low Desire for sex drive and erectile dysfunction - #10454

Recommended Tests Before Treatment: Fasting blood sugar & HbA1c Serum total testosterone (8–10 AM) Free testosterone LH, FSH, Prolactin, TSH Lipid profile Penile Doppler (if required by urologist)

Tadalafil 10 mg take 1 tablet 30–60 mins before sex, not more than once daily (Start with 10 mg and adjust as needed)

Lifestyle Changes (Very Important) Quit smoking/alcohol Lose belly fat – even 5–10% weight loss helps testosterone Sleep 7–8 hrs Daily exercise (30 mins brisk walk) Kegel exercises for pelvic muscle strengthening

Visit urologist.

Lack of sexual desire and erectile dysfunction can result from psychological factors, stress, or hormonal imbalances rather than past masturbation. Excessive past habits alone don’t permanently damage sexual function. Consult a urologist or sexologist to assess hormone levels, mental health, and get appropriate treatment to restore your sexual health.

Excessive past masturbation is not a direct cause of long-term erectile dysfunction or low sexual desire at 33; it is more likely due to psychological stress, hormonal imbalance (like low testosterone), or lifestyle factors. Consult a urologist or andrologist for evaluation including hormone tests, penile Doppler, and psychological screening. Treatment may involve counseling, medications, testosterone therapy (if low), and lifestyle changes for full recovery.

Lack of sexual desire and erectile dysfunction can be complex issues, influenced by multiple factors including psychological, physiological, and lifestyle aspects. It’s a common misconception that masturbation causes erectile dysfunction or a permanent loss of sexual desire. These conditions are usually more related to factors like hormone levels, stress, depression, or other underlying medical conditions such as diabetes, hypertension, or cardiovascular disease. Firstly, consider whether there have been any recent changes in life that coincide with the onset of these symptoms — work stress, changes in relationship dynamics, or new medications. Stress and mental health are often linked to both low sex drive and erectile dysfunction. A healthcare provider can assess whether psychological support, counseling, or therapy might be beneficial. Hormonal imbalances, especially low testosterone, can also affect libido. A simple blood test can determine if this might be contributing. If testosterone is low, a discussion about treatment options like testosterone replacement therapy might be useful, though it has to be approached cautiously due to potential side effects and contraindications. Substance use, such as alcohol and smoking, could also affect sexual function. Reducing or eliminating these can have a positive impact. Additionally, regular exercise improves blood flow, boosts mood, and can enhance libido. A proper diet, rich in nutrients, and maintaining a healthy weight, offers notable benefits too. It’s worth scheduling an appointment with a general practitioner or a specialist like an endocrinologist or a urologist. They can provide a thorough evaluation, identify any underlying medical concerns, and recommend personalized treatment options suitable for your condition. If underlying health issues or medication side effects are involved, addressing these could lead to improvement. Remember, it’s crucial to obtain professional advice before starting any new treatments or making significant lifestyle changes, particularly when dealing with persistent or worsening symptoms.