How do I improve my low sex drive?

Question

Hello doctor,

I am a 57-year-old white male. My only medication is Metformin for a pre-diabetes watch. My blood sugar when I wake up is 100 mg/dl to 121 mg/dl. I take it daily. I do not take metformin daily. My sex drive has dropped off to zero nine months ago. When I have sex, the quantity of semen is very less. Now when I go to the restroom, a lot of bubbles are created in the urine. It just started two weeks ago. My PSA is 3.1 and the urologist says I am fine. But, I know I am not fine. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I would like to know a few more details. Was the decline in your sex drive slowly progressive or sudden? And how is your erection? Are you married? Or have a steady partner? Along with reduced stream, is there any straining to void, difficulty in initiating stream or stopping or decreasing of stream midway through urination. To answer your query, Metformin has no role in reduced sexual drive and the bubbles in the urine. It could be an early sign of proteinuria seen in diabetics. I suggest you get an ultrasound and uroflowmetry to check for your prostate size, flow rate and estimate residual urine. I suggest you also check your testosterone levels to look for the reason for your reduced sex drive and then we will evaluate further or treat based on the results.

Answer 2

Hello,

Welcome back to icliniq.com.

Sudden loss of erections is usually psychological in nature. Age-related and diabetes-induced erectile dysfunction are generally gradual in onset. Since Viagra (Sildenafil) is not helping, I would like to assess the blood supply to your penis and your sexual function with testosterone levels. Also, viagra only augments the blood vessels involved in erectile function, so it requires spacing in between meals by at least half hour and adequate foreplay for the neural component to get activated. Your condition is treatable once a working diagnosis is achieved.