How Low Testosterone Affects Health, Mood, and Sex

Low Testosterone and Sex Drive

Testosterone isn’t the only fuel for a man’s sex drive and performance. But low testosterone can reduce your ability to have satisfying sex. Lack of sex drive and erectile dysfunction are sexual problems that can result from low testosterone. If low testosterone is the cause, treating it can help.

Researchers haven’t unraveled the mystery of just how testosterone increases libido. It’s normal for a man’s sex drive to slowly decline from its peak in his teens and 20s, but libido varies widely between men. What one man might consider a low sex drive, another might not. Also, sex drive changes within each man over time and is affected by stress, sleep, and opportunities for sex. For these reasons, defining what’s a “normal” sex drive is next to impossible. Usually, the man himself identifies a lack of sex drive as a problem. Other times, his partner may consider it to be an 

issue.

Low testosterone symptoms don’t always include feeling like you have no sex drive. Some men maintain sexual desire at relatively low testosterone levels. For other men, libido may lag even with normal testosterone levels. Low testosterone is one of the possible causes of low libido, however. If testosterone is lowered far enough, virtually all men will experience some decline in sex drive.
In a large study of men in Massachusetts, about 11% overall said they had a lack of sex drive. The researchers then tested all the men’s testosterone levels. About 28% of men with low testosterone had low libido. These men were relatively young, with an average age of 47; older men might have worse sexual symptoms.
Low testosterone is only one of the causes of low libido. Stress, sleep deprivation, depression, and chronic medical illnesses can also sap a man’s sex drive.

Low Testosterone and Erectile Dysfunction

Surprisingly, low testosterone by itself rarely causes erectile dysfunction, or ED. Low testosterone alone — with no other health problems — accounts for a small minority of men with erectile dysfunction.
Erection problems are usually caused by atherosclerosis — hardening of the arteries. If damaged, the tiny blood vessels supplying the penis can no longer dilate to bring in the strong flow needed for a firm erection. Diabetes, high blood pressure, and high cholesterol are the three main causes of atherosclerosis and erectile dysfunction.

At the same time, low testosterone is a frequent accomplice to atherosclerosis in creating erectile dysfunction. In studies, as many as one in three men mentioning ED to their doctor have low testosterone. Experts believe that in men with other factors causing erectile dysfunction, low testosterone can strongly contribute, making a difficult situation even worse.

Strengthening the connection, low testosterone is linked in some way with many of the conditions that lead to erectile dysfunction:

• Metabolic syndrome
• Obesity
• Endothelial dysfunction
• Diabetes

Although low testosterone isn’t known to cause them, the associations between other medical conditions and low testosterone can be significant.
Testosterone therapy improves sex drive and satisfaction with sex in many men. However, the long-term risks and benefits of testosterone replacement are unknown. Research trials on testosterone replacement in men are ongoing, although results are years away.

How to Last Longer in Bed with Your Partner

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1. Study the Kama Sutra

There is a technique mentioned in the Kama Sutra for delaying ejaculations that basically comes down to training yourself to last longer,” says Harper. She instructs men to start slowly—with no more than one “in/out” stroke every three seconds. “He should then build more strokes slowly over the course of 4 or 5 minutes, until he is moving one stroke per second.” If the man starts to feel like he is going to come, he should stop and “hold himself inside his partner until he feels in control again. Then he begins the whole process again.”

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2. Get Out of Your Head

“Performance anxiety is the number one killer of sustaining an erection,” says sex coach Dr. Patti Britton, a board-certified Clinical Sexologist. “Shift your thinking to a more confident inner voice, as opposed to a worried voice.” Britton explains that a “self-debilitating mindset” is what shuts guys down. “When you begin to feel anxiety, the strategy is to stop, take a breath, and then focus on how things feel in the body. Stay out of your head and get into your body—focus on the feelings that your body is producing for you.”

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3. Slow down!

 “Instead of the fast-paced jack-hammering style that many men are so fond of, try taking your time,” says Toyooka. Sex at a slower pace leads to a more connected experience for both people. “It’s more sensual because you are caressing and exploring the rest of her body. Kiss her neck, nuzzle her ear, let your hands gently explore her body,” she says. The most important thing to keep in mind that will help you last longer?

 

4. Use Professional Male Enhancement Pills

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5. Don’t go deep. 

“If you feel that continued deep thrusting will bring on an all-too-quick orgasm, try penetrating only the lower portion of her vagina—in other words, take more shallow thrusts,” says Toyooka. “Also, alternating between shallow and deep thrusts can make you last longer, and will also make the experience a lot more fun!”

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