Reduced libido refers to a persistent decrease in sexual desire or interest. For many men, this can feel worrying or frustrating, particularly when it affects confidence, intimacy, or relationships. Some notice a gradual decline over time, while others experience a more sudden change linked to stress, illness, or life events.
Common symptoms include reduced interest in sex, fewer sexual thoughts, decreased motivation for intimacy, or feeling emotionally disconnected from sexual activity. Reduced libido may occur on its own or alongside other symptoms such as erectile difficulties, fatigue, low mood, or changes in self-confidence.
There are many possible causes of reduced libido. Psychological factors such as stress, anxiety, low mood, relationship difficulties, or burnout are common contributors. Physical health issues, chronic fatigue, sleep problems, medication side effects, and hormonal changes — including testosterone-related factors — may also play a role. Often, more than one factor is involved.

At Menvate, assessment focuses on understanding reduced libido in context. This includes discussing symptoms, duration, medical history, medications, lifestyle factors, mental wellbeing, and any related concerns such as erectile dysfunction or fatigue. Where appropriate, existing blood results or further assessment may help clarify contributing factors.
Treatment considerations depend on the underlying causes. For some men, addressing stress, sleep, or relationship factors may be appropriate. Others may benefit from medical management, psychological support, or further investigation. Testosterone is considered only when clinically appropriate and never assumed to be the cause.
It’s worth seeking medical guidance if reduced libido is persistent, worsening, or affecting relationships, confidence, or quality of life. A calm, doctor-led conversation can help clarify what’s normal, what may need attention, and what the next steps should be.
Reduced libido is often linked with related conditions such as erectile dysfunction, fatigue, low mood, sleep problems, brain fog, and hormonal health concerns. Exploring these connections allows for a more complete and supportive approach to care.
A full, doctor-led review of your symptoms, medical history, lifestyle factors, and concerns. We’ll discuss testosterone and other possible causes, review any blood tests you already have, and give clear clinical recommendations.
The follow-up is booked at the end of your initial consultation if needed. It’s used to review results, check progress, answer questions, and confirm next steps—whether that’s treatment, monitoring, or reassurance.
Yes. The £249.99 fee includes the 45-minute consultation + one 20-minute follow-up, if clinically appropriate.
No. Blood tests are not required upfront. If tests are needed, your doctor will explain exactly why and what’s useful—no unnecessary panels.
No. Treatment is only recommended if it’s clinically appropriate. You may be advised not to pursue treatment, and that is considered a valid and positive outcome.
You’ll speak directly with Dr Houssam Abusibah, expert GP Lead with Specilist interest in Men's Health, Testesterone replacement therapy & weight managment.
Common concerns include low testosterone, fatigue, low sex drive, erection problems, mood changes, poor concentration, and unexplained symptoms—but the consultation is not limited to testosterone alone.
We offer a short doctor-led phone call to help you understand what you actually need - or if you need anything at all. We are open and transparent.
Yes. We can review your current situation and offer an independent clinical opinion.