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| Low Sex Drive |
Last updated: May 12, 2008 |
Signs, symptoms and indicators | Contributing risk factors | Other conditions that may be present | Recommendations
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Inhibited desire is the most common sexual dysfunction, effecting one in three couples. 20% of married couples have a non-sexual marriage (being sexual less than ten times a year) and 30% of non-married-couples who have been together longer than two years have a non-sexual relationship. Desire problems can drain intimacy and good feelings from the relationship.
When low sex drive is mentioned, the spouse with the problem is usually categorized as the wife. However, there are many husbands who aren't interested in sex either. Although men may not want to talk about having a low libido, not doing so may create anxiety and heartbreak in their wives. Since discrepancies in sexual desire can cause tremendous frustration, it is especially important for affection to be expressed when libido is low since it could be misinterpreted as indifference or dislike.
Of the three components that typically define a successful marriage - money, kids and sex - you only need two of them to have a relationship that survives. Some have gone beyond this to conclude that one of them has to be sex. Therefore, one partner’s loss of interest can be more than frustrating, it can be marriage-threatening.
While impotence and loss of libido are two separate things, men who experience impotence commonly experience a decrease in libido over time.
The arrival of a baby has been known to dampen sexual desire also. Nursing mothers’ hormones, including those that influence sex drive, are in flux for as long as they continue to nurse, and their limited enthusiasm for sex can effectively cool their mate’s desire also.
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Signs, symptoms & indicators of Low Sex Drive: | |  | | | | Symptoms - Reproductive - General | Counter-indicators:
Strong sexual desire |
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Risk factors for Low Sex Drive:
Low Sex Drive suggests the following may be present:
Recommendations for Low Sex Drive: | |  | | | | Botanical | Tribulus (Tribulus terrestris) | In clinical studies on 212 patients, 85% of patients with reduced libido demonstrated improvement after 30 days and 94% after 60 days of treatment with tribestan, an extract of Tribulus. For 36 patients with chronic prostatitis and reduced libido, 75% reported favorable effects at the end of the treatment cycle. |
Marapuama (Ptychopetalum olacoides) | In a study conducted in Paris, France, of 262 male patients experiencing lack of sexual desire and the inability to attain or maintain an erection, 62% of the patients with loss of libido reported that the extract of muira puama "had a dynamic effect". |
Maca (Lepidium meyenii) | Maca extracts enhanced the sexual function of the mice and rats, as evidenced by an increase in the number of complete intromissions and the number of sperm-positive females in normal mice, and a decrease in the latent period of erection (LPE) in male rats with erectile dysfunction. [Urology 2000 Apr;55(4): pp.598-602] A similar benefit has been reported in human males, but further trials are necessary to confirm this.
A human study confirms the rodent findings. Researchers at the Universidad Peruana Cayetano Heredia, in Lima, Peru, performed a 12-week double blind, placebo-controlled, randomized trial in which active treatment with different doses of maca was compared with placebo. Men aged 21-56 years received 3gm of maca. An improvement in sexual desire was observed with maca at 8 weeks of treatment. Serum testosterone and estradiol levels were not different in men treated with maca than in those treated with placebo.
Another study was designed to determine the effect of a 4-month oral treatment with tablets of maca on seminal analysis in adult normal men aged 24-44 years old. Nine men received tablets of maca (1500 or 3000mg) for 4 months. Serum luteinizing hormone, follicle stimulating hormone, prolactin, testosterone and estradiol levels were measured before and after treatment. Treatment with maca resulted in increased seminal volume, sperm count per ejaculation, and sperm motility. Serum hormone levels were not altered. |
Cinnamon (Cinnamonum zeylanicum) | Drug | Not recommended:
Conventional Drugs / Information | The most common medications that put a damper on sex include antidepressants, which inhibit arousal and orgasm; anti-inflammatories, which also hamper orgasm; ulcer medications, which lessen desire; and birth control pills, which limit desire and decrease lubrication. Diuretics and anti-anxiety drugs may have this side-effect also. |
| Hormone |
Testosterone | Low testosterone levels are frequently the reason for diminished interest in sex, both in men and in women. |
DHEA | The occasional use of androstenedione as a libido-enhancer in women has been reported, with onset of effects occuring within 30 to 60 minutes. |
| Lab Tests/Rule-Outs |
Test / Monitor Hormone levels | Midlife is a time when sex desire decreases for many women. Inevitably, in most men also, sex drive decreases with age. This is often due to declining hormone levels, especially testosterone. Hormone replacement is particularly effective at this time for restoring libido. |
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KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | Very strongly or absolutely counter-indicative |  |  | May do some good |  |  | Likely to help |  |  | Highly recommended |  |  | May have adverse consequences |
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