Hi, I am a maried 41 year old male and over the past five years have been experiencing a decline in my sexual desires and libido. I even exeperience hot flashes which I m told are not common in men. For the past two years I ve not been able to have an erection and have absolutely no sexual drive or interest...not even for self pleasure. My testostorone has been tested three times and averages 253. Some Dr are saying this is falling in the normal level and doesn t require treatment and others say its way low and should be around 600 and is why I m having these issues. I m certain that I have some sort of medical issue that s contributing to my impotence and will hopefully be referred to an endochrinologist. My thyroid is fine...I don t have diabetes and am in relatively good health other wise. Can you give me some advice on this?