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What Causes Lack Of Energy And Sexual Urge During Intercourse?

Posted on Mon, 13 Jul 2015

Question: i have issue with sexual urge and when i have the urge its not that strong what seem to be the problem with me

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Loss of libido, workup required

Detailed Answer:
Hello and Welcome

I appreciate your concern

Loss of libido or sexual urge should be worked up. Functional causes should be ruled out. Please consult a local psychiatrist for a XXXXXXX mental state exam to look for associated anxiety and/or depression that may be contributing towards the loss of libido. Counseling sessions with a sex therapist will also be a good idea. CBC, Thyroid function tests, Liver function tests and testosterone levels should also be evaluated. Erectile dysfunction should be assessed and nutritional supplementation should be done e.g theragran ultra which is a multi vitamin with good response in patients with Erectile dysfunction and/or loss of libido. Tadalafil can be prescribed if there is E.D that doesn't improve with the above measures. It is a prescription drug and should be taken according to your doctor's advice. You should also try to identify drugs like beta blockers that are associated with loss of libido and erectile dysfunction and find alternatives for them with your doctor.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (55 minutes later)

thanks for your reply,

yes i have gone through alot of hard times that did affect me physiologically and lead to me having isonomia which i still suffer from till now,i do have erection but but i lack the energy and urge,a therapy carried out some time ago show i have a low testosterone level,for example i dont get scared when face with danger,i dont feel this energy to respond to danger..although i exercise..i dont know what could be my problem is it physiological or health wise.. please do assist me to better understand my issues

Answered by Dr. Dr. Muhammad Sareer Khalil (16 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

I am sorry for your distress.

Low testosterone itself can be due to depression. The symptoms you described lead to a conclusion of indifferent behavior that shows lack of urgency to respond to a certain situation that would normally arouse the fight or flight reaction. This is also typical in depression. Replacing testosterone without working up and treating depression can lead to further agitation and mood swings. Let me know what your testosterone levels were when they were measured the last few times. In addition let me know what medication are you using currently.

Wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (5 hours later)

thanks for your reply
I will run the test and forward you the result,current i do use sadnafil drugs but not all the time... thank for assistance i do really appreciate it.

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
Most welcome

Detailed Answer:
Hello again.

You are most welcome.

Take care

Wishing you best of health

Thanks

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar