Decreased sexual activity is a symptom of decreased libido?

Patient's question:

I am 47 years old, male. I have been married for 19 years, and my relationship with my wife has always been good. However, in the past two years, I have noticed that our sexual life has become less frequent, often only once a month. Due to work-related reasons, we have been living apart for a long time, which is understandable. But this year, after my son started university, she also found a job near my workplace (a clinic doctor). Yet, neither of us has any interest in this area, and she understands that we are both sexually indifferent. Therefore, she doesn’t blame me, but I always feel that this is not good if it continues long-term! But strangely, when I am with one of my sexual partners, I am very passionate (of course, I am aware that this is due to her age).

Doctor's answer:

Hello, you should not be experiencing a decrease in libido, which may be related to psychological factors. Since libido is influenced by emotional factors generated by internal and external environments, it is necessary to eliminate inhibitory factors to allow libido to be expressed as long as possible. The best and most effective method is to seek counseling and treatment. If you can correctly recognize and understand these physiological changes and regulate your psychology well, then through counseling and treatment, it is entirely possible to restore and maintain full sexual interest, making the sexual relationship as good as ever.

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