I am 41 years old. For more than a year, my libido has been weak. What should I do?

Patient's question:

Detailed medical condition and consultation purpose: I am 41 years old. For more than a year, my libido has been low. Initially, I needed to stimulate my partner's genitalia or breasts for a long time, or have my penis licked by my partner to get hard. Ejaculation feels weak. What should I do?
Duration and course of the current illness: 2 years
Current general condition:
History of previous diagnosis and treatment, as well as effectiveness: No significant abnormalities in the prostate.

Doctor's answer:

There is a lack of libido, it is recommended to first check if there is a possibility of gynecological inflammation, whether there are psychological concerns, and whether there is a lack of foreplay. Additionally, before sexual activity, it is important to engage in more caressing to increase the secretion of love juice and promote lubrication. It is also suggested to adopt the male-on-top female position, as this can provide more stimulation to the clitoris, making it easier to reach orgasm and enhance pleasure. It may also be due to insufficient estrogen secretion, so it is recommended to take estriol, ethinyl estradiol, or ethynylestradiol to regulate it.

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