MALE LOW LIBIDO

MALE LOW LIBIDO AND ESTROGENS

Desire (male libido and female libido ) consists of fantasies and a desire to have sexual activity, experienced both at the mental/emotional level and as a physical/somatic hunger for sex. Principally driven by testosterone in both male and female, genitally focused, sexual thoughts/desires must be present to initiate our sexual cycle. Estrogens in both women and men are important for human sexual interaction emphasizing touch, physical closeness, receptivity, love and nurturance. Arousal is the developing subjective sense of increasing sexual pleasure accompanied by physiological excitement.
 

MALE LOW LIBIDO AND THE IMPORTANCE OF TESTOSTERONE LEVELS:

Critical to low male libido and genitally focused sexuality, as well as overall well being, bone growth, improved affect, increased skeletal muscle power and activity, and a general sense of well being. Testosterone blood levels are generally misinterpreted by physicians. Laboratory values reflect a normal bell curve of distribution, but not a sexual function normal range. Males below 350-ng/dl total testosterone, and arguably 400ng/dl, will experience decreased libido, difficulty in obtaining or sustaining an erection, and problems ejaculating. Orgasmic intensity at the lower levels is often diminished. Therapeutic replacement to measured levels of total testosterone in the 800 – 1200 ng/dl range is clinically beneficial, especially in treating sexual dysfunctions in the older male. Sex hormone binding globulin (SHBG) increases with aging in men so that the availability of free testosterone, the functionally active form, diminishes with age resulting in male low testosterone.  I obtain total and free testosterone levels in patients. I occasionally encounter adequate total testosterone with inadequate free testosterone levels, which is a treatable situation. 

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