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Male Low Libido: Causes, Symptoms & Treatment for Low Sex Drive

Male low libido is common, but it doesn’t have to define your sex life. Whether it’s caused by low testosterone, fertility stress, relationship issues, or lifestyle factors, treatment options are available. By addressing both the physical and emotional aspects, men can often restore a healthy, satisfying sex drive.

August 16, 2025

What Is Low Libido in Men?

Low libido in men (also called low sex drive or loss of sexual desire) is when a man has little or no interest in sex for an extended period. While fluctuations in sex drive are normal, ongoing male low libido may indicate an underlying health, hormonal, or emotional issue.

1. Low Testosterone (Low-T)

One of the most searched causes of low libido in men is low testosterone. Testosterone fuels sexual desire, mood, and energy. Levels naturally decline with age, but conditions like hypogonadism can trigger sharp drops in libido.

2. Mental Health & Stress

Depression, anxiety, performance anxiety, and high stress are top psychological factors leading to male low sex drive. Chronic stress raises cortisol, which directly lowers testosterone and desire.

3. Relationship Problems

Poor communication, unresolved conflicts, or lack of intimacy can suppress a man’s sex drive. This is often called desire discrepancy when one partner wants sex more often than the other.

4. Libido Loss When Trying to Conceive

A growing number of modern men report experiencing low libido during fertility planning. The process of trying to conceive often brings performance pressure, scheduled sex, and high expectations from both partners. Instead of intimacy feeling natural, sex may begin to feel like a “duty,” which can create anxiety and reduce desire. This form of situation allow libido is common and usually improves once stress is reduced and emotional connection is prioritized.

5. Medication Side Effects

Common prescriptions, such as SSRIs (antidepressants), blood pressure medications,  finasteride medication for hair loss and even acne drugs can lead to loss of libido as a side effect.

6. Lifestyle & Health Conditions

  • Lack of sleep
  • Poor diet or obesity
  • Diabetes or thyroid disorders
  • Excess alcohol or drug use

These all contribute to reduced male sexual desire.

Symptoms of Low Libido in Men

Men experiencing low sex drive may notice:

  • Reduced interest in sex or masturbation
  • Fewer sexual thoughts and fantasies
  • Difficulty becoming aroused
  • Relationship strain due to lack of intimacy

Treatments for Male Low Libido:

1. Testosterone Therapy (TRT)

If tests confirm low testosterone, TRT (via gels, patches, or injections) may help restore sex drive.

2. Psychosexual Therapy

Working with a psychosexual therapist helps men and couples rebuild intimacy, overcome anxiety, and resolve relationship struggles.

Book your 15 mins free consultation on www.londonpsychosexualtherapy.co.uk

3. Lifestyle Changes

  • Exercise regularly
  • Improve sleep quality
  • Reduce alcohol and drug use
  • Manage stress with mindfulness or relaxation techniques

4. Medication Adjustments

If libido loss is linked to prescribed drugs, doctors may adjust the dosage or switch to alternatives.

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Answers to Your Questions

Frequently Asked Questions

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