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Low Sex Drive in Men: Causes, Testing and Treatment in Jupiter, FL
Physician-led evaluation for low libido in men. Bloodwork confirms low testosterone before any prescription. Jupiter, FL and Florida telehealth.
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Sexual Desire Disorders in Men
Low sex drive is a serious concern, linked to a range of under-diagnosed sexual desire disorders, including:
- ✓Hypoactive Sexual Desire Disorder (HSDD)
- ✓Sexual Aversion Disorder (SAD)
This is extremely common in men, but it’s also something few want to discuss. Many men feel that their “virility” is closely tied to their manhood and if they no longer have a desire to have sex, there must be a problem with them and their masculinity.
There’s a common idea that real men “want it” all the time, however it turns out that there may be many underlying reasons as to why a man may have a decreased desire to have sex. NovaGenix has been open in Jupiter since 2016 and has treated thousands of patients.
What Causes Low Sex Drive in Men?
Decreased libido can be rooted in a physical or psychological issue. Often, it's a mix of both.
- ✓Having sub optimal testosterone levels
- ✓Taking certain prescription medications
- ✓Going to the gym either too little or too much
- ✓Drug or alcohol use
- ✓Depression
- ✓High Stress
- ✓Relationship Difficulties
Men with no interest in sex often have low testosterone. If you think you might have low T and want to get tested for it, you can rest easy knowing that the diagnosis process is simple.
How Is Low Sex Drive Treated in Men?
It’s usually not just one issue that causes low libido for men. Given the variety of potential causes, treatments may vary but can include:
Healthier Lifestyle Choices
The following can help you improve your libido:
- ✓Improved diet
- ✓Regular exercise, including strength training
- ✓Stress reduction
- ✓Sleep
Alcohol, cigarettes, and illegal drugs can all have a negative impact on your libido. You should also talk to your doctor about changing any medications that may be contributing to the issue.
How Low Testosterone Is Diagnosed
Diagnosis starts with blood work. You can bring lab results you already have, or NovaGenix can help you arrange them.
At minimum, the initial panel includes:
- ✓Total testosterone
- ✓Free testosterone
- ✓Estradiol
- ✓PSA
- ✓Hematocrit
Dr. Mackey may order additional labs where he considers them necessary. A morning draw is preferred, but we understand that isn’t always practical. If a second draw is needed, Dr. Mackey makes that determination for each patient individually.
Review of symptoms, history and available blood work.
Dr. Mackey determines whether treatment is appropriate for the individual patient.
Follow-up laboratory testing supports ongoing physician oversight.
Timothy W. Mackey, D.O.
Medical Director, NovaGenix Health & Wellness
The decision to begin testosterone therapy is individualized. Dr. Mackey reviews each patient’s symptoms, history, laboratory results and overall medical profile before determining whether TRT is appropriate.
Meet Dr. MackeyTestosterone Replacement Therapy (TRT)
Testosterone replacement therapy may be one solution for low libido. It is well documented that TRT can improve libido in men who qualify based on their blood work and their symptoms.
It is not a cure for low sexual desire in all men. Where the cause lies elsewhere — psychological factors, for example — testosterone may not help. For men who do qualify, TRT is one of the options NovaGenix can offer.
You’ll want to speak with an experienced, licensed physician to undergo treatment.
Medication can help if depression is lowering your sex drive, but many antidepressants actually reduce libido further, so it’s important to discuss all medications you take with the doctor to help determine potential causes and solutions for your situation.
Who Should Not Start TRT
TRT is not appropriate for every man, including men whose low libido is real and distressing. Testosterone therapy is generally avoided, or requires specialist input, in men with:
- !Untreated or active prostate cancer
- !Elevated hematocrit
- !Untreated severe obstructive sleep apnea
- !Uncontrolled heart failure
- !Current plans to conceive — testosterone therapy can suppress sperm production
This list is not exhaustive. Other medical conditions may also make testosterone therapy inappropriate, and that determination is ultimately Dr. Mackey’s. Every patient is considered individually, based on their own medical history and profile.
How Soon Might You Notice a Difference?
Men respond differently. Some notice a change in libido within a week or two of starting treatment; for others it takes longer.
Treatment begins only after an individual physician evaluation.
Some men notice a change in libido within a week or two; for others it takes longer.
Follow-up blood work evaluates whether hormone levels have stabilized.
That is separate from the blood work at eight to ten weeks. That draw measures whether hormone levels — testosterone, estradiol, hematocrit — have stabilized. It does not measure symptoms such as libido, energy or fatigue. The two are related, but they do not follow the same timeline.
Monitoring on TRT
Treatment doesn’t end with a prescription. The first recheck is eight to ten weeks after starting TRT, once hormone levels have had time to stabilize. After that, blood work is rechecked at a minimum of every six months — sooner if Dr. Mackey and the patient decide that’s warranted.
Patients who want their labs checked more frequently can do so; additional blood work is $125.
Many patients also have blood work done through their primary care provider or another physician during the year. Dr. Mackey is glad to review those results and discuss them with you.
Work on Your Relationship
Low libido could also indicate the need for a man to have a closer connection with their partner. It often helps to talk through these difficult issues with a licensed and experienced therapist. Some men start therapy alone but eventually decide to bring their partner. Being able to share their experiences and desires is an important part of moving forward with treatment.
Having better sex might increase a person’s desire to have sex, helping to increase their libido. In most cases, a man can improve their sexual relationship by taking extra time to improve their love making.
- ✓More caressing and touching.
- ✓More kissing.
- ✓Experimenting with sex toys.
- ✓Engaging in new positions.
- ✓Trying oral sex.
- ✓Plan special romantic date nights.
- ✓Work on open communication.
- ✓Get plenty of sleep.
- ✓Do things for yourself, like exercising regularly and taking time out for hobbies and friends.
- ✓Have a healthy well-balanced diet.
Meeting with a counselor is a great way to learn techniques that may help rekindle your romantic interest in one another.
It’s also useful to take into account your partner’s needs. If you’re in a relationship with a woman, she may have her own reasons for low libido.
Worried About Low Sex Drive?
To learn more about treatment options, contact us to schedule an appointment.
Prefer to speak to someone? Call NovaGenix at 561-277-8260, Monday to Friday, 9am to 5pm.
Frequently Asked Questions
Does low testosterone always cause low sex drive?
No. Some men with low testosterone have normal libido, and many men with low libido have normal testosterone. Low sex drive is one possible symptom of low testosterone, not a reliable indicator of it, which is why diagnosis depends on blood work rather than symptoms alone.
Can TRT help if my testosterone is normal?
Qualification for testosterone replacement therapy is based on both blood work and symptoms. If your testosterone is not low, testosterone may not help, and other causes of low desire should be looked at — commonly medication side effects, sleep, depression, or relationship stress. Dr. Mackey makes that determination for each patient individually.
How soon might TRT improve sex drive?
Men respond differently. Some notice a change in libido within a week or two of starting treatment; for others it takes longer. Blood work is rechecked eight to ten weeks after starting to see whether hormone levels have stabilized, which is a separate measure from how you feel.
Is low sex drive in men the same as erectile dysfunction?
No. Low sex drive is reduced desire for sex. Erectile dysfunction is difficulty achieving or maintaining an erection when desire is present. The two often occur together and can share causes such as low testosterone, but they are distinct problems and are not always treated the same way.
Do I need my own blood work, or can NovaGenix arrange it?
Either. You can bring lab results you already have, or NovaGenix can help you arrange them. At minimum the initial panel includes total testosterone, free testosterone, estradiol, PSA, and hematocrit.
What does blood work cost?
Blood work is $125. Call 561-277-8260 to confirm current pricing and what the panel includes.
NovaGenix in Jupiter, Florida
NovaGenix Health & Wellness
Jupiter, FL 33458
Phone: 561-277-8260
Email: info@novagenix.org
Hours: Monday–Friday, 9:00 AM – 5:00 PM
Medical Director: Dr. Timothy W. Mackey, D.O.
Please do not send sensitive medical information by email. Email is not a secure channel and is not monitored for emergencies. If you are experiencing a medical emergency, call 911.
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