Low sexual desire in men

The intensity of sexual desire in healthy men and women differs from one person to the other. Hypoactive desire, which affects millions of people worldwide, is probably the most underestimated, neglected, undefined, difficult to evaluate and treat, and frustrating sexual disorder. Health care providers are faced with a plethora of clinical studies on various other sexual disturbances but with a dearth of evidence regarding the proper diagnosis and management of low sexual desire, no objective tools to assess or measure it, and plenty of misconceptions and ignorance about it. Diminished desire or low libido in men is commonly, and erroneously, misdiagnosed and treated as erectile disorder (ED) - with very poor results in most cases.

Furthermore, all the commonly used so-called aphrodisiac foods, herbs, potions, and concoctions, such as ginseng, Spanish fly, cantharide, caviar, oysters, chocolate, strawberries, spicy foods, Ginkgo biloba, and moderate amounts of alcohol, have not been proven particularly effective. It was suggested recently that nuts could increase sexual desire; however, this claim needs to be substantiated by further scientific studies. In cases when some of the aforementioned substances are successful for increasing libido in some men, perhaps it is because they may block mental sexual inhibitions or work on a motivational or other psychological level.

With the availability and success of the phosphodiesterase type 5 inhibitors in restoring normal sexual functioning, millions of men with erectile dysfunction (ED) can achieve firm, lasting erections allowing satisfactory intercourse. But those medications cannot heighten libido - so, ironically, a large group of men are capable of producing erections but have little or no real desire to do so. Some of them would rather play golf or watch television; many others, however, are frustrated by their low desire and would very much like to experience the ultimate joy of sex once again. Viagravation is a term that was proposed to describe the deep aggravation experienced by men who are willing and able to use an ED medication to achieve erection but lack the physiological or psychological motivation to engage in sex - with the resulting deep frustration experienced by their sexual partners.