How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask khagihara Your Own Question
khagihara
khagihara, Medical doctor
Category: Urology
Satisfied Customers: 6590
Experience:  Trained in the multiple medical fields for many years.
20084961
Type Your Urology Question Here...
khagihara is online now
A new question is answered every 9 seconds

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: 10 months ago.
Category: Urology
Expert:  dr abid replied 10 months 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 10 months 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 10 months ago.

Please let me know , how old is he ?

Since how , he has this issue ?

Any history of anxiety , depression ?

Regards .

Customer: replied 10 months 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 10 months 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 10 months ago.
Started maybe after one year. Not in the beginning he is a Doctor
Expert:  dr abid replied 10 months 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 10 months ago.
Ok this really didn't help me....what can I do other them medication?
Expert:  dr abid replied 9 months ago.

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

Expert:  khagihara replied 9 months 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 9 months 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 9 months ago.

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

Customer: replied 9 months ago.
Thyroid cancer
Expert:  khagihara replied 9 months ago.

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

Customer: replied 9 months ago.
Oh okay I'll check so
He should have early morning erections?
Expert:  khagihara replied 9 months ago.

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

Customer: replied 9 months ago.
Okay.,,,I'll check. Do you think this is reversible ? I am losing hope
Expert:  khagihara replied 9 months ago.

More likely reversible

Customer: replied 9 months ago.
Could it be related to his thyroid cancer?
Expert:  khagihara replied 9 months ago.

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

Customer: replied 9 months ago.
Okay he does have election early in korning
Customer: replied 9 months ago.
Can I ask you testosterone correlated with penis size? Like smaller penis less testosterone?
Expert:  khagihara replied 9 months 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 9 months ago.
What testing is this?
Customer: replied 9 months ago.
But is size correlated with testosterone levels?
Expert:  khagihara replied 9 months 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 9 months 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 9 months ago.

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