Understanding Low Libido in Men
If your sex drive has changed — or just doesn’t feel like it used to — you’re not alone.
Low libido is one of the most common concerns we hear from men. It can show up gradually or suddenly, and often ties into other symptoms like fatigue, mood changes, or poor sleep.
We approach this without judgment — and without jumping to assumptions. Libido is personal, hormonal, emotional, and environmental all at once.
What might be causing it?
We take a full-body, full-context approach to figuring it out. Possible causes include:
Low testosterone or hormone imbalance (including SHBG, DHEA, estradiol)
Sleep problems (especially sleep apnea or poor recovery)
Chronic stress, burnout, or emotional disconnection
Medications, especially antidepressants or blood pressure meds
Metabolic changes, like insulin resistance or low-grade inflammation
Thyroid dysfunction
Depression or anxiety — even if not diagnosed
Relationship factors, past trauma, or unmet emotional needs
Sometimes it's not one thing — it's a quiet mix of many.
What we’ll look at together:
A deep dive into symptoms, timing, lifestyle, and mood
Hormonal panels (not just testosterone)
Sleep quality and recovery
Labs for inflammation, metabolism, and thyroid
A safe, open conversation about stress, identity, and desire
What we don’t do:
We don’t:
Shame you
Prescribe a pill without understanding the full picture
Assume testosterone is the answer (sometimes it is — sometimes it’s not)
What happens next:
We’ll create a plan that could include:
Lifestyle and stress interventions
Hormone support (if indicated)
Sleep, nutrition, or recovery work
Supplement guidance or medication adjustments
A check-in about what sexuality and energy mean to you, not just your labs
If your drive is low and you’re not sure why — or what to do next — we can help you sort it out and move forward with clarity.
Let us know when you're ready to start that conversation. “Not sure what to share? Here’s a step-by-step guide to what we ask when you reach out.”