What causes low libido in men?

Patient's question:

Hello, my husband has been lacking energy lately. I've told him several times, but he doesn't respond to me. We haven't had any intimate moments together for a long time, and he's not interested either. I'm so frustrated. I want to ask, what causes low libido in men? What should I pay attention to?

Doctor's answer:

Neuropsychiatric Disorders: Libido is regulated by the nervous system. If the nervous system becomes diseased, it can lead to a loss of interest in sexual life, causing sexual apathy. Common conditions of this type include neurasthenia, depressive psychosis, and personality disorders.
2. Diseases of the sexual organs: The sexual organs secrete male hormones, which stimulate sexual desire in men. If these organs become diseased, male libido decreases. Common diseases of the sexual organs include orchitis and epididymitis. It is important to seek treatment at a urology hospital early upon discovering these conditions to prevent fertility issues.
3. Liver diseases: The liver participates in the metabolism of hormones in the human body. When the liver is diseased and its function is impaired, it can reduce male testosterone levels, leading to a decline in libido.
4. Endocrine system disorders: Human libido is closely related to the endocrine system. The hormones secreted by the endocrine system regulate sexual function. If the endocrine system becomes diseased and hormone secretion decreases, libido may decline, even resulting in sexual apathy. Common conditions of this type include hypothyroidism, adrenal insufficiency, and pituitary dysfunction.
5. Excessive physical fatigue: Irregular lifestyles, failure to maintain a regular sleep schedule, and overly stressful work can lead to excessive physical fatigue. Particularly in fast-paced cities like Guangzhou, men such as white-collar workers, managers, bosses, and taxi drivers, under the pressure of both work and life, often find their bodies in a state of exhaustion, making them prone to low libido.
6. Excessive use of tobacco and alcohol: Nicotine in tobacco and alcohol in beverages can be absorbed by the body, inhibiting the production of male hormones and blocking the neural reflex pathways during sexual activity, thereby reducing sexual function and causing low libido.

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