Brief Answer:
Treatment of cause is essential.

Detailed Answer:
Hello
Welcome to HCM.

You have mentioned that you have low sexual appetite/desire.

Before knowing the ways to improve the sexual desire, its important to identify the causes for this.

Here are some common causes:
1. Stress, anxiety and depression from the strain of daily life, relationship or family problems.
2. Drug addiction like alcohol or smoking etc.
3. Medical problems like diabetes, obesity, high blood pressure, and high cholesterol.
4. Some drugs like antidepressants, antihypertensives etc.

If you feel that you have any of the above problem, you must focus on its treatment with your physician and your sexual desire will improve.

Also there are some other tips which will help you to improve your sexual life:

1. Half an hour of exercises like running, swimming, etc. can boost your libido.
Also, exercise will reduce your stress and improve your health. Talking to your partner about your tensions can also calm you down and strengthens your relationship.

2. Quit smoking or other drug use. These can narrow blood vessels of penis and have been linked to impotence.

3. Sunlight exposure inhibits the body’s natural production of melatonin, a hormone that helps us to sleep and also reduces our sexual urges. Less melatonin means more sexual desire. So have adequate sunlight exposure in daytime.

4. Paying attention to your partner’s desires and talking about this beforehand can make sex pleasurable for both of you.

5. Engaging more in foreplay can also help.

Here I would like to tell you that sexual desire also decreases if the person has performance anxiety, i.e. the fear that whether he will be able to perform the act and satisfy his partner. This may be due an erectile dysfunction (ED) or premature ejaculation (PME).
If ED or PME is the problem, Please let me know. There are some medications which can help in this also.

Hope you find this information helpful.
Any further queries are always welcome.

Thanks.

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Brief Answer:
It can be because of age, you can take medicines.

Detailed Answer:
Thanks for posting the follow-up query.

Let me post the reply point-wise.

1. Low testosterone levels don't always lead to feeling like you have no/low sex drive. Some men have adequate sexual desire/drive at relatively low testosterone levels and other may lag even with normal testosterone levels.
Low testosterone is one of the possible causes of low libido but there association is unclear.
However, if testosterone is extremely low, virtually all men will experience some decline in libido.

2. The male aging process is itself often accompanied by a decline in sexual functioning. Erection problems are usually caused by atherosclerosis or hardening of the arteries with age. If damaged, the blood vessels of the penis can no longer dilate to bring in the strong flow needed for a firm erection.

3. Low testosterone by itself can rarely cause erectile dysfunction. Low testosterone alone, with no other health problems can cause ED only in small number of men.

Now regarding the drug treatment of ED:

The drugs used are sildenafil, tadalafil.
The safer choice between these two is Tablet Tadalafil.
Take 10mg Tadalafil 2 hours before intercourse. It works for almost 2 days. These are prescription drugs only. So, see your doctor for prescription and before using them.

Hope this helps you.
Any further queries are welcome.

Thanks.

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Brief Answer:
It has no major side effects.

Detailed Answer:
Thanks for the query.

Most common side effects: headache, gastritis, back pain and muscle aches, flushing and runny nose. These side effects usually go away after a few hours. Back pain and muscle aches can occur 12 to 24 hours after taking the drug and usually disappears after 48 hours.

US FDA has issued a warning regarding its propensity to cause sudden hearing loss but I have never seen any patient complaining of any sort of hearing problems in my clinical experience.

In my opinion, you can take this drug. It is a prescription drug and should be taken under the supervision and with the prescription of a doctor.

Thanks.

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