According to his account, after turning 38, his wife became more proactive and had a greater need for intimacy. Initially, he felt happy because their married life remained passionate after many years. However, the overwhelming work pressure, frequent late nights, and lack of sleep caused him to become increasingly exhausted. VnExpress reported this.
What stressed him out even more was that every time his wife took the initiative, he worried he wouldn't be strong enough or be able to maintain the desired performance. This recurring feeling of pressure gradually led him to avoid intimacy, and his desire decreased. He began to suspect he had a urological problem or low testosterone.
However, after examination, doctors determined that the man's sex hormone levels, erectile function, and overall health were all within normal limits. The main cause lay in prolonged psychological stress and the pressure to "prove his masculinity."

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According to andrology experts, this is a fairly common condition among middle-aged men, but it is rarely discussed. Many people automatically assume that men should be proactive, strong, and always ready in the bedroom. This mindset unintentionally creates invisible pressure, making them more anxious and more prone to decreased libido.
When a man experiences prolonged stress, his body increases the secretion of stress hormones like cortisol. This substance not only causes insomnia and fatigue but also directly affects testosterone and sexual arousal. A brain constantly in a state of anxiety also struggles to focus on intimate feelings, making it more difficult to achieve or maintain an erection.
In many cases, men don't actually suffer from erectile dysfunction but instead fall into a psychological vicious cycle: worrying about not being able to satisfy their partner, leading to pressure during intimacy, which in turn causes decreased libido. This results in relationship failure and further increases the man's self-esteem. If prolonged, this situation can seriously affect self-confidence and marital happiness.
Experts also suggest that it's quite normal for women over 35 to experience increased sexual desire. This could be a stage where hormones, psychology, and self-confidence change for the better. However, in many East Asian families, this issue remains quite sensitive, making it difficult for both husband and wife to discuss it openly.
Many wives believe their husbands' coldness stems from a loss of love, while husbands silently endure pressure, fearing they are "no longer attractive." Prolonged silence easily creates an emotional distance between the two.
According to doctors, differences in libido between spouses are very common and do not necessarily mean there are problems in the marriage. The important thing is for both partners to have open conversations to understand each other's feelings instead of silently enduring or blaming each other.
To improve this situation, men should prioritize rest, get enough sleep, reduce work stress, and maintain regular exercise. Activities such as brisk walking, light gym workouts, yoga, or swimming can help increase testosterone naturally, improve blood circulation, and effectively relieve stress.
In addition, couples should spend more time connecting emotionally instead of focusing solely on "performance" during sex. Small, intimate gestures like talking, hugging, going for walks together, or sharing life's stresses can sometimes be a much better way to restore intimacy in their sex life than many medications.
Experts emphasize that when experiencing difficulties in their sex lives, men should not hastily conclude they have erectile dysfunction or secretly resort to stimulants of unknown origin. In many cases, the cause lies in psychology and lifestyle, which can be completely improved with proper adjustments.
If decreased libido persists along with fatigue, insomnia, reduced concentration, or frequent erectile dysfunction, men should proactively seek medical attention for a comprehensive assessment of their endocrine, cardiovascular, and mental health.
Source: https://giadinh.suckhoedoisong.vn/chong-cau-cuu-bac-si-vi-khong-dap-ung-duoc-vo-172260513072737408.htm








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