Low Libido in Men

What is male low libido?

A healthy sex drive is a fundamental aspect of men’s health, influencing self-confidence, relationships, and overall well-being. When sexual desire declines, it can cause frustration, emotional distress, and relationship strain. Low libido, or a persistent decrease in sexual desire, is a common issue affecting men of all ages.

While some changes in libido over time are normal, a significant, prolonged loss of sexual interest may indicate an underlying hormonal imbalance, health condition, or psychological factor that needs to be addressed.

At Tower Urology, we specialize in identifying and treating the root causes of low sexual desire with state-of-the-art diagnostics and personalized treatments. Whether the issue stems from testosterone deficiency, medication side effects, stress, or chronic health conditions, our expert team offers comprehensive, science-backed solutions to restore sexual function and vitality.

What are the common causes of low libido in men?

There are many possible causes of decreased libido, often involving a mix of hormonal, physical, psychological, and lifestyle-related factors.

Hormones

Testosterone is the primary sex hormone responsible for regulating libido, energy levels, and sexual function. Testosterone deficiency (hypogonadism) is one of the most common reasons for low libido in men. A decline in testosterone levels — often due to aging, obesity, chronic illnesses, or hormonal imbalances — can significantly affect sex drive and overall health.

Health conditions

Certain health conditions can interfere with sexual function. Heart disease and high blood pressure can restrict blood flow, reducing sensitivity and arousal. Diabetes and metabolic disorders may contribute to nerve damage and hormonal fluctuations that impact libido and erectile function. Additionally, sleep apnea, a condition that disrupts deep sleep, has been strongly linked to low testosterone and reduced sexual energy.

Sexual problems like erectile dysfunction and premature ejaculation can also negatively affect sex drive. Addressing and treating such problems can often lead to improved libido.

Medications

Some medications can cause low libido in men by affecting hormones, blood flow, or brain chemistry. Medications that cause low libido in some patients include selective serotonin reuptake inhibitors (SSRIs) (such as fluoxetine) and blood pressure meds (like beta-blockers).

Opioids and some anti-androgen drugs, like those used for prostate cancer treatment, can also suppress testosterone levels, leading to reduced sexual desire.

Psychological factors

Psychological factors play a significant role in sexual health as well. Stress, anxiety, depression, and relationship difficulties can all contribute to a decreased interest in sex. Mental health conditions can lead to loss of libido, while unresolved relationship problems, performance anxiety, or past trauma may make intimacy feel overwhelming or undesirable.

Lifestyle choices

Lifestyle choices can also have a profound impact on libido. Poor diet, sedentary behavior, excessive alcohol use, and smoking can all negatively affect hormone levels, circulation, and overall health and sexual well-being.

Call us or request your appointment online:

(855) 246-2700

Request your appointment online

Symptoms of low libido in men

A noticeable decline in sexual desire compared to one’s usual interest in sex is often the most telltale sign. However, other common signs of low libido in men can include:

Persistent lack of interest in sex or intimacy over an extended period.

Difficulty experiencing arousal or pleasure during sexual activity.

Emotional distress or relationship strain caused by reduced sexual function.

Fatigue, irritability, and decreased motivation in daily life.

Decline in sexual fantasies or spontaneous arousal.

How is low libido diagnosed?

The possible causes of low libido are many and complex. A comprehensive evaluation should include a detailed medical history, lifestyle assessment, and thorough lab testing to identify the underlying cause of low libido.

A physical examination assesses testicular health, hormone-related symptoms, and overall wellness. Blood tests help measure testosterone, prolactin, thyroid hormones, and metabolic markers to detect hormonal imbalances or underlying medical conditions.

If psychological factors are suspected, we may also evaluate whether anxiety, depression, or relationship issues are contributing to the decline in sexual desire.

Treatment options for low libido

Fortunately, there are a variety of ways to address low libido in men, and treatment can often be tailored to each patient’s unique needs.

Testosterone replacement therapy (TRT) is a highly effective option for men with clinically low testosterone levels, helping restore libido, energy, and overall well-being. If hormonal imbalances are detected, targeted testosterone therapy may be used to optimize hormone levels and support an improvement in sexual function.

For some men, their loss of sex drive may be linked to health problems like chronic medical conditions (such as heart disease, diabetes, or sleep apnea). Managing these health problems through lifestyle modifications and medical interventions can significantly improve their sexual health.

In some cases, adjustments to medication may be necessary. Suppose SSRIs, beta-blockers, or opioid medications are causing sexual dysfunction. In that case, we work closely with healthcare providers to explore alternative treatments or dosage modifications that minimize side effects while addressing the underlying condition.

Psychological and relationship counseling can also be a powerful tool in restoring sexual desire. Cognitive-behavioral therapy (CBT) and/or sessions with a sex therapist can provide men with the tools to navigate stress, relationship issues, and self-esteem, addressing concerns like performance anxiety that may be contributing to low libido.

Advanced therapies for decreased libido

Beyond conventional treatments, Tower Urology offers cutting-edge solutions, including platelet-rich plasma (PRP) therapy. PRP injections use the body’s natural growth factors to improve blood flow, nerve sensitivity, and sexual function. This innovative regenerative therapy is a minimally invasive, drug-free approach to enhancing libido and sexual performance.

We also offer other options, such as neuromodulation techniques (a treatment that alters nerve activity by delivering targeted stimulation), which may help restore sexual vitality in certain patients.

Why choose Tower Urology for the treatment of low libido?

At Tower Urology, we take a multidisciplinary approach to treating low libido. Our team of board-certified urologists, hormone specialists, and sexual health experts works together to provide individualized treatment plans that address the root causes of sexual dysfunction.

If low libido impacts your happiness and well-being, we’re here to help. We offer guidance and support on how to fix low libido in men through various treatments, therapies, and lifestyle changes. Schedule a consultation today to explore effective, personalized solutions for your sexual health and vitality.

We invite you to establish a care plan with Tower Urology.

Call us or request your appointment online:

(855) 246-2700

Request your appointment online

Tower Urology is conveniently located for patients throughout Southern California and the Los Angeles area, including Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, and Downtown Los Angeles.

Low Libido in Men FAQs

What causes low libido in men?

Low libido in men can be caused by a variety of factors, including stress, hormonal imbalances (like low testosterone), certain medications (like antidepressants), chronic health issues (including sexual problems), and relationship issues. Lifestyle choices like excessive alcohol consumption, smoking, and lack of exercise can also play a role.

Does vitamin D deficiency cause low libido in men?

Yes, vitamin D deficiency has been linked to low libido in men because it plays a role in testosterone production, which is crucial for sex drive. Low levels of vitamin D may contribute to fatigue, mood changes, and reduced energy, all of which can impact libido and a man’s sex life.

Is there a natural remedy for low libido in men?

Yes, natural remedies for low sex drive in men include adopting a healthy lifestyle with regular exercise, stress management (like meditation or yoga), and a balanced diet rich in zinc and healthy fats. Improving sleep and reducing alcohol or drug use can also help boost sex drive naturally. While some supplements may promise to increase libido, it’s best to consult with a healthcare professional before starting anything new.

Are there foods that can lower libido in men?

Yes, certain foods may contribute to lower libido in men by affecting testosterone and blood flow. Soy, processed foods, alcohol, dairy, and sugary drinks may reduce testosterone levels or impact circulation. Limiting these and focusing on a balanced diet can help maintain a healthy sex drive.

Sources

Let’s talk about sex: exploring factors influencing the discussion of sexual health among chronically Ill patients in general practice
https://pmc.ncbi.nlm.nih.gov/articles/PMC8934468

Management Strategies for Antidepressant-Related Sexual Dysfunction: A Clinical Approach
https://pmc.ncbi.nlm.nih.gov/articles/PMC6832699

Physiology, Testosterone
https://www.ncbi.nlm.nih.gov/books/NBK526128

Libido
https://www.sciencedirect.com/topics/medicine-and-dentistry/libido

What patients say about Tower Urology

4.7

Over 346 Reviews

Dr Josephson has a magic hand. after protate surgery usually most of the patients get leaks but mine was perfect. He is very intelligent, helpful, patient, and polite. I recommend him to all my friends and family

SHAWN M.

Dr Justin Houman has made a positive impact on my health. At first I was nervous about seeing a Urologist but he made me feel comfortable to open up and solve my problems. Highly recommend him. Five Stars ⭐️

Baguette M.

Justin is a very caring doctor who always goes out of his way to address my needs.

Alec P.

Very kind and professional Doctor. Caring and experienced staff. Lucky to have found Dr. Houman and I highly recommend him to anyone looking for a urologist.

Dreamland D.

I have been suffering from Testicular pain for the past 3.2 years, and it has been a challenging journey. If I do certain activities like long walks, lifting weights and sex triggers or worsen my testicular pain. The pain was intense enough to significantly impact my daily activities. Pain forces me to rest for 1 to 2 days and applying the Ice packs frequently. I finally met Dr. Justin Houman, who has truly been my life saver. I recently underwent Microsurgical Spermatic Cord Denervation and Varicocelectomies Surgery with Dr. Justice Houman and I noticed a significant reduction in my chronic testicular pain, which has greatly improved my quality of life. I have gradually resumed activities like long walks, lifting weights, sexual activity and I am experiencing only very minimal testicular pain, which doesn’t affect my daily activities. I would highly recommend Dr. Justice Houman to anyone suffering from chronic testicular pain, he is a true expert in men’s andrology. Dr. Houman is truly a life saver for me, Thank you very much Dr. Houman!

Kishore C.

Dr.Josephson was an Answer to many prayers! I recently had surgery in Bakersfield with urologist who is past his prime. I couldn't get help after my TURP surgery. For 3 months (90 days) I was in great discomfort, unable to urinate without extreme pain. 40 times a day,wanting to cry ! My Bakersfield urologist said there was NOTHING he could do to help me. A friend sent me to Dr. Josephine. I prayed for a miracle and Dr. Josephson kindly obliged. No further surgery was needed! Dr.Josephson took the "time" to examine me and found the issue immediately and I left his office as happy a child !! Thank you,Dr.Josephson, words cannot express my gratitude enough!! You helped me greatly in my time of need! You were kind and gentle and made me feel cared for. Thank you,May God Bless You !! JSM

John M.

I had a wonderful experience with Dr. Kuhlmann and her team. Her bedside manner was fantastic and put me at ease throughout my visits. She was responsive to my questions and fully explained my treatment plan. My quality of life has significantly improved and I am so thankful to have found a physician I can trust. Would 100% recommend.

Jacqueline R.

Dr . Josephson is hands -down the absolute best any patient or family could ask for in a doctor . His staff is on point they run like a machine. The experience has been exceptional. His care knowledge understanding and follow up is on point and he truly is the best urologist you can find. highly recommend it .

Sarineh Y.

Very pleasant, helpful, and very knowledgeable doesn’t do any test, which is not necessary like most of the other Urologist do give you a clear opinion of your health and give you good advice I strongly recommend him I do wish him all the best in his career

David N.

A family member was struggling with testicular pain for years and had concerns about fertility. I am so grateful that we were referred to Dr. Houman. He is very thoughtful and knowledgeable and has great bedside manner. He diagnosed a varicocele and recommended microsurgical varicocelectomy and we are so happy with the results. I highly recommend Dr. Houman.

Sophia L.

Dr Kuhlmann and her office were wonderful. She was attentive in answering my questions and made me feel heard. She was friendly, professional and helpful. I’d definitely go back if I had any future concerns!

Ruby W.

Amazing urologist. Go to expert for men’s health. I refer patients to him as often as possible!

Ilan K.

The best. I can’t say enough good things about the care i received and continue to receive from all the people at Tower urology especially Dr. Joesepson.

Robert H.

He saved my dad’s life. Thanks for everything you did. Can never repay you.

Amir Y.

How did a woman with a lifetime of recurrent bladder infections wind up with a urologist whose specialty is male fertility? It happened like this...Dr. Houman was recommended to my husband when he began having the prostate problems that can devastate older men. Dr. Houman solved his urinary difficulties, and I'm convinced, kept him from the fate of a constant catheter. Naturally, I jumped at the chance to be his patient, and have been, for the first time in my life, free for several months of any infections. But the best part of being Dr. Houman's patient is this. When you are in trouble, he will keep in constant touch with you...he does not isolate himself behind a wall of nurses. Naturally, I recommend him highly, Marilyn B.

Marilyn B.

Great doc you can trust. He's very up on all the new and modern modalities to help you and keep you healthy. Great choice and nice guy.

Dave R.

Fantastic! 3 surgeries! The guy is on top of his trade & switched on my full potentials for quality of life. Many thanks to you Dr j. ❤️🎉🍾🎈🙏

Amir V.

Dr. Kuhlmann is AMAZING!! I saw her for perimenopause care and she explains everything clearly and got me started on a treatment plan right away. Highly recommend.

Heather J.

My experience with Dr. Houman has been nothing but positive. He takes the time to really listen and provide solutions. I came to him, very unsure and very unhappy, with a procedure done by another doctor several years earlier. After a couple of meetings Dr. Houman assured me that he could help me. And that’s exactly what happened. I'm very pleased with the results. His bedside manner and can-do attitude, his insight, enthusiasm and quick email responses were greatly appreciated. You can’t do better than Dr. Houman. I highly recommend him.

Russ W.

Dr. Kuhlmann was excellent at listening to my individual needs and exploring the best solutions possible.

C H.

10/10 would recommend!! Dr. Houman is the best!!

Arturo K.

Dr Houman gave me a new life with the Inflatable penile implant. In the past I tried viagra and injections but nothing compares to this procedure. As I am 79 I have the youth and lasting desire of love making as a 40 year old Mick Jagger! If you are reluctant .... Dr Houman is the best and most knowledgable!

Barry B.

Dr. Houman is a one of a kind doctor, truly. It's a scary thing to go see a urologist, and Dr. Houman made the experience comfortable, safe, and he instilled confidence in me as a patient. My fear and worries went from 100 to zero, and I am extremely happy to have found his office. Would recommend Dr. Houman to anyone!!

Ben M.

Excellent doctor! Was completely taken care of from start to finish

Jimmy L.

Thorough. Communicative. I would highly recommend Tower Urology and Dr. Josephson in particular.

Karl S.

Highly recommend Dr Houman he is amazing and saved my life

ROBERT D.

Highly skilled and compassionate, Dr. Houman provides excellent care suggestions.

S K.

Dr. Houman is excellent—professional, compassionate, and thorough. I felt well cared for and informed every step of the way. Highly recommend!

Mr. E.

Dr. Houman is knowledgeable, professional, and genuinely cares about patients. They made me feel comfortable and well-informed throughout the process. Highly recommend!

spicy G.

Best doctor in town!

Hannah N.

Best urologist in the game. It’s never too early to consult a doctor. Justin made me feel comfortable and work through different issues that were important to me to resolve. I met with a few doctors until I found Justin. He is top notch. Highly recommend

Ryan D.

Dr. Houman is a SUPERHERO. He is everything you’d dream of in a doctor and more! He takes care of my family with such kindness and expertise. We are so grateful to this outstanding urologist - he is absolutely amazing!

Amanda M.

This is ari zoroaster dr. Houman is one of the best doctors I have ever had very professional and smart ...and super friendly that make you forget the pain of needles !!!!! Over all I am very pleased of knowing him and will keep going there.

martha F.

Dr. Houman is an outstanding urologist. He’s professional, knowledgeable, and kind. He really took the time to thoroughly answer all my questions. I would highly recommend Dr. Houman.

Ashley H.

Dr Houman is the urologist you’ve been looking for! He never shies away from a challenge and has taken excellent care of me over many hurdles! He’s dedicated to each patient, never in a rush and a talented surgeon!!

Thomas C.

Dr. Kuhlmann is a fantastic urologist — she really takes the time to listen and address your concerns. I couldn’t recommend her enough

Jeremiah D.

Dr. Kuhlmann is an excellent surgeon, physician, and clinician. She is very skilled, thorough, and attentive-she puts her patients first. I highly recommend her!

Tiffany P.

Dr. Kuhlmann is a brilliant doctor physician and excellent diagnostician. She truly listens to her patients’ concerns and uses up to date treatments. I fully trust I am receiving the best care from her!

Kayla L.

Dr. Houman was the most compassionate and caring doctor that we met in our 10 day stay at the hospital. He is a knowledgeable doctor that genuinely wants to help.

Joseph S.

Dr. Kuhlmann is extremely knowledgeable and a truly caring physician. She has a way of communicating confidence and expertise while also meeting each of her patients on their level. Very professional and goes the extra mile for everyone she cares for.

Samuel G.

Dr. Houman was amazing, don’t typically do reviews but he was extremely thoughtful and helpful. Highly recommend!

Michael S.

Best of the bests! Highly recommend Dr. Houman

Janet N.

Dr. Houman is the BEST! He literally saved my grandpa's life and he couldn't be more kind and thoughtful. If Dr.Houman is your doctor then you're in amazing hands! Thank you Dr.Houman

Ella N.

Dr Kuhlmann is a fantastic physician. She is very caring and attentive. I appreciate her dedication.

Danielle B.

When my patient’s need a urologist, I go to Dr. Kuhlmann. She is my top choice for urologic care in the region. Desmond Huynh, MD

Desmond H.

Excellent physician and great listener. Most physicians don’t take the time to understand or put themselves in their patient’s shoes. Dr. Kuhlmann is the opposite of that. Highly recommend.

Joleen H.

Dr. Paige Kuhlmann is a warm, caring, compassionate and smart doctor. She went out of her way to accommodate my mom and made her feel so comfortable. I give her a 10 out of 10!

Wendy F.

Extremely knowledgable and informative.

Leslie M.

She was very knowledgeable and answered all my questions. Highly recommend!

Patrick P.

I usually do not write reviews however Dr Houman is an exception. He is a terrific urologist and very knowledgeable. What might be equally important is his care and attention, quickly returning emails as well as phone calls. In an age of increasing fast in fast out medical care, Dr Houman works with a personal touch rarely seen these days. I highly recommend him.