Extracts from Patrick Holford's new book Good Medicine:
Some men suffer from a reduced sex drive but no sexual dysfunction. Others find it increasingly hard to get an erection, which interferes with their enjoyment of sex. This is called impotence.
Others have no problem with sexual performance but produce dysfunctional sperm, making conception unlikely for partners.
There are a number of good medicine solutions out there to help solve these issues.
How Sex Improves Your Immune System
9 Great Reasons Why People Over 50 Have The Best Sex Lives
1. Check your testosterone levels
Men as well as women can suffer from menopausal symptoms later in life. In men, these are called the andropause. Symptoms include decreased sexual performance, loss of morning erections and decreased potency, as well as fatigue, depression, irritability, rapid ageing, aches and pains, sweating and flushing. The cause of the male menopause is liekly to be declining levels of what is known as 'fee (unbound)' circulating testosterone.
There's a good online test for factors that predict testosterone deficiency. If your score says you are at risk, it is worth seeing a health-care practitioner experienced in the andropause and also having your testosterone levels measured. A doctor should measure both your testosterone level and the level of sex hormone-binding globulin (SHBG), which binds to, and hence inactivates, testosterone. By knowing these two figures you can work out the level of 'free' testosterone.
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