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What can cause loss of libido in a male?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a male and just started having sex with my wife and when I am inside her I feel nothing. I feel no pleasure and no sensation. This has been an issue for four days now and I have had sex 10 times in those four days. I also feel nothing when she tries to pleasure me with her mouth or hand. I have never experienced this in the past. I am currently taking a tablet, Carbamazepine (Curtail).

Thank you.
Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

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Hello,

Welcome to icliniq.com.

I read your query and understand your concern.Low Libido has the following reasons:

  1. Infections - This can be due to a urine infection (can do urine complete and ultrasound of the pelvis) to diagnose the cause.

  2. Diabetes, or hypertension - Make sure that your blood pressure and blood sugar are under control. Already on medication, share medication name?

  3. Hormonal disturbances - Low testosterone, low levels of thyroid, high levels of prolactin and check for TFT (testosterone replacement therapy), Prolactin, testosterone.

  4. Obesity - Plan for regular exercise and yoga.

  5. High cholesterol – Check for lipid profile and plan for regular exercise.

  6. Chronic disease or on any chronic medication - Please share details.

Anxiety can also cause libido issues. Need to do the following: Consult your specialist doctors, discuss and take the tests and medicines with their consent.

  1. USG (ultrasound) pelvis to rule out pelvis infection, thyroid check-up for free T3 T4 TSH (thyroid stimulating hormone), lipid profile to know cholesterol levels, blood pressure, RBS (random blood sugar) test.

  2. Can use the tablet Mildfil (PDE5 inhibitors) 5 milligrams twice a day as a temporary solution.

Kindly Share more details regarding the above reason, so we can work on the cause and treatment. Carbamazepine can be one of the reasons for the low libido.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

Medically reviewed by iCliniq medical review team
Published At October 2, 2023
Reviewed At December 22, 2023

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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