Kenton Bruice, M.D.

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