Dr. Kenton Bruice MD

Men's Sexual Health

Low Libido in Men — Causes & Treatment in Denver

Diminished sex drive in men is almost always hormonal at its root. Dr. Bruice identifies and treats the specific hormonal driver — whether testosterone, thyroid, estrogen excess, or medication side effect.

Book Appointment

Common Signs & Symptoms

  • !Reduced interest in sex
  • !Lack of sexual thoughts or fantasies
  • !Difficulty with arousal or erection
  • !Reduced morning erections
  • !Partner-reported change in sexual interest

What Causes This?

  • Low testosterone — the most common driver
  • Elevated estradiol in men (from aromatization)
  • Hypothyroidism — reducing energy and drive
  • Antidepressant and blood pressure medication side effects
  • Chronic stress and high cortisol

Treatment Approaches

Testosterone Optimization

First-line treatment — restores libido in most men within 4–8 weeks of reaching optimal levels.

Estrogen Management

Excess estradiol in men (from aromatization) suppresses libido — anastrozole or lifestyle changes address this.

PT-141 (Bremelanotide)

A peptide that acts on melanocortin receptors to enhance sexual desire and arousal.

Frequently Asked Questions

Is low libido just part of getting older?

Common with age, yes. Inevitable, no. Hormonal optimization can restore libido in most men regardless of age.

Related Topics

Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

Book Appointment