Low Sex Drive in Men Support

What is low sex drive in men?

Low sex drive, also called low libido, is a lasting drop in interest in sex that bothers a man or strains his relationship. It is common, and it has many possible causes. Low testosterone is one of them, but not the only one, so the cause matters before any treatment.

What can cause it

Low testosterone is defined by guidelines as a total testosterone below 300 ng/dL together with symptoms such as reduced sex drive, confirmed on repeated morning blood tests [1][2]. A high level of the hormone prolactin can also lower desire, and it is diagnosed with a simple blood test [3].

Other common causes include depression, stress, poor sleep, relationship strain, and chronic illness. Some medicines list decreased libido in their labeling, including certain antidepressants and finasteride for hair loss [6][7].

What the evidence says about testosterone

In the Testosterone Trials, 470 men aged 65 and older with low libido and low testosterone received testosterone gel or placebo for a year. Testosterone improved sexual desire and activity, and the gains tracked how much testosterone rose [4]. A two year study of middle aged and older men with low testosterone found improved desire and sexual activity, but not erectile function [5].

These results apply to men with confirmed low testosterone. Guidelines do not support testosterone for men with normal levels [1][2].

When a provider confirms low testosterone and prescribes treatment, a compounding pharmacy can prepare it in a form or strength that commercial products do not offer.

• Testosterone creams and gels at the strength the prescriber sets
• Troches that dissolve in the mouth, for men who cannot use a topical
• Dye free and filler conscious versions for sensitive patients
• Small, adjustable strengths for careful titration

Mixwell is a non sterile pharmacy, so injectable testosterone and implantable pellets are outside what we prepare. Testosterone is a Schedule III controlled substance, and your provider will explain how to use a topical form without passing it to partners or children. Diagnosis, dosing, and monitoring belong to your provider.