Low Sexual Drive

A low sex drive can interfere with sexual activity and cause problems in relationships. It can be caused due to low sex hormones production, a side effect of some medicines (statins, beta blockers, antipsychotics), depression, stress, sleep deprivation, smoking, alcoholism, and chronic illness like cancer, fibromyalgia, and arthritis.

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I do not get much pleasure in sex as like masturbation. Why?

Query: Hello doctor, I am a 30-year-old male. I have been married for one year. My problem is low sexual drive. I do have morning erections but not regularly. When I have sex one to two times a week, I do not masturbate. Otherwise, I masturbate two to three times a week. Unlike having sex, I get enormous ...  Read Full »

Dr. Ravi M Soni

Geriatrician, Psychiatrist, Psychologist Counsellor, Sexologist

Answer: Hi, Welcome to icliniq.com. At the age of 30, the neurological illness, diabetes, and hypertension are not common. So mostly the cause is anxiety and stress for erectile problems. Stress and worries can make a person distracted even while masturbation. When a person watches a porn movie because o...  Read Full »

Will excessive masturbation contribute to erectile dysfunction and low sexual desire?

Query: Hello doctor, I am 20 years old. I am studying in college. I have a habit of masturbation for about five years. Two months ago I got low sexual desire. After few days I got erection dysfunction. But I am able to achieve erection on rubbing my penis, but it does not stay and it goes away. No pleasur...  Read Full »

Dr. Bharat Udey

Geriatrician, Psychiatrist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. I have seen the pictures. (attachment removed to protect patient identity). From your account it is clear that you do have an erection, tough it last for a shorter duration only. However, a decreased sexual interest and pleasure can be because of multiple reasons, ...  Read Full »

What is the treatment for premature ejaculation, lack of sexual desire and diluted sperms?

Query: Hello doctor, I am 30 years old. Recently I got married. I am facing problems in my sex life. I have done intercourse five times in the last 20 days. I found some difficulty in erection. For the last one week, my sex desire has gone. I am facing problems with my penis. Going back to history, for th...  Read Full »

Dr. Shubham Mehta

Psychiatrist, Psychotherapist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. I can understand your concerns. I have some suggestions for you which will help. Practice kegel's exercises to strengthen pelvic floor muscles. This will improve erection and time. Eat green vegetables as these act as natural antioxidants. Chocolates and almonds a...  Read Full »

Can having Cymbalta lead to no sexual drive in a patient with fibromyalgia?

Query: Hi doctor, My girlfriend has fibromyalgia and is currently on Cymbalta and a muscle relaxant. She said she has no desire for sex but it seems she is having sexual dreams. She does not know that she is doing it but it does not make sense to me. When she was on Tramadol, everything was fine unless she...  Read Full »

Dr. Divya Agarwal


Answer: Hello, Welcome to icliniq.com. It is possible that she has no desire or she may be fatigued by the fibromyalgia. Drugs like Cymbalta (Duloxetine) act on neurotransmitters and there is a possibility that they affect a person's emotions and desires. Generally, once the drug goes on for s...  Read Full »

I am facing loss of libido and low sex drive on having SNRI. What can I do?

Query: Hello doctor,I have a current issue that I cannot find a solution for the last five years. I suffered from anxiety a debilitating one, and after trying many SSRI, nothing worked except Effexor SNRI, which reduced the stress. Now the problem is that I have no libido and sex drive and all the associat...  Read Full »

Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. You may be aware that SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) like Effexor are good at managing anxiety, but it can cause sexual side effects in some people. As your local psychiatrists said, it is also...  Read Full »

Please advise how to bring back the lost sexual interest in spouse.

Query: Hello doctor, I have lost sexual interest in my spouse and I do not get an erection at the thought of making love to her. Otherwise, I have no issues with erection. I masturbate daily and do online sex chat. Please advise how to bring back the lost sexual interest in spouse.  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to icliniq.com. As you are addicted to online sex chat and masturbation, thus lost interest in your wife. Your sexual needs are fulfilled by that. So, first stop sex chat and masturbation for a week and spend time with your wife, and take her to romantic date or dinner. Try to remember...  Read Full »

I am having erection problem during intercourse. Please help.

Query: Hello doctor,I am unable to get an erection for a longer time. I have erection problem during intercourse. Very low feeling to have intercourse.  Read Full »

Dr. Saurabh S Pandya


Answer: Hi, Welcome to icliniq.com. Since how long are you having these issues? Did the erection problem occur first or the lack of interest in sex occur first? Are you married or in a relationship? Do you masturbate? Does erection during masturbation last longer? Are you having any medical disease or ar...  Read Full »

What causes reduced semen spurts?

Query: Hello doctor, I am a 47-year-old male in good health. Within the last six months when I ejaculated, I only had one to three large spurts. Previously, I had about four to six. The volume is still good. I am on Prestiq and Xanax. Is this problem reversible and is it a sign of more problems to come?  Read Full »

Dr. Karthik Rajan

Urologist, Andrologist

Answer: Hello, Welcome to icliniq.com. I have gone through your query. I would like to know whether there is any decrease in your sexual drive or erections. If there is not any then as long as your semen volume is normal, I do not think there are any concerns as of right now. If the problem persists, I...  Read Full »

I am not getting wet during intercourse. Please help.

Query: Hello doctor, I have a sexual issue. I do not get wet. The vagina is moist initially, but as it is exposed to air and when foreplay increases, it gets drier. What should I do?  Read Full »

Dr. Purushottam Sah

Obstetrician And Gynaecologist, Sexologist, Andrologist, Infertility Specialist

Answer: Hi, Welcome to icliniq.com. It appears to be due to stress or anxiety, so relax and do exercise. However, to exclude other causes, you need to do some blood tests like hemoglobin, total count, differential count, postprandial sugar, prolactin and thyroid stimulating hormone. If you are taking any me...  Read Full »

Can antidepressants cause loss of libido?

Query: Hi doctor, I am 19 years old. I do not have any sexual desire or libido. I am not getting normal erection. I have done a hormonal test to see if something is wrong. Currently, I am on antidepressant. The clinic said that the results are normal. But, I have a feeling that something must be there. ...  Read Full »

Dr. Bindiya Thakkar

Diabetologist, Endocrinologist

Answer: Hello, Welcome to icliniq.com. Your submitted blood work (attachment removed to protect patient identity) looks normal. I do have some questions for you though. Did you have normal puberty as compared to your peers such as height, shaving, pubic hair, etc? Did you have normal sexual desire and li...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.