Experts warn that loss of male libido may conceal underlying health problems

Low sexual desire in men continues to be one of the most common issues in male intimate health and, at the same time, one of the least discussed in clinical practice. Despite its impact on quality of life, emotional well-being, and relationships, it remains surrounded by silence and stigma.

Doctors Antonio Allona and Juan Ignacio Martínez-Salamanca, Head of the Urology Department and Associate Head of the Urology team, respectively, at Hospital Ruber Internacional, stress the need to address this issue from a comprehensive medical perspective. "A decrease in sexual desire should not be considered normal or inevitable. In many cases, it is due to treatable causes that need to be identified," they note.

A multifactorial problem that goes beyond age

Male libido loss is often simplistically linked to aging, stress, or fatigue. However, specialists warn that in most cases there is a multifactorial origin involving hormonal, physical, and psychological factors.

High resolution image. This link will open using lightbox, there may be a context switchDres. Allona y M.SalamancaCommon causes include low testosterone levels, hormonal imbalances, chronic conditions such as diabetes, the use of certain medications, and unhealthy lifestyle habits. Emotional factors such as stress, anxiety, or relationship issues can further worsen the situation.

"There is a false belief that sexual desire is purely psychological, when in fact it can be influenced by multiple organic factors," explains Dr. Antonio Allona. Hormonal imbalances, as well as vascular and neurological issues, can directly affect male sexual response.

When the body sends warning signals

Lack of sexual desire rarely appears in isolation. "In many cases, it is accompanied by other symptoms such as erectile dysfunction, changes in ejaculation, or urinary discomfort, which may indicate underlying conditions," says Dr. Juan Ignacio Martínez-Salamanca.

Some urological conditions, he adds, such as prostate problems, can have a direct impact on sexual life. "Inflammatory processes or prostate abnormalities can reduce sexual interest and create a vicious cycle between physical discomfort and anxiety," the specialist explains.

"When lack of desire persists or appears alongside other symptoms, it is essential to carry out a complete medical evaluation to rule out organic causes," emphasizes Dr. Allona.

Impact on quality of life and emotional health

Beyond the physical aspect, loss of sexual desire has a significant impact on self-esteem, mental health, and personal relationships. Sexual dysfunctions affect not only the individual but also their environment, leading to frustration, insecurity, and relationship difficulties.

Despite this, many men delay seeking medical advice due to embarrassment or the belief that it is a minor issue. "Silence remains one of the main obstacles. It is important to understand that sexual health is part of overall health," the specialists point out.

Diagnosis and personalized treatment

Addressing low sexual desire requires an individualized approach to identify the specific cause in each patient. For this reason, urologists at Hospital Ruber Internacional recommend an evaluation that includes medical history, hormonal testing, and assessment of psychological and lifestyle factors.

Depending on the cause, treatments may range from lifestyle changes and psychological support to hormone therapy or specific treatments for associated conditions. "The key is not to normalize the problem and to seek medical advice, because in most cases it can be resolved," they conclude.

In a context where men’s health is gaining increasing attention, experts stress the importance of breaking the taboo and promoting prevention. Lack of sexual desire is not just a private matter, but a key indicator of overall health.