Sexual Reluctance: Causes and Treatment
Sexual reluctance in men can develop due to many causes including low testosterone, stress, depression and chronic diseases. Solution is possible with proper diagnosis and treatment.
What is Sexual Reluctance?
Sexual reluctance (low libido) refers to a decreased interest in sexual activity. This common issue in men can be caused by both physical and psychological factors.
Causes
Hormonal Causes
- Low testosterone: The most important hormonal cause. After 40, testosterone decreases 1-2% annually
- High prolactin
- Thyroid disorders
- Elevated cortisol from chronic stress
Psychological Causes
- Depression and anxiety
- Work stress and burnout
- Relationship issues
- Performance anxiety
Physical and Lifestyle Causes
- Chronic diseases: diabetes, heart disease
- Medication side effects: antidepressants, beta-blockers
- Obesity and sedentary lifestyle
- Sleep apnea
Treatment
- Lifestyle changes: Exercise, sleep, nutrition, stress management
- Testosterone replacement therapy: When low testosterone is confirmed
- Medication adjustment: Switching problematic medications
- Psychotherapy: Individual or couples therapy
Treatment in Izmir
Prof. Dr. Orçun Çelik offers a multidisciplinary approach to sexual reluctance at Izmir Bazekol Hospital with personalized treatment plans.