ADVERTISEMENT

Q. How to increase the libido that I lost because of extensive workouts?

Answered by
Dr. Sameer Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 30, 2021

Hello doctor,

I am a 27-year-old male. My height is 5'7", and my weight is 165 lbs. My libido is reduced due to intense workouts. I do exercise for three to four hours a day for five days a week. This consisted of swimming, running about 1.5 miles in the morning, and two hours of weight training at night. I was sick often, never wanted to have sex, and was constantly bloated. I would only eat around 2000 calories a day and often fall asleep at my desk during work. I got my testosterone levels tested, and they are very healthy for my age. I now have problems focusing and was prescribed Adderall.

What should I do now?

Kindly help.

#

Hello,

Welcome to icliniq.com.

Your testosterone levels are normal (attachments removed to protect the patient’s identity). The low libido is more likely due to psychological reasons rather than organic. However, excessive exercising can cause fatigue and quickly bring down your energy, thereby reducing the urge to have sex. So, kindly limit your workout. I suggest you visit a psychologist for an opinion.

Take care.

Hello doctor,

My free testosterone level is 19.64 ng/dL. Is this a normal level for my age? I struggle to grow facial hair, build muscle and maintain weight regardless of my strict diet and exercise routine. My sex drive is very low, and it dissipates quickly. There has been nothing to cause psychological issues. I do not have depression, and I am confident in myself as a person.

Thanks.

#

Hello,

Welcome back to icliniq.com.

Your free testosterone levels are really low at 19.64 ng/dL. Since your total testosterone is normal, it indicates that your bound form is more, and hence free testosterone is low. This free testosterone is important for your sexual wellness, muscle building, and metabolism.

The potential causes of low testosterone are as follows;

1) Injury or trauma that causes the interrupted blood supply to the testes.

2) Infection of the testes.

3) Chemotherapy for cancer.

4) Metabolic disorders such as hemochromatosis.

5) Dysfunction or tumors of the pituitary gland.

6) Medications, including opioids, hormones used to treat prostate cancer, and steroids.

7) Acute (short-term) or chronic (long-term) medical illness.

8) Alcohol abuse.

9) Cirrhosis of the liver.

10) Chronic renal disease.

11) Obesity or extreme weight loss.

12) Uncontrolled type 2 diabetes mellitus.

13) Estrogen excess.

14) Previous anabolic steroid abuse.

15) Severe primary hypothyroidism.

So one needs to evaluate these factors before establishing a possible cause in your case. However, exogenous testosterone supplementation is the possible treatment option in your case. But without knowing the actual cause, the supplemented testosterone may also get bound.

Regards.

Hello doctor,

Thank you for the reply.

I have been struggling for years to find the cause for my low testosterone levels. What should I do now?

Thanks.

#

Hello,

Welcome back to icliniq.com.

You have to go through the causes that I have mentioned in my previous answer and need to evaluate the possible cause.

Kindly do the following investigations to help you better;

1) Hormonal profile including serum prolactin, serum estrogen, pituitary hormonal screen, and thyroid profile.

2) Doppler scan of the testis to check for testicular size and blood flow studies.

3) Ultrasound of testis.

4) Blood sugar.

5) SHBG levels (sex hormone-binding globulin). High levels of SHBG are associated with infertility, decreased sex drive, and erectile dysfunction.

6) Complete metabolic profile.

7) CT (computed tomography) scan of the brain with contrast for the pituitary gland.

I would suggest an exogenous testosterone supplementation therapy once after finding the cause. Unless the cause is found, the supplemented testosterone would get metabolized, depleted, or remain unused.

Regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Is there any remedy for premature ejaculation and low libido in Ayurveda?

.. more important for you to find the cause of this. High blood sugar levels, lack of essential nutrients in the body, lack of sleep, stress and a bad lifestyle are some of the common causes. My suggestions are: 1. Get a blood test done to rule o...   Read full

My problem is low sexual drive.Please help me overcome this.

.. been in relationship with any other women? Are you having this problem right from the beginning? Do you have any history of hypertension and diabetes? Are you getting full erection during masturbation? Are you getting spontaneous erection during e...   Read full

I am planning to start a family, but have low libido and weight issues. Please advise.

.. read your query and went through your reports (attachment removed to protect patient identity). From what you have mentioned, it appears that you have subclinical hypothyroidism and low libido. Your testosterone levels are good. So, they are...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»
Nighttime Skin Routine for Clear Skin
A skin that gets all the attention during the day requires a chance to repair, rejuvenate and replenish from day damage ...  Read more»

Ask your health query to a doctor online?

Ask an Infertility Specialist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.