lack of sexual desire or low libido is often not viewed as a disease, but rather as an imbalance in the body's energies (doshas), a decline in vitality, or a reduction in the strength of reproductive tissues. In such cases, the imbalance of the doshas (Vata, Pitta, and Kapha) reflects specific characteristics associated with this sexual issue. Let us briefly understand this imbalance of doshas, which helps in comprehending the natural system of healing.

• Vata imbalance: This can be linked to stress, anxiety, poor sleep, fatigue, or excessive physical or mental exertion.
• Pitta imbalance: This can be associated with irritability, burnout, or symptoms related to inflammation.
• Kapha imbalance: This can be linked to lethargy, weight gain, or a lack of motivation.
• Weak "Shukra Dhatu": From an Ayurvedic perspective, Shukra Dhatu refers to reproductive tissue. It is traditionally believed to influence fertility, vitality, and sexual potency.
• Low "Ojas": Ojas is considered a measure of overall vitality and stamina. According to Ayurveda, a deficiency in Ojas can lead to fatigue and reduced libido in an individual.

Types of Lack of Libido in Men

Although "reduced libido" is a common term, it is important to understand that it can be categorized in various ways. Identifying the specific type and onset of low libido helps in pinpointing the root cause and determining the appropriate treatment, as individuals with lack of libido may also experience issues related to erectile function, ejaculation, and sexual satisfaction. Libido disorders are classified into several categories based on their type and onset; a list of these is provided below.

Hypoactive Sexual Desire Disorder (HSDD)

This is a specific medical term for a problem related to sexual desire (libido). HSDD refers to a persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity, causing significant distress to the individual. It is a well-recognized sexual issue and the most common type of sexual desire disorder (SDD). HSDD is diagnosed only when the low sexual desire (libido) causes distress to the individual or his relationship; rather than experiencing a lack of sexual desire without any distress.

Low libido is often classified based on its underlying medical cause, as this is the most important factor in treatment. These categories are not mutually exclusive, and multiple factors may be responsible in the situation of lack of sexual desire or low libido.

Biological or Physical Lack of Libido

This type of lack of libido is caused by several biological or underlying medical issues. Some examples include:

• Hormonal imbalances (e.g., low testosterone levels in men, hormonal fluctuations during menopause in women).
• Chronic illnesses (e.g., diabetes, heart disease, thyroid problems).
• Side effects of medications (e.g., certain antidepressants, blood pressure medications, hormonal contraceptives).
• Persistent condition of fatigue and chronic sleep deprivation.
• Substance abuse (e.g., excessive alcohol or drug use).
• Surgery or injury to the pelvic or genital area.

Psychological Lack of Libido

In men, such low libido stems from mental and emotional causes. Examples include:

• Mental health issues such as depression, anxiety, and stress.
• Negative body image, low self-esteem, or a lack of self-confidence.
• Past experiences of sexual abuse or trauma.
• Performance anxiety or fear of failure during sexual activity.

Relational Issues based Lack of Libido

Such low sexual desire or lack of libido is linked to issues regarding intimacy or the quality of relationships in married life. Examples include:

• Unresolved conflicts or a lack of mutual understanding
• Lack of emotional connection with the partner
• Relationship issues such as poor communication, unresolved conflicts
• A lack of closeness or time spent together with the partner
• Differences in sexual needs or preferences between partners
• Lack of trust, infidelity, and relationships formed out of compulsion

Based on the Onset (Starting Point)

Sometimes, a decrease in libido or lack of sexual desire is classified based on when it began:

• Primary reduced libido: The individual has had a low desire for sexual activity throughout their life.
• Secondary reduced libido: The individual previously had a normal desire for sexual activity, which subsequently decreased due to physical, psychological, lifestyle, or medical factors.

Understanding these different classifications of lack of libido can help an individual or their healthcare professional identify the root cause of the problem and devise a specific, safe, and effective treatment plan. This plan may include medical treatment, therapy, or lifestyle changes.

Symptoms of Loss of Libido

Dr. Dubey, a top-rated clinical sexologist in Bihar, states that there can be various signs or symptoms indicating a 'desire disorder' in an individual. In fact, 'desire' is the initial stage of the sexual response cycle, and issues related to it can be directly linked to the brain chemistry and mental health. A man with lack of libido experiences various symptoms at the initial phase, listed below:

• Significantly reduced or absent sexual fantasies, thoughts, and desire
• Few thoughts or fantasies related to sexual activity or performance
• Reduced desire to initiate or engage in sexual activity
• Distress or frustration regarding this change in sexual life
• Reduced responsiveness to sexual cues or stimuli (whether visual, tactile, or auditory)

Here, people must always understand that a lack of libido is completely different from issues related to arousal or reproductive health. For example-

• Erectile Dysfunction, ED: Difficulty achieving or maintaining an erection
• Male Infertility, MI: Difficulty in fathering a child after a year

Although these conditions can coexist during lack of libido time, they are not the same.

Lack of Libido in different age-group of Men

Dr. Sunil Dubey, a renowned expert in Ayurvedic sexology medicine specializing in the treatment of low libido, states that there can be various reasons behind a decline in sexual desire. In fact, there is no specific age associated with this issue; men of any age—from the young to the elderly—can face this problem. He further states that the likelihood of a decline in sexual desire increases with age, as health issues, medications, and hormonal changes become common. To understand the pattern of reduced sexual desire in men, we can look at individuals of various ages who experience this condition.

• Ages 20–30: Most men have a high sexual drive (libido). During this age, a decline in sexual desire is often not due to a lack of testosterone but rather factors such as stress, anxiety, depression, relationship issues, sleep deprivation, substance use, or certain medications. In this age-group of people, psychological and emotional factors dominate their sexual health.
• Ages 40–50: In this age, some men begin to experience a gradual decline in sexual desire. Testosterone levels slowly decrease with age (dropping by approximately 1–2% annually after early adulthood in some men), but this decline alone is not the sole cause of reduced sexual desire. Physical and Psychological factors also dominate the sexual health.
• Age 60 and above: In the third stage of life, the decrease in sexual desire becomes common due to aging, chronic illnesses (such as diabetes or heart disease), medications, reduced physical activity, and—in some men—testosterone deficiency. By the way, maintaining a good health is supportive and helpful to lead a healthy sexual life.

Mechanism of Sexual Desire (libido) and associated Problems

Various factors—such as physical, psychological, and lifestyle aspects, medical conditions, medications, and others—play a crucial role not only in sexual health but also in overall health and well-being. When it comes to a lack of sexual desire or issues related to libido, there are several common factors that are closely linked to it. Any disruption to these factors—for whatever reason—has a direct impact on libido or sexual health. Let’s take a look at the common potential causes behind a lack of libido in men.

Hormones

As we know, hormones influence a person's sexual desire. Testosterone is the primary sex hormone in men and is closely linked to male sexual desire (libido). In cases of testosterone deficiency or hypogonadism, a man may face various problems in his personal or sexual life.

• Reduced sexual desire
• Fewer spontaneous erections
• Fatigue or Tiredness
• Loss of muscle mass
• Low mood or mood swings

However, many men with normal testosterone levels may also experience a low sexual drive, and not every man with low testosterone experiences a decrease in sexual desire. This is because libido varies from person to person, and physical constitution, lifestyle, and mental wellness always play a role in sexual health.

Brain (Chemistry)

It is true that sexual desire originates primarily in the brain. It is a crucial component of sexual desire and any associated expectations. To understand the brain's role, one must comprehend the brain chemistry that is deeply linked to sexual desire.

• Dopamine: It boosts motivation, reward, and sexual desire.
• Serotonin: High levels can reduce sexual desire; this is why certain antidepressants (SSRIs) often cause a decrease in libido.
• Oxytocin: It promotes bonding and intimacy.
• Norepinephrine: It aids in sexual arousal and alertness.

The brain brings together factors related to physical attraction, emotions, memories, stress, and relationships to generate sexual desire.

Mental Health

Mental health has a significant impact on libido. Research from various sexology institutes indicates that:

• Depression often reduces sexual desire
• Anxiety can hinder sexual interest and performance
• Chronic stress raises cortisol levels, which can suppress reproductive hormones and lower libido
• Negative body image and low self-esteem can also play a role

Physical Health

Several medical conditions affect libido by altering blood flow, hormones, nerve function, or energy levels. Examples include:

• Diabetes
• Obesity
• Heart disease
• Chronic kidney disease
• Liver disease
• Thyroid disorders
• Sleep apnea

In some cases, it has been observed that treating these conditions can improve libido.

Sleep

People should always remember that sleep is crucial for the production of healthy hormones. Inadequate sleep or sleep deprivation can lead to:

• Lower testosterone levels
• Increased stress hormones
• Reduced energy and mood
• Lower sexual drive or performance

Men who underwent treatment for sleep apnea often report having more energy during the day and, at times, improved sexual function following treatment.

Medications

Several medications can reduce libido in an individual, such as:

• Certain antidepressants (especially SSRIs)
• Certain blood pressure medications
• Opioid painkillers
• Certain medications used for an enlarged prostate or prostate cancer

If you suspect that a medication is affecting your libido, consult your healthcare professional instead of stopping it on your own.

Lifestyle

Daily lifestyle choices and habits are crucial for good health and can also impact libido. Some factors associated with low libido include:

• Excessive alcohol consumption
• Smoking
• Drug use
• Physical inactivity
• Poor diet
• Chronic stress

It is true that regular exercise, a balanced diet, adequate sleep, and stress management help improve sexual health.

Relationship-related factors

Interpersonal relationships also impact sexual desire and mental health. In many cases, factors contributing to low sexual desire (libido) can include:

• Relationship conflicts
• Lack of proper communication
• Lack of emotional intimacy
• Sexual dissatisfaction
• Major life changes

In some cases, addressing these problems can improve sexual desire in a natural manner.

Causes of Low Libido (Scientific Perspective)

Generally, a lack of libido in men can stem from a single cause or a combination of factors. The main causes are:

Hormone-related causes

• Low testosterone levels (hypogonadism) – one of the most common medical causes.
• High levels of the hormone prolactin.
• Thyroid-related problems (underactive or overactive thyroid).
• Less commonly, other hormonal imbalances.

Psychological factors

The brain plays a crucial role in sexual desire; therefore, mental health can significantly impact it. Several psychological factors are responsible for lack of libido in a person.

• Depression
• Anxiety
• Chronic stress
• Burnout (extreme mental exhaustion)
• Low self-esteem
• Past sexual trauma

Relationship-related factors

It lies at the root of mental, psychological, and emotional health and wellness. Relationship issues in married life can significantly impact a person's libido. Some examples include:

• Constant arguments with the partner
• Lack of respectful communication
• Reduced emotional intimacy
• Mismatched expectations regarding sexual activity
• Dissatisfaction with the relationship

Medical conditions

Several medical conditions can reduce libido, including:

• Diabetes
• Obesity
• Heart disease
• High blood pressure
• Chronic kidney disease, CKD
• Liver disease
• Cancer
• Chronic pain
• Sleep derivation
• Neurological disorders (Parkinson's disease or multiple sclerosis)

Medications

Certain medications can cause a decrease in libido (sexual drive) as a side effect, such as:

• Some antidepressants (especially SSRIs)
• Opioid painkillers
• Certain blood pressure medications
• Medications used to treat an enlarged prostate
• Some anti-seizure medications
• Certain hormone therapies

Lifestyle Factors

Lifestyle and daily routine play a crucial role in maintaining good health and a healthy sexual life. Several poor habits can lead to a lack of sexual desire (libido):

• Poor sleep
• Lack of exercise
• Obesity or overweight
• Poor diet
• Smoking
• Drug use or Recreational Medicines
• Excessive alcohol consumption

Aging

Aging does not necessarily lead to a decline in libido, but age-related changes can play a role:

• A gradual decline in testosterone levels in some men
• Chronic health issues
• Excessive use of medications
• Reduced energy levels

Sexual Problems

• Erectile dysfunction (inability to achieve an erection)
• Pain during sexual intercourse
• Fear of sexual failure (performance anxiety)

Over time, these can lead to a decrease in sexual desire.

Nutritional Deficiencies

Certain deficiencies can also cause this, especially if they are severe:

• Iron deficiency
• Vitamin D deficiency
• Vitamin B12 deficiency
• Zinc deficiency

These causes are less common than psychological, hormonal, or medical reasons.

Other Factors

• Major life events (bereavement, job loss, financial stress)
• Stress related to child-rearing or caring for family members
• Shift work and disrupted sleep schedules

When Should Seek for Professional Care

If a lack of libido persists for a long time and leads to issues such as stress, depression, relationship conflicts, or a loss of self-confidence, seeking advice, treatment, and personalized therapy from an expert is always beneficial. You should undergo a medical evaluation in the following situations:

• Low libido persists for several weeks or months.
• It causes problems or difficulties in relationships.
• It begins suddenly without any apparent cause.
• It is also accompanied by issues such as erectile dysfunction, fatigue, sadness, reduced muscle strength, infertility, or loss of body hair.

Healthcare professionals can review your medical history, medications, mental health, sleep patterns, and lifestyle, and—if necessary—recommend morning blood tests to check levels such as testosterone, thyroid function, blood sugar, or prolactin.

Diagnosis of Sexual Desire Disorder in Men

Dr. Sunil Dubey explains that a lack of sexual desire (low libido) is a common issue that can vary from person to person at different stages of life. A decline in libido can occur during periods of stress, illness, or major life changes. This drop in sexual desire becomes a cause for concern when the change persists, causing distress to the individual and impacting their relationships. Along with this issue of sexual desire disorder, the individual may also experience symptoms such as erectile dysfunction, fatigue, depression, or muscle loss.

Diagnosing low libido in men (often referred to as 'Male Hypoactive Sexual Desire Disorder' or MHSDD) involves identifying a persistent lack of sexual interest, desire, and fantasies. This deficiency leads to mental distress, relationship difficulties, or a loss of self-confidence, while other potential causes for the sexual disorder are also identified. In a situation where there is a lack of sexual desire, healthcare professionals can evaluate it in the following ways:

Medical History

• When the decline in sexual desire began and how long it has persisted in a person's life including current age
• Whether this occurs in every situation or only with specific partners.
• Current medical status, medications, use of alcohol or drugs, and lifestyle factors.

Sexual History

• Changes in sexual thoughts, fantasies, and interests
• Erectile function, ejaculation, and overall sexual satisfaction
• Relationship-related factors that may play a big role

Mental Health Assessment

• Screening for depression, anxiety, stress, trauma, or other mental health issues.
• Assessment of emotional and relationship-related issues for intimacy or mutual cooperation

Physical Examination

• Checking for signs of hormonal imbalances or other medical conditions that could affect sexual desire.
• Checking for daily lifestyle, physical activity, and diet or sleep pattern

Lab tests (if required)

• Testosterone levels (usually tested in the morning if a deficiency is suspected).
• Testosterone levels (usually tested in the morning if a deficiency is suspected).
• Thyroid function test (Hypo or Hyper Types)
• Blood sugar (to check for diabetes).
• Other hormone or blood tests based on symptoms and medical history.

Dr. Dubey states that this condition is generally identified when:

• There is a persistent lack of sexual desire (often for several months or longer).
• It causes significant distress to the individual's personal or married life.
• It is not caused by another medical condition, medication, substance use, relationship issues alone, or another mental health disorder.

Treatment Options for Loss of Libido in Men

Based on the symptoms and causes of low libido (sexual desire), this sexual issue is treated by addressing its underlying physical, medical, psychological, and other contributing factors. In cases of libido disorder, a qualified sexual health specialist typically formulates a tailored treatment plan after evaluating medical, psychological, and lifestyle-related factors.

Common methods for treating low libido in India include:

Treating underlying medical conditions

• Resolving health-related issues like diabetes, thyroid problems, obesity, or chronic pain.
• Resolving sleep-related issues, such as sleep apnea.
• Adjusting medications that may reduce libido (only under a doctor's supervision).
• Helping resolve depression or anxiety, if present.

Review the Current Medicines

• Certain medications—such as some antidepressants, blood pressure medicines, and opioids—can reduce libido in a person. If necessary, a healthcare provider can suggest alternatives.
• If appropriate, a doctor may adjust the dosage or switch the medication. In such situation; Do not stop taking prescribed medications without medical advice.

Psychological Counseling and Guidance

• Individual therapy can help in coping with stress, anxiety, depression, or past trauma.
• Couples or sexual therapy can improve communication and address relationship issues that affect sexual desire.
• When psychological factors are involved, Cognitive Behavioral Therapy (CBT) or sexual therapy can be helpful to manage this situation.

Treatment for Sexual Problems

• If interest in sexual activity or performance is declining due to erectile dysfunction, treating the condition can help sexual confidence and desire.
• Sexologists recommend treatment for other sexual issues, such as infections, performance anxiety, or problems related to ejaculation or erection.

Lifestyle Changes

• Advice for regular physical activity and do exercise
• Advice to maintain a balanced diet with rich-nutrition
• Maintaining a healthy weight avoiding too much processed food
• Getting adequate sleep at night balancing hormone
• Limiting excessive alcohol consumption and avoiding recreational medicines.
• Quitting smoking (if applicable).
• Managing stress through relaxation techniques or mindfulness.

Hormone Therapy (Testosterone)

• If a blood test confirms testosterone deficiency (hypogonadism) and symptoms are present, testosterone therapy may be appropriate.
• Generally, Testosterone should not be used solely due to aging or low libido without confirming a testosterone deficiency.

Aspects related to Relationship-issues

• Couple therapy to enhance communication and intimacy, and help resolve relationship issues that affect sexual desire.
• Increasing your understanding of intimacy—and why it is important for your overall health and the relationship.

With the right evaluation, many men can identify the root cause of the problem and find effective treatment. This may involve lifestyle changes, counseling, medication adjustments, hormone therapy, or treatment for an underlying medical condition.

Integrating Ayurveda with modern care

If a lack of sexual desire (low libido) persists, it is advisable to consult a qualified and experienced sexologist doctor. This issue can stem from causes such as testosterone deficiency, depression, thyroid problems, diabetes, sleep apnea, medication side effects, or relationship stress. Identifying and treating these underlying causes is important, in such situation; combining modern and traditional medical approach offers you natural healing.

Ayurveda forms the foundation of a comprehensive healthcare approach—incorporating clinically proven herbal supplements, specialized Ayurvedic formulations, and personalized care modifying lifestyle—to offer you the safest and most natural form of treatment. By addressing the root cause of ailments, this therapy manages all health issues that directly or indirectly impact your sexual health.

Dr. Dubey states that treatment for libido disorder involves several elements: treating underlying physical ailments; addressing depression, anxiety, or chronic stress; improving sleep and exercise habits; reviewing medications that affect libido; and administering testosterone therapy under medical supervision to men suffering from testosterone deficiency and associated symptoms. In his practice, he offers fully personalized and integrated treatment plans that represent an excellent blend of Ayurveda and modern medical approaches.

Why People trust on Dr. Sunil Dubey (Dubey Clinic)

• 60+ Years of Excellence of Dubey Clinic in India
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