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Suggest Treatment For Low Libido

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Posted on Fri, 6 Jan 2017
Question: I am 41 years old and my libido has been close to zero for several months. I am discontinuing Valium usage (due to my chronical insomnia), and I am taking Trazodone (300mg) every night since I was 25. Trazodone was prescribed to me in 2000 to help me sleep. I had a major depression episode in 2000, and a burnout during 2014 (that lasted 9 months).
I'm XXXXXXX and I have a monogamous relationship with my partner for 13 years. According to what he said, I have prolongued erections while asleep. While I am awake, my libido is zero and even if i try to watch pornography, it's very hard to have an erection. Most likely this is a psychological problem, I think. Could you please help me?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (25 minutes later)
Brief Answer:
Please read it below

Detailed Answer:
Hello,
Thanks again for posting at Healthcaremagic.

Below here I am delineating few of the strategies which will help you in the erection problem.

Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focussing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.

Most importantly, performance anxiety soon becomes a "viscious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. In my view this vicious cycle already established in your case and there is definite need to break it altogether and take control of yourself.

One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when he is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.

Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused.

Wish you all the best in your sexual health.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (27 minutes later)
Dr. XXXXXXX

Thank you for your detailed answer.
Medication-wise, do you think that the Diazepan (32.5mg and tapering to get to zero) and the Trazodone can also impact my libido?
Another point that might help: I've tried using cannabis in a moderate quantity and all my inhibitions and problems are gone. Of course I don't consider the usage of cannabis as a solution, it's illegal and I am afraid of getting dependent.
Does this confirms your findings, doctor?
Thanks in advance.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (8 minutes later)
Brief Answer:
Trazodone have contribution in decreased libido

Detailed Answer:
Hello,
Thanks for reverting back to me.

I endorse your idea of not using any substance of abuse as over time it complicates the problem rather than solving it. Although the decrease in problem following cannabis use clearly supports our diagnosis.

Now regarding Trazodone I must say that it s known to cause decreased libido and sexual dysfunction but it is unlikely to be a major cause in your case as Trazodone is there for last 15 years while the problem is existent only for a short time.

Regarding valium no clear cause and effect association reported in literature but it will be better if you can decrease the dose of valium.

I hope this helps you further.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3347 Questions

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Suggest Treatment For Low Libido

Brief Answer: Please read it below Detailed Answer: Hello, Thanks again for posting at Healthcaremagic. Below here I am delineating few of the strategies which will help you in the erection problem. Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focussing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve. Most importantly, performance anxiety soon becomes a "viscious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. In my view this vicious cycle already established in your case and there is definite need to break it altogether and take control of yourself. One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when he is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not. Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused. Wish you all the best in your sexual health. I hope this helps you further. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for my future patients. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards.