How Does Decreased Sexual Desire Relate to Other Sexual Dysfunctions in Men?
While the problem of decreased sexual desire has been extensively studied in female populations, research in men is comparatively limited. A recent study revealed that decreased sexual desire often coexists with other sexual dysfunctions. Specifically, 38% of individuals reporting reduced sexual desire also had erectile dysfunction, 28.2% experienced premature ejaculation, and 50% faced delayed ejaculation. Only 5% of those with decreased sexual desire did not report any other sexual dysfunction.
Although decreased desire can lead to issues with erection or ejaculation, the reverse scenario is more common. It’s now understood that experiencing problems with erection or ejaculation can result in unpleasant sexual experiences, gradually decreasing the desire for sex and leading to avoidance of sexual activity altogether.
In such cases, treatment focuses on gradually increasing desire while addressing coexisting sexual dysfunctions.
What Other Factors Contribute to Low Sex Drive in Men?
The same study revealed that individuals reporting decreased sex drive were significantly more likely to have hypogonadism (reduced testosterone production), poor mental health, or hyperprolactinemia (elevated levels of prolactin in the blood). Additionally, men with reduced sexual desire, without any other sexual dysfunction, often reported problems in their daily or personal relationships.
Treatment in such cases aims to address the underlying issues contributing to decreased desire. Effective treatment must consider all factors contributing to and maintaining the problem.
Reference: Corona G, Mannucci E, Petrone L et al. (2004) Psycho-biological correlates of hypoactive sexual desire in patients with erectile dysfunction. Int J Impot Res 16:275-281.
