Brief Answer: Sexual urge fluctuate due to many factors. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. In routine life sexual urge/desire (Libido) depend on several factors. Due to that intensity of libido keep on fluctuating. It is complex interplay of several factors. Sexual urge decrease by: -Stress, anxiety and low mood: Most common cause of fluctuation in libido in routine life. -Tiredness and low energy levels. -Alcohol. -Recent sexual act. -Recent sexual or masturbation act (less than 1-2 days). -Hormonal changes, diabetes, high cholesterol and hypertension. Sexual urge increase by: -Absence of above factors. -Prolong sexual abstinence (more than 2 days). -Recent coffee/chocolate use -Attractive look of partner by different dressing and romantic environment. If you have any specific issue which is affecting your sexual life, you are welcome to discuss here. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards, http://bit.ly/Dr-Ashish-Mittal

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