The lack of desire or libido can affect both men and women. It usually appears at midlife, but can occur at any time, accompanied by a lack of sexual fantasies, loss of interest in sex and a rejection by the couple at times.
Up to 80% of cases are due to disorders related to testosterone deficit, a male hormone in both men and women related to sexual impulse.
In men, erectile dysfunction, loss of body hair and a tendency to obesity are often associated. Testosterone is a natural hormone that controls many processes in the body so a decrease in testosterone levels in the body can affect different organs and systems. The patient may notice fatigue more easily and may suffer from conditions such as osteoporosis, insomnia, hypertension, diabetes, cardiovascular disease and increased cholesterol. Testosterone is involved in all these disorders.
These conditions are typical of menopause in women and there has been talk of andropause for men. However, this term is not very appropriate. In the case of men, we usually talk about hypogonadism, metabolic syndrome, TDS, etc.
Before considering the origin of the problem is hormonal, a psychological problem or any other related factor should be ruled out through the clinical history, carrying out a physical exam and analysis confirming the hormonal problem. Diagnosis is relatively quick and easy.
Treatment of lack of desire due to hormonal origin is very effective. Testosterone therapy is easy (gel, patch or parenteral) and safe. Controls should ensure that hormone levels return to normal, the state prior to loss of desire. Both men and women can get very good results with minimal dose allowing normal levels to return to without adverse effects.
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