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Originally posted by: Beagle
1. Has he had his testosterone checked? That is an unlikely, but a possible explanation.
2. Is he suffering depression or unusual levels of stress? (Financial problems, merger at work, promotion, etc.")
3. Is he physically active? Physical inactivity can reduce all energy levels, including sexual.
4. Is he taking medication? Heart medications, blood pressure medication, antidepressants, and other medications can artificially lower sex drive.
5. Are the two of you experiencing disagreements about children, recreation, finances, jealousy, etc.?
6. Have medical problems such as diabetes, heart problems, etc. been ruled out?
7. What was his "baseline" sexual appetite? Did his sex drive drop gradually? Was there a sudden drop? What else was going on at that time?
Obviously, if you don't want to answer these questions online, that's fine. I think you and he do need to answer them in your own minds, however. Sometimes finding out what something is comes down to a matter of ruling out what it's not.
Just food for thought, a medical problem is not the likely cause, but it needs to be ruled out and it's fairly easy to rule out and it's fairly definitive. There's no harm in a good physical workup. If he tells his doctor he's having low sex drive, he'll check testosterone and think about other conditions such as a thyroid problem. That eliminates about half the possibilities in one stroke. Then you can focus on the other possibilities without having "Is this a physical problem? in the back of your minds.
FYI, in my clinical practice I've had three men present with sexual difficulties that turned out to be nothing but low testosterone. One in the absence of any other health problems. A medical workup is one of those blessed things that has absolutely no downside. Many doctor's don't routinely test testosterone, however, and he needs to tell his doctor about the low sex drive so he will check the testosterone.
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