Over the past year, I've felt physically exhausted and have lost sexual desire.

Patient's question:

I am 49 years old, male. In the past year, I have felt physically exhausted, had no sexual desire, experienced mild premature ejaculation, erectile dysfunction, oily hair, and earwax in a mud-like consistency.

Doctor's answer:

Hypoactive sexual desire refers to the inhibition of a woman's sexual response, also known as sexual anesthesia. Generally, the factors that affect sexual desire mainly include the following aspects:
First, age. Sexual desire is strongest during adolescence. As people age, sexual desire gradually declines, and by old age, sexual function diminishes, leading to a significant reduction in sexual desire.
Second, diseases. Malnutrition, endocrine disorders, diabetes, myocardial infarction, and other conditions can affect sexual desire and response. In severe cases, sexual desire or sexual activity may be completely lost.
Third, medications. Many commonly used drugs can affect sexual desire and function, with antihypertensive drugs, antipsychotic drugs, and sedative-hypnotics being particularly notable.
Fourth, psychological factors. Psychological factors have a crucial impact on sexual desire, especially for women.
Advice: If a woman feels that her partner is not caring, her sexual desire may decrease. It is recommended to visit a hospital for a check-up to rule out any medical reasons. After that, the couple should communicate well.

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