Health

Decreased libido is a Covid sequel? – VnExpress


After recovering from Covid-19, I completely reduced my sexual desire with my girlfriend, often falling into a state of depression and anxiety. Is this a sequel to Covid-19? (Male, 27 years old).

Answer:

According to world studies, post-Covid-19 decrease in libido is a common problem in men. When the virus enters the body, it will attack the ACE2 receptors located on the cell membrane, thereby invading cells in the human body. These receptors are abundant in the lining of the mouth, lungs, heart, other organs including the sex organs, ovaries, endometrium in women, and testes in men.

When the virus attacks the testicles, testicular cells are damaged, leading to the synthesis of male hormone (testosterone) and sperm are affected, thereby causing testosterone levels in the blood to decrease. In addition, the prolonged treatment and isolation when infected with Covid-19 causes psychological stress, causing the male body to increase the secretion of the hormone cortisol – which causes a decrease in testosterone and nitric oxide levels. It is the decrease in the concentration of these substances that causes men to lose interest in sex.

In addition to attacking the respiratory tract, the virus also disrupts the endothelium, causing an inflammatory response that damages the integrity of the vascular endothelium, increases permeability, activates coagulation, and damages microvasculature. Decreased blood vessel function leads to erectile dysfunction. Even in asymptomatic Covid-19 cases, microvascular damage still occurs. Therefore, erectile dysfunction can be seen in even mild F0.

Besides, after recovering from Covid-19, general health sequelae such as fatigue, insomnia, loss of appetite, memory impairment… also reduce sex drive.

Your condition is most likely caused by a sequelae of Covid-19. To be sure, you should go to the male specialist facilities early for examination and treatment, avoiding the fear of making the disease worse.

You can do some of the following things yourself at home to improve your physical health in general and sexual health in particular, such as: daily moderate exercise, intensity appropriate to your condition. health; Drink lots of water, eat more green vegetables and fresh fruits. Supplement your diet with red meat, seafood, eggs, milk, bean sprouts… In addition, you should minimize or not use tobacco, alcohol, stimulants; Sleep on time, avoid staying up late, make sure to sleep for 6-8 hours a day.

Doctor Nguyen Trong Hoang Hiep
Specialist in Andrology, Hanoi Hospital of Andrology and Infertility

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