Decreased Libido: Causes and Treatment Options for Men - Urology

More Info

---

Decreased libido, or reduced sexual desire, can be a complex issue influenced by various factors, particularly in men. In your case, the sudden drop in libido following a significant life event such as a car accident and subsequent surgery can be attributed to several potential causes.

Firstly, the physical trauma and stress from the accident and surgery can lead to psychological effects, including anxiety and depression, which are known to negatively impact libido. The body’s response to trauma often involves hormonal changes, including alterations in testosterone levels, which can further contribute to decreased sexual desire. Your blood test indicating a testosterone level of 138 ng/dL is notably low, as normal testosterone levels for adult males typically range from about 300 to 1,000 ng/dL. Low testosterone can result from various factors, including stress, hormonal imbalances, and certain medications.

In your case, the antihypertensive medications you are taking could also play a role. Some blood pressure medications, particularly certain diuretics and beta-blockers, are known to have side effects that can include decreased libido and erectile dysfunction. It’s essential to discuss with your healthcare provider whether your current medication regimen could be contributing to your symptoms.

Additionally, your elevated triglyceride levels (277 mg/dL) may indicate metabolic issues that can also affect sexual health. High triglycerides can be associated with conditions such as obesity and diabetes, which are known to impact testosterone levels and sexual function.

Regarding your question about hormone replacement therapy, it’s important to approach this option carefully. Testosterone replacement therapy (TRT) can be effective in restoring libido and improving overall well-being, but it is not without risks. Potential side effects of TRT can include acne, sleep apnea, increased red blood cell count, and potential cardiovascular issues. Therefore, it is crucial to have a thorough discussion with your healthcare provider about the benefits and risks of testosterone supplementation.

If you decide to pursue testosterone replacement therapy, there are several methods available, including injections, transdermal patches, gels, and pellets. Each method has its pros and cons, and the choice may depend on your lifestyle, preferences, and how your body responds to treatment. Generally, transdermal options like gels and patches may have a lower risk of side effects compared to injections, but individual responses can vary.

It’s also worth considering lifestyle modifications that can naturally boost testosterone levels and improve libido. Regular exercise, a healthy diet, weight management, and stress reduction techniques can all contribute positively to hormonal balance and sexual health. Engaging in activities that promote mental well-being, such as therapy or counseling, can also be beneficial, especially if psychological factors are at play.

In summary, decreased libido can stem from a combination of physical, psychological, and medication-related factors. It’s essential to work closely with your healthcare provider to identify the underlying causes and determine the most appropriate treatment options for your situation. Regular monitoring of hormone levels and overall health will be crucial in managing your symptoms effectively.