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What Causes Low Libido?

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Posted on Sat, 4 Jun 2016
Question: Sir my problem is that I do not have emotions for sex anymore. I don't get hard erection enough for intercourse. Sex desire is very very low. I am undergoing psychiatric treatment for problems rising out of immense tension and stress. However now I'm feeling much better but the abovesaid issue exists . Actually I'm not able to concentrate for sex .
doctor
Answered by Dr. Chintan Solanki (54 minutes later)
Brief Answer:
provide more details

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

Low sex desire can be due to either or both reasons in your case. One is tension and stress and second is medications given to you by psychiatrist.

Let me know more details so I can guide you further.

- What is your age?

- Since when do you have problems of stress and tension? Let me know brief details about the issue.

- Did sex problem and psychiatric problem started together or at different time?

- What medicines have you taken for psychiatric problem; please give name, duration and dose?

- What is duration of marriage life? How was previous sex life?

Your erection problem is likely due to low desire. I also want some information to check this aspect.

- Since when problem is there?

- How did problem start? Any specific incidence was there?

- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.

- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.

- When did you do your last successful sex?

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

- Are you able to masturbate?

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (42 minutes later)
Age-24
Stress problem exists for last 8 years. It started after I indulged into masturbation. Moreover I was clutched in various misconceptions related to masturbation. The more I masturbated the more I felt mentally weak as I lost concentration, weak memory, heavy stress all the time.
Then I saw a psychiatrist 5 years back, he diagnosed Over Fatigue syndrome and gave me Devlafexin, brozepam , respidon and I felt very good but carried on masturbation.
Then I left those medicines.
3 years back I had a mental breakdown and moved to a Borderline personality disorder kind of problem.
Now for last 7 months I'm taking F-mine , Ignitor ,Amijoy and Qtencare. I am feeling much better but sex problem exists.
I am married for 1and a half month ,no intercourse till now. I have never inserted before marriage even.
I smoke 1 packet of cigarettes daily on average.
No physical illness.
Unable to masturbate nnormally. It is forceful thus incomplete type means no satisfaction.
Problem in urinating sometimes.
Relationship with wife is OK.
Morning erection is there.
On 1st night with wife I got hard erection but didn't insert bcoz of fear of her pregnancy. After that no hard erection enough for insertion .
Apart from this I am suffering from Solitary Rectal Ulcer Syndrome for last 5-6 months so a sense of burning while urinating.

doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
no major physical problem, Please specify drug content

Detailed Answer:
Hi,

Thanks for excellent clear information.

Your problem is likely due to overall stress, psychological problem and smoking (and may be drug ignitor).

First of all I want to clarify about the masturbation.
Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. No need to worry about your habit of masturbation.

Morning erection present means there is no physical problem.

Smoking in long term affects erection. You have likely started due to stress and you became habitual. I request to quit smoking. You can take help of your treating psychiatrist for deaddiction.

- Amijoy and qutencare are anti psychotic medicines. Please describe your symptoms in detail so I can get idea why these medicines have been prescribed.

- I could not get exact content of F-mine and Ignitor. (F-mine may contain fluvoxamine and ignitor may contain minoxidil and both can cause decrease sex desire and, erection problem.) I request you to clarify the content of these medicines.

Performance anxiety is also playing role likely.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

While doing sex keep yourself relax.

Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.

I am waiting for your response.

All the best.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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What Causes Low Libido?

Brief Answer: provide more details Detailed Answer: Hello XXXXXXX Thanks for writing to us. I can understand your concern. Low sex desire can be due to either or both reasons in your case. One is tension and stress and second is medications given to you by psychiatrist. Let me know more details so I can guide you further. - What is your age? - Since when do you have problems of stress and tension? Let me know brief details about the issue. - Did sex problem and psychiatric problem started together or at different time? - What medicines have you taken for psychiatric problem; please give name, duration and dose? - What is duration of marriage life? How was previous sex life? Your erection problem is likely due to low desire. I also want some information to check this aspect. - Since when problem is there? - How did problem start? Any specific incidence was there? - Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines. - Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details. - When did you do your last successful sex? - Is there any difficulty in urinating? - How is relationship with your partner? Any emotional or social problem is there? - Is morning erection present? - Are you able to masturbate? Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.