What causes decreased sexual function in 40-year-old men?

Apr 23, 2024 Source: Cainiu Health
Dr. Li Mingchuan
Introduction
In general, decreased sexual function in men around the age of 40 may be caused by factors such as aging, chronic sleep deprivation, hypertension, hypothyroidism, diabetes, and others. Patients should seek timely medical evaluation at a reputable hospital to identify the underlying cause and receive appropriate treatment. In daily life, it is important to maintain healthy habits, follow a regular schedule, and ensure sufficient sleep.

In general, male sexual dysfunction at age 40 may be caused by factors such as aging, chronic sleep deprivation, hypertension, hypothyroidism, diabetes, and others. Patients should promptly seek medical attention at a正规 hospital to identify the underlying cause and receive appropriate treatment. Specific analysis is as follows:

1. Aging

As men age, testosterone levels in the body gradually decline. Testosterone is a key hormone responsible for maintaining libido, erectile function, and overall sexual performance. Reduced testosterone levels can impair sexual function, leading to decreased libido and erectile dysfunction. It is recommended that men maintain a positive mood and quit smoking or limit alcohol consumption, which may help improve sexual function to some extent.

2. Chronic Sleep Deprivation

Long-term lack of sleep can disrupt the body's endocrine system, particularly reducing testosterone production. Insufficient sleep also leads to accumulated fatigue, affecting both psychological and physiological states, thereby impairing sexual function. It is advisable to rest adequately and maintain healthy sleep habits.

3. Hypertension

Hypertension may develop due to long-term excessive alcohol consumption, obesity, and other factors. This condition can damage vascular endothelial cells, resulting in erectile dysfunction. Therefore, hypertension may contribute to sexual dysfunction in men over 40. Men are advised to actively cooperate with doctors in using medications such as metoprolol succinate extended-release tablets, bisoprolol fumarate tablets, and verapamil hydrochloride tablets for treatment.

4. Hypothyroidism

Hypothyroidism can affect the pituitary-thyroid-gonadal axis, leading to elevated prolactin levels and reduced testosterone levels. This can impair male libido and sexual function, manifesting as decreased sex drive, erectile dysfunction, premature ejaculation, and other symptoms. It is recommended to maintain regular作息 habits and actively follow medical advice to take medications such as levothyroxine sodium tablets, thyroid tablets, and alfacalcidol soft capsules.

5. Diabetes

Neuropathy and vascular damage in diabetic patients may negatively impact sexual function. Nerve damage can lead to abnormal nerve conduction, thereby affecting erectile function; vascular damage can reduce blood flow to the penis, further impairing normal sexual activity. Under medical guidance, patients may control blood glucose levels with oral hypoglycemic agents such as acarbose tablets, metformin hydrochloride tablets, and gliclazide modified-release tablets.

In daily life, it is important to maintain healthy lifestyle habits, adhere to a regular schedule, ensure sufficient sleep, and support normal physiological functions. Additionally, regular physical exercise should be emphasized to enhance overall immunity and resistance.


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