Sudden Decrease in Sexual Desire: Causes and Solutions

Erectile dysfunction issues 2

I have a few questions for the doctor.
First, I suddenly experienced a decrease in libido one day.
I used to feel the urge to masturbate every three days (with frequent erections), but last year, my desire suddenly diminished and even disappeared.
For two weeks, I had no sexual desire at all, and watching adult films did not stimulate me (my penis did not respond).
When I kissed and hugged my girlfriend, I felt some sensation and some fluid was released from my penis, but there was no erection.
Second, I researched a lot about erectile dysfunction (ED).
I do have nocturnal erections, but very few in the morning.
I read online that chronic prostatitis can lead to erectile dysfunction.
I previously had issues with incomplete urination, but I no longer experience symptoms like frequent urination, incomplete voiding, increased nighttime urination, hematospermia, or seminal vesiculitis (which I experienced in middle school).
I have undergone tests at the hospital for cardiovascular health and blood sugar, and all results were within normal ranges (thus ruling out metabolic syndrome as a cause of sexual dysfunction).
Third, I would like to ask what conditions can lead to a decrease in libido (or complete loss of it).
I have been feeling a lack of interest in sex for a while now.
The urge I used to have for morning erections and the desire to masturbate every few days has vanished.
I now have fewer morning erections, low libido, and watching adult films does not arouse me; I can only achieve an erection and ejaculation through manual stimulation.
This situation is very distressing for me, and I cannot find the cause.
When I visit the hospital, the doctors seem uninterested in my case.
The sudden change is significant, and I am aware that there must be a psychological aspect to it.
I just want to determine the underlying cause.

For your reference, I am 175 cm tall and weigh 60 kg.
I do not smoke or drink alcohol, and I usually go to bed before midnight, getting a full eight hours of sleep.

Niming, 20~29 year old female. Ask Date: 2015/11/04

Dr. Fu Shizhang reply Urology

If there is a decrease in libido, it may be related to male hormones.
If all tests are normal, it is most likely due to psychological factors.

Reply Date: 2015/11/04

More Info

Understanding a sudden decrease in sexual desire can be a complex issue, as it may stem from a variety of physical, psychological, and lifestyle factors. It's important to approach this topic with sensitivity and an understanding of the multifaceted nature of sexual health.

1. Physical Causes: One of the most common physical causes of decreased sexual desire is hormonal changes. Testosterone, the primary male sex hormone, plays a significant role in sexual desire and function. A sudden drop in testosterone levels can lead to reduced libido. Other physical factors include chronic illnesses, medications (especially antidepressants and blood pressure medications), and conditions such as diabetes or cardiovascular diseases, which can affect blood flow and nerve function.

In your case, you mentioned having experienced symptoms related to chronic prostatitis in the past. While you currently do not have symptoms like frequent urination or pain, it's worth noting that chronic pelvic pain syndrome can sometimes lead to sexual dysfunction, including decreased libido. Even if your recent tests for cardiovascular health and blood sugar levels came back normal, underlying issues related to prostate health or hormonal imbalances might still be at play.

2. Psychological Factors: Mental health plays a crucial role in sexual desire. Stress, anxiety, and depression can significantly impact libido. The pressure to perform sexually can create a cycle of anxiety that further diminishes desire. Additionally, past experiences, relationship dynamics, and emotional intimacy with your partner can influence your sexual interest. If you are feeling overwhelmed or anxious about your sexual performance or changes in your desire, it may be beneficial to explore these feelings with a mental health professional.

3. Lifestyle Factors: Lifestyle choices can also affect sexual desire. Factors such as lack of physical activity, poor diet, and inadequate sleep can contribute to decreased libido. Although you mentioned maintaining a healthy sleep schedule and not engaging in smoking or excessive drinking, it's essential to consider other aspects of your lifestyle, such as exercise and nutrition. Regular physical activity can enhance mood and energy levels, which may positively influence sexual desire.

4. Relationship Dynamics: The quality of your relationship with your partner can also impact sexual desire. If there are unresolved conflicts, lack of communication, or emotional distance, these factors can lead to a decrease in sexual interest. Engaging in open conversations with your partner about your feelings and desires can help strengthen your emotional connection and potentially rekindle your sexual interest.

5. Seeking Professional Help: Given the complexity of sexual health issues, it may be beneficial to consult with a healthcare professional who specializes in sexual medicine or a urologist. They can provide a comprehensive evaluation, including hormone level testing and a thorough assessment of your sexual health history. If necessary, they may refer you to a mental health professional to address any psychological factors contributing to your decreased libido.

In conclusion, a sudden decrease in sexual desire can result from a combination of physical, psychological, and lifestyle factors. It's essential to approach this issue holistically, considering all aspects of your health and well-being. Open communication with your partner and seeking professional guidance can help you navigate this challenging experience and work towards restoring your sexual health. Remember, you are not alone in this, and many individuals experience fluctuations in sexual desire throughout their lives.

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