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khagihara
khagihara, Medical doctor
Category: Urology
Satisfied Customers: 6483
Experience:  Trained in the multiple medical fields for many years.
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Anyone available I have questions about a husband with low

Customer Question

Hi anyone available I have questions about a husband with low sexual desire
Submitted: 13 days ago.
Category: Urology
Expert:  dr abid replied 13 days ago.

Hi. I am Dr Abid.Welcome to Just Answer and thank you for the question.
I'm reviewing your question now and will post back with your reply.

Customer: replied 13 days ago.
Doctor my husband has lost his sexual
Desire. He almost never initiated sex and when I do he always has an excuse. It is making me so sad and depressed what do I do?
Expert:  dr abid replied 13 days ago.

Please let me know , how old is he ?

Since how , he has this issue ?

Any history of anxiety , depression ?

Regards .

Customer: replied 13 days ago.
He is 36..had this issue probably over 3 years just started trying to
Fix it now. No issues of anxiety or depression
Expert:  dr abid replied 13 days ago.

Thanks for info ...

This issue was there since start of your marriage life , or it happen later ?

What is his profession ?

Regards .

Customer: replied 13 days ago.
Started maybe after one year. Not in the beginning he is a Doctor
Expert:  dr abid replied 13 days ago.

Ok , keeping his history in mind , it would be ideal to have his Testosterone levels , this hormones is necessary for sexual desire and activity in males , second low level of thyroid hormone can often have such symptoms of low libido .

I will suggest you to get his test as I mentioned above .

Second start treatment with Tab Sildenafil 100 mg once at bed time half hour before sexual activity .

Along with this he can have Tab Zoloft 25 mg after breakfast for 2 weeks .

If you follow above instructions for him , he will be ok soon .

So please proceed as I advised you .

Good luck .

Please leave positive feedback for me by clicking on excellent rating .

Thanks .

Customer: replied 13 days ago.
Ok this really didn't help me....what can I do other them medication?
Expert:  dr abid replied 12 days ago.

I will opt out , so that other expert may help you out ...

Expert:  khagihara replied 12 days ago.

I will try to help you.

How tall is he? How much does he weigh? Any weight change? Does he erect early in the morning? How long have you been married? Do you have children? Is it consistent? Is it getting worse? Any other symptoms? Are you aware of anything which might have triggered it? Any medical problems? Any surgeries? Any medications including over-the-counter pills and herbs? Any family medical history? Does he have any blood tests and imaging studies for it?

Customer: replied 12 days ago.
He is 6,5...weighs 250. We have been married 4.5 years and have two kids. No imaging done. Thyroidexfomy
Surgery
Expert:  khagihara replied 12 days ago.

What is the reason he had the thyroidectomy? Any medications?

Customer: replied 12 days ago.
Thyroid cancer
Expert:  khagihara replied 12 days ago.

Does he have nocturnal or early morning erections? It can tell he has psychological problem or physiological one.

Customer: replied 11 days ago.
Oh okay I'll check so
He should have early morning erections?
Expert:  khagihara replied 11 days ago.

If he has nocturnal or early morning erections, it is psychological one. If not, it is physiological one.

Customer: replied 11 days ago.
Okay.,,,I'll check. Do you think this is reversible ? I am losing hope
Expert:  khagihara replied 11 days ago.

More likely reversible

Customer: replied 11 days ago.
Could it be related to his thyroid cancer?
Expert:  khagihara replied 11 days ago.

If he doesn't have low active thyroid due to thyroidectomy, they could not be related.

Customer: replied 10 days ago.
Okay he does have election early in korning
Customer: replied 6 days ago.
Can I ask you testosterone correlated with penis size? Like smaller penis less testosterone?
Expert:  khagihara replied 6 days ago.

It means he seems to have a psychological problem. He should have a nocturnal penile tumescence testing to confirm it. If it is comforted, he (and you) should see a psychologist or a sex therapist.

Customer: replied 6 days ago.
What testing is this?
Customer: replied 6 days ago.
But is size correlated with testosterone levels?
Expert:  khagihara replied 6 days ago.

It is a sleep study. The device is attached to the penis to measure erection. Patients without testosterone can show some erection but not full erection.

Customer: replied 5 days ago.
Ok and I keep asking you the same question thatbyou have not answered yet....is penis size related to testosterone levels?
Expert:  khagihara replied 5 days ago.

As testosterone wanes, the penis gradually reverts to its prepubertal, mostly hairless, state.