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Libido
Libido Defined
As oppose to Erectile Dysfunction, Libido is the desire to have sex.
Low libido should not be confused with erectile dysfunction (ED), although the two conditions can co-exist. Treatments can vary and may involve hormone replacement, medications to address underlying conditions, and lifestyle changes.
Hypoactive Sexual Desire DISORDER (HSDD)
Around 20%, or one in 5 males, have reduced sexual desire or libido.
What are the causes:
- Age
- Stress and nxiety from the strain of daily life, relationship or family problems
- Depression
- Diabetes
- Obesity
- High blood pressure
- High cholesterol
- HIV drugs
- Hair loss drugs
- Low Testosterone
- Low Thyroid Hormone
- High Prolactin Hormone
- Low Dopamine
- Medications: Anticonvulsants, Antidepressants, Antipsychotics, Beta-blockers, Benzodiazepines, Statins, cimetidine (Tagamet)
- Chronic Illness or Chronic Pain
- Cancer or history of Cancer treatment
- Sleep Disorders
- Lifestyle habits: Prolonged sitting, Alcohol, Smoking, Recreational Drugs
Treatment is specific and targeted to your problems. A comprehensive analysis of your health, bloodwork, and hormonal level directs us to various treatment options:
- Testosterone Replacement
- Thyroid Replacement
- Peptide Therapy for libido stimulants and hGH stimulants
- Improve Dopamine level
- Modify or prescribe antidepressants, such as Bupropion (Welbutrin) or nefazodone (Serzone)
- Modify other medication regimens
- Medications to increase Dopamine
- Obesity Management with Medications, and in addition to lifestyle changes
- Antianxity Medications, such as Buspirone (Buspar)
- Chronic Pain Management
- Chronic Illness Review
Testosterone
Testosterone and Desire
Testosterone is the hormone of desire, for both men and women.
A lack of enery, fatigue, poor strenght and stamina, irregular sleep, and poor mood and alertness - all contribute to a low libido and erectile dysfunction. The latter adds to the anxiety and depression that can make you want to simply avoid the sexual encounter.
Evaluating and managing the Testosterone level to the right dose is often the main answer.
Testosterone evaluation
A comprehensive evaluation can be done in our offices or through Telemedicine, in the privacy of your home. Extensive labwork are performed locally at a Questdiagnostics Laboratory near you. The initial evaluation visit may be covered by your health insurance.
Hyperprolactinemia
Causes of Hyperprolactinemia
One of the predominant symptoms in men who are hyperprolactinemic is loss of libido. In it of itself, hyperprolactinemia is a rare cause of decreased libido.
Other presenting symptoms of a pituitary adenoma, with or without hyperprolactinemia, are headaches and visual-field defects. In hyperprolactinemia, which induces hypogonadism, the excess prolactin interferes with secretion of gonadotropin-releasing hormone, resulting in decreased testosterone and erectile dysfunction.
Symptoms and Signs of Hyperprolactinemia:
- Decreased libido
- Erectile dysfunction
- Milky nipple discharge
- Enlargement or swelling of breast tissue in males
- Headache
- Visual-field defects
Medications that cause Hyperprolactinemia:
- Amitriptyline
- Amphetamines
- Cimetidine
- Dopamine antagonists
- Estrogens
- Methyldopa, levodopa
- Opiates: morphine
- Phenothiazines, metoclopramide
- Prochlorperazine, chlorpromazine
Causes of Hyperprolactinemia:
- Chest wall lesions (herpes zoster)
- Chronic renal failure
- Cirrhosis
- Hypothalamic lesions
- (stalk section; craniopharyngiomas)
- Medications
- Pituitary adenomas
Treatment of Hyperprolactinemia:
- Dopamine agonists, such as bromocriptine, not only will the prolactin levels be decreased, but also shrinkage of the tumors may be seen in about two thirds of patients with pituitary tumors
- Cabergoline, a synthetic dopamine agonist, has been found to be a potent inhibitor of prolactin secretion. Cabergoline is taken twice weekly and is an alternative for patients who are sensitive to bromocriptine.
- Surgery
Bremelanotide PT-141
bremelanotide PT-141 for libido
PT-141, also known as Bremelanotide, is a synthetic peptide that is used to treat sexual dysfunction in men and women. While Viagra and Cialis, which are PDE-5 inhibitors that work to increase blood flow into the penis, PT-141 is a melanocortin, which works at the brain to increase sexual desire.
Melanocortins are a group of peptide hormones which include adrenocorticotropic hormone (ACTH) and the different forms of melanocyte-stimulating hormone (MSH), and originate from the pituitary gland. The melanocortins bind to and activate melanocortin receptors.
Bremelanotide PT-141 was developed from Melanotan II, and was intended to darken skin pigmentation and induce tanning. However, during the initial testing, patients noted a pleasant side effect – that it caused increased sexual arousal.
Bremelanotide PT-141 is administered by subcutaneous injection, ideally where there are fat deposits. The only legitimate form of the peptide is injectable. Oral pills, nasal sprays, and creams have not been shown to be effective.
Given that everyone responds differently to Bremelanotide PT-141, effective dosages may vary. A two mg dose is generally effective for men and women, about one hour prior to sexual activity. Some studies suggest starting with a 1 mg test dose an hour before activity, and injecting an identical amount 30 minutes later.
- Adults—1.75 milligrams (mg) injected under the skin at least 45 minutes before a sexual activity. Do not use more than one dose of this medicine within 24 hours. Do not use more than 8 doses per month.
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Call Us to Learn More
By consulting Vital Men’s Health, you can receive a cycle protocol best suited for your condition. Response to Bremelanotide PT-141 range from minutes to several hours, and helps sexual dysfunction in both men and women.
Schedule an appointment at our location or over the internet, and talk with our physicians to address any concerns you may have and help you on your journey to improved quality of life..