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Causes of Low Libido
Diagnostic Tests
Treatment of low libido by Hormone therapy & others
Response of Treatment


Diagnostic Tests:

For diagnosis of cause of low libido (sex desire) detailed history is taken. After which thorough physical examination is done for relevant causes.
For diagnosis of cause of low libido following tests are required. These tests include
Complete male hormone profile (do not bold). 

 
Thyroids test
Serum prolactin
SHBG
DHT Level
Investigation for systemic diseases
Other tests which may be required depending on likelihood of the any of above causes. 

Detailed Sex Counseling: detailed sex counseling session, in which our male & female sex counselors meet with respective patient, trying to found out if there is any likelihood of sex centre disorder or other disorder as the cause of low sex desire.
In biochemistry Tests as liver function or kidney function tests are done.
These tests confirm the diagnosis of low sex desire confirmed. 


Treatment:

Once the diagnosis of cause of low sex desire is made, treatment includes medicines & sex therapy sessions to cure the basic cause. The various treatments offered are:

(a) Hormone therapy:

Like in case of hormone deficiency or disorder of other glands the correction of hormone dysfunction is done. Hormone therapy is given in the form of oral tablets. Skin cream, gels or scrotal patches. These medicines are given in well tested prescribed doses as described in authentic textbooks. Some hormone precursors have also been used for increasing sex drive in many patients in whom no hormone disorder is found, 

1) Male hormone testosterone replacement: The replacement of male hormone testosterone is one of the common treatments for decreased sex desire. The various preparation of testosterone is :

a) Oral preparation, which is available in capsule form. It needs to be given one to three capsules daily. These have no side effects.

b)Transdermal gel preparation are available which are applied on the any part of body once daily. This is absolutely safe with no side effects, economical & easy to use.

c)Tran dermal Testosterone given as scrotal patch. It is very effective & has no side effects.

i) Sublingual Testosterone cyclodextrin is now available which is very fast acting & very effective in curing low libido.
j) Local application of D.H.T. gel is new preparation for male hormone replacement. It is very effective for increasing penile size, & in cases of cure of Chest development in boys. 

k) Injection Testosterone esters: These include Testosterone enanthate & testosterone cypionate given intramuscular injections every 10 to 14 days.

l) Long acting testosterone as testosterone bucilate given once in 4 months.

m) Testosterones implants are now available which once injected remain effective for up to six months.

n) New human androgen receptor modulators they increase the effect of male hormone over androgens.

2) Growths Hormones Therapy; is given when somatotropin deficiency is found.

3) IGF-1 therapy; is given when somatomedin c is subnormal.

4) DHT Therapy is given in many patients. It is very effective in most patients. This treatment is also effective in many patients when all above treatment has failed. The other good thing about this is that it is available as skin gel so taking this is simple & has no side effects. This treatment is very effective in those in whom male hormone is unable to work due to inability to generate the final end product for testosterone efficacy due to 5 alpha reductase defects. In such patient replacement of final target hormone is replaced leading to good sexual feelings & desire. In such situation even male hormone can be used in higher than usual doses leading to achievement normal sex desire.

 
5) Gonadotropin therapy is also very effective in normalizing low desire.Gonadotropin releasing hormone therapy is effective in many cases of low libido.


(b) Treat other systemic disease when they are detected.

(c) Treatment of chronic asthenia is done by replacement of antiasthenic drug with good results.

(d) Treatment of Urogenital infection balanitis, prostatitis, and epididymitis gives immediate relief & very dramatic increase in sex desire.

(e) Stop Offending drugs which patients is consuming is identified after detailed history & drug challenge is discontinued with permanent cure of the low libido disorder (f)Treatment of psychiatric disorder are diagnosed & treated. 

(g)Treatment of sex center disorder: In cases of low libido due to sex center disorder there are many drugs, which improve the libido like hormone precursors, sex center stimulator drugs. These drugs act on sex center & correct the biochemical defect in sex center, leading return of the libido.

(h)Sex therapy is offered in which we teach the patient about the various techniques in such a way that it increase the enjoyment of body touch sex centre starts functioning normally & patient develops normal sex desire in addition males get better hardness of penis & sustained penile erection & takes longer time in discharge. All this improves the desire of sex as well as enjoyment of sex.


Response of treatment:

Person gets completely cured in two months time when treatment is started after the diagnosis of cause. After appropriate medicine therapy, sex education & sex therapy patient recover in two months time. The sexual desire of patient recovers. After return of libido to normal his family relationship also normalizes. 

Side Effects:

The above mentioned drug treatment It has no side effects if given in proper disease and in-patients when it is really indicated. This it is absolutely safe when it is given by qualified doctor in proper doses.

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