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Date of last update: 10/16/2017.

Forum Name: Male Sexual Disorders

Question: 24 yrs old - no sex drive

 concernedgirlfriend - Mon Nov 07, 2005 7:35 am

My boyfriend is 24yrs old and has no sex drive. He has never felt comfortable with sex and doesn't find men or women sexually attractive. We have been together for 3yrs (no sex for year and a half) but when we share a bed he says he feels inadequate, small and useless and has recently ended our relationship because of this.

He has seen a counsellor but became frustrated because they didn't understand his problem. He doesn't see the point in going again. Could he have a medical condition?
 Dr. Tamer Fouad - Mon Apr 10, 2006 12:14 pm

User avatar Hello,

Lack of sex drive (lack of libido) is extremely common in women – but quite rare in men. Even men with erectile dysfunction (ED) usually have a perfectly normal sex drive.

The causes can be either physical or psychological.

The possible physical causes include:

1. Alcoholism which commonly causes lack of libido in addition to abuse of drugs, such as cocaine.

2. Some medications are known to decrease libido e.g. finasteride, a tablet used for prostate problems as well as some antidepressants.

3. Obesity is a common cause.

4. Endocrine causes include hyperprolactinaemia and
low testosterone levels. These are rather rare causes.

5. Chronic diseases, such as diabetes, renal failure or liver failure.

6. Anaemia is an unusual cause.

Psychological causes

Psychological causes of male level of desire include:

1. Depression in addition to anxiety, stress and overwork.

2. Serious relationship problems with the wife/partner.

All the above causes of lack of libido can respond well to therapy.

The most difficult to treat are those that involve psychological and marital problems.

He certainly needs an evaluation by a specialist.

Best regards.

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