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What Causes Low Libido While On BP Medication?

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Posted on Sat, 3 Jun 2017
Question: Hi, I am a 74 year-old male, 5ft. 7inch. 170lbs. have been treated for high blood pressure (under control).
Some days I feel so tire that I just don't want to do anything not even move. I have sleep apena and use a C-pat machine at night. My sex drive has dwindled to almost nothing. When I do have sex, it takes awhile to achieve an erection and at climax there is very little semem..........help!
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Answered by Dr. Sanjay Kini (1 hour later)
Brief Answer:
Try measures that boost your libido

Detailed Answer:
Hello Dear. Most probably, you are having the age-related sexual dysfunction which is a part of life as with increasing age.

Don't worry, I'll tell you in detail what you need to do to improve your sexual drive and performance.

1. Need to get the right diagnosis first- If you’re experiencing symptoms of low testosterone, including low libido, you doctor can assess your testosterone levels with a simple blood test in order to confirm the diagnosis. The Endocrine Society recommends that testing be done in the morning, when testosterone levels tend to be highest.

2. Take charge of your health

Exercise. Getting at least 200 minutes of moderate-intensity aerobic activity in a week or in your case even brisk walk for half an hour per day leads to improvement in sexual performance and testosterone levels

Lose some weight. This is especially important if you're obese. Similarly, when researchers talked to men about overcoming low sexual desire, they found that having less abdominal fat correlated with improved desire.

Control your diet. In a study of obese men with type 2 diabetes, cutting about 600 calories a day by following a low-fat, high-protein, moderate-carbohydrate diet was effective in improving sexual desire.

Tackle any substance abuse- cut down on smoking, alcohol and any illicit drug use which decreases libido

Review your medications. Side effects and interactions of prescription and over-the-counter drugs could be contributing to loss of desire. Talk to your doctor to see if any of your current medications might be affecting your sex drive.

Talk to a therapist. Emotional factors as well as physical factors can impact your libido. A loss of desire is more likely among men who have lost a spouse, are unemployed or have low income, or have retired.

3. Find Your New Intimacy

The perceived pressure to be instantly ready for sex can make coping with lost desire difficult

Try to find out what is arousing for you? Is it touch, visual, taking a bath or a shower? or something else?

Try these strategies:

Communicate. Talk to your partner to let her know that your low libido isn’t because of her. Discuss solutions. Ask what is appealing to her and whether you would both benefit from working with a sex therapist


Touch. “Try to engage in non-demand touch,” Cuddling, stroking, massage, and other types of gentle touch that connect you with your partner can lead to arousal.

Be active together. “Exercising together is great. You appreciate your body more"

Fantasize. When researchers compared the effects of reading a sexual story, fantasizing on your own, and writing down your own sexual fantasy, they found that unstructured fantasy led to the largest increase in desire.

“Rediscovering your relationship again really helps. Just focusing on touching more, date nights, and simply making time for your partner are all good,”

“One of the most important things is to use "I"-language instead of "you"-language and don’t find fault with what is going on.” For example, you might say, “I feel embarrassed about my low sex drive. Can we cuddle for awhile and see how it goes?”

Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you.

All the best
With warm regards
Dr Sanjay Kini     
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Sanjay Kini

General & Family Physician

Practicing since :2009

Answered : 1354 Questions

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What Causes Low Libido While On BP Medication?

Brief Answer: Try measures that boost your libido Detailed Answer: Hello Dear. Most probably, you are having the age-related sexual dysfunction which is a part of life as with increasing age. Don't worry, I'll tell you in detail what you need to do to improve your sexual drive and performance. 1. Need to get the right diagnosis first- If you’re experiencing symptoms of low testosterone, including low libido, you doctor can assess your testosterone levels with a simple blood test in order to confirm the diagnosis. The Endocrine Society recommends that testing be done in the morning, when testosterone levels tend to be highest. 2. Take charge of your health Exercise. Getting at least 200 minutes of moderate-intensity aerobic activity in a week or in your case even brisk walk for half an hour per day leads to improvement in sexual performance and testosterone levels Lose some weight. This is especially important if you're obese. Similarly, when researchers talked to men about overcoming low sexual desire, they found that having less abdominal fat correlated with improved desire. Control your diet. In a study of obese men with type 2 diabetes, cutting about 600 calories a day by following a low-fat, high-protein, moderate-carbohydrate diet was effective in improving sexual desire. Tackle any substance abuse- cut down on smoking, alcohol and any illicit drug use which decreases libido Review your medications. Side effects and interactions of prescription and over-the-counter drugs could be contributing to loss of desire. Talk to your doctor to see if any of your current medications might be affecting your sex drive. Talk to a therapist. Emotional factors as well as physical factors can impact your libido. A loss of desire is more likely among men who have lost a spouse, are unemployed or have low income, or have retired. 3. Find Your New Intimacy The perceived pressure to be instantly ready for sex can make coping with lost desire difficult Try to find out what is arousing for you? Is it touch, visual, taking a bath or a shower? or something else? Try these strategies: Communicate. Talk to your partner to let her know that your low libido isn’t because of her. Discuss solutions. Ask what is appealing to her and whether you would both benefit from working with a sex therapist Touch. “Try to engage in non-demand touch,” Cuddling, stroking, massage, and other types of gentle touch that connect you with your partner can lead to arousal. Be active together. “Exercising together is great. You appreciate your body more" Fantasize. When researchers compared the effects of reading a sexual story, fantasizing on your own, and writing down your own sexual fantasy, they found that unstructured fantasy led to the largest increase in desire. “Rediscovering your relationship again really helps. Just focusing on touching more, date nights, and simply making time for your partner are all good,” “One of the most important things is to use "I"-language instead of "you"-language and don’t find fault with what is going on.” For example, you might say, “I feel embarrassed about my low sex drive. Can we cuddle for awhile and see how it goes?” Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the best With warm regards Dr Sanjay Kini