Introduction to low libido in males
This topic describes management of low libido in individuals presumed male at birth, other than those undergoing (or who have had) gender-affirming hormones or gender-affirming surgery; see resources on sexual health relating to gender-affirming treatment on the TransHub website.
Healthcare providers are encouraged to use a sensitive approach that avoids assumptions about gender identity, sexual orientation or sexual practices.
For guidance on healthcare issues specific to individuals of diverse sexual orientation, see A guide to sensitive care for lesbian-gay-and bisexual people attending general practice at the Rainbow Health Victoria website.
Low libido is a reduction in sexual desire. In a survey of males in Australia, a quarter of those aged between 16 and 59 years reported experiencing symptoms for at least 1 month in the previous year1. Low libido is under-reported and under-recognised, due to a range of barriers; see Screening and assessment for sexual difficulties. Erectile dysfunction and premature ejaculation often accompany low libido and may be contributing factors, so a comprehensive assessment is needed.