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Q.

What are the main causes of low libido in men?

Related Topics: Libido
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The leading reason men don’t want to have sex is medication, usually SSRI-type antidepressants -- such as Prozac, Zoloft, and Paxil -- and antihypertensive drugs prescribed for men with high blood pressure. All of these drugs are known to have sexual side effects including low libido.

Fatigue is another oft-cited reason for a low sex drive, as is that all-encompassing nemesis, stress. But some doctors are skeptical of men who cite work-related stress as the cause of their low libido.

Mark Epstein, MD, is a psychiatrist in private practice in Manhattan and author of Open to Desire: Embracing a Lust for Life. He says that while men may indeed be preoccupied with their work, that’s usually a secondary reason for a reduced sex drive. “If there is not an illness,” Epstein says, “the main reason for a flagging libido in men is drugs or alcohol.”

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