What is the reason why men don’t have sex?

Loss of sexual desire in men may be caused by psychological stress, abnormal hormone levels, chronic diseases, drug side effects, bad living habits and other reasons.

1. Psychological pressure:

Long-term work stress, anxiety or depression can inhibit the function of the hypothalamic-pituitary-gonadal axis, leading to decreased sexual desire. Emotional conflicts and strained relationships between partners may also cause psychological erectile dysfunction. Cognitive behavioral therapy and counseling can improve such conditions, and having a partner in therapy can help ease tensions.

2. Hormone imbalance:

Testosterone levels naturally decline with age, decreasing by 1%-2% per year after the age of 40. Endocrine diseases such as hypothyroidism and hyperprolactinemia can also affect sexual desire. Blood tests can identify indicators such as testosterone and luteinizing hormone, and hormone replacement therapy must be carried out under the guidance of a doctor.

3. Chronic diseases:

Metabolic diseases such as diabetes and hypertension can damage vascular endothelial function and affect penile blood flow. About 75% of patients with cardiovascular disease have varying degrees of sexual dysfunction. Prostatitis, chronic kidney disease, etc. may also be accompanied by loss of sexual desire, and the primary disease needs to be treated.

4. Drug effects:

Antidepressants such as paroxetine, antihypertensive drugs such as Betaloc, and antiandrogen drugs may inhibit sexual function. Long-term use of chemotherapy drugs and glucocorticoids can also interfere with hormone secretion. It is recommended to record the medication status and communicate with the attending doctor to adjust the plan.

5. Living habits:

Staying up late for a long time will disrupt the rhythm of melatonin and testosterone secretion, and excessive alcohol intake can cause testicular atrophy. When the body fat rate of a person who lacks exercise is too high, aromatase will convert testosterone into estrogen. It is recommended to maintain 150 minutes of moderate-intensity exercise per week and ensure 7-8 hours of sleep.

Improving the diet structure has a positive effect on maintaining sexual function. Appropriately increasing oysters, nuts and other zinc-rich foods, and supplementing with vitamin D3 can promote testosterone synthesis. Aerobic exercise can improve vascular endothelial function, and Kegel exercises can enhance the strength of the pelvic floor muscles. Quitting smoking and limiting alcohol consumption can help restore blood vessel elasticity, and regular physical examinations can detect potential diseases early. Maintaining good communication between partners and participating in leisure activities together can relieve psychological stress. If symptoms persist for more than 3 months or are accompanied by other physical discomforts, it is recommended to go to an andrology or endocrinology department for a systemic examination.