Understanding TRT and Its Impact on Libido

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Libido vs Erectile Dysfunction

Firstly, let's distinguish between libido and erectile dysfunction (ED). Libido is the desire or motivation to have sex, whereas ED is strictly a blood flow issue affecting the ability to achieve an erection. These two factors are interrelated, yet separate. It's entirely possible to have no problems achieving an erection, yet lack the desire to have sex – that's a libido issue.

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Testosterone: The Central Player

When we talk about low libido, testosterone immediately springs to mind. Testosterone is indeed central to male sex drive, but it's not the whole story. Our testosterone levels peak in our late teens and early twenties, and by the time we hit 30, there's a slow decline. However, age isn't the only factor affecting testosterone levels.

Causes of Lower Testosterone

Younger guys can also suffer from low testosterone. Congenital hypogonadism, obesity, type two diabetes, anabolic steroid use, and certain illicit drug use all can lower testosterone levels.

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Stress: A Major Factor

Besides hormones, stress can also affect our testosterone levels and our libido. High levels of the stress hormone cortisol can affect testosterone levels, impacting our sex drive and our ability to build muscle.

Medications Affecting Libido

Antidepressants, diuretics, and blood pressure medications can all impact libido. Therefore, it's important to discuss all your medications with your physician to understand their potential impact on your libido.

Key Takeaway

The big takeaway is that balance is key. Make sure that your testosterone levels are healthy, but not too high, and that a physician is monitoring your estradiol and DHT levels. If your libido is low, then drugs like Viagra and Cialis, which help with blood flow, won't fix the problem by themselves. It's crucial to work with a qualified physician and have your blood work done regularly.

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