Men’s Sexual Health

What Causes Low Sex Drive and ED in Men?

Low sex drive, or low libido, affects a significant number of men, particularly starting around age 40. While short-term dips in desire are common and can be related to stress or fatigue, persistent low libido lasting three months or more may be a sign of an underlying health concern.

Common Causes of Low Libido and ED

Hormonal Changes

Testosterone naturally declines with age, and this drop can significantly reduce sex drive and performance. Imbalances in other hormones, such as DHEA, estrogen, cortisol, and thyroid hormones, can also disrupt sexual desire and energy levels.

Medical Conditions

Chronic illnesses like diabetes, obesity, heart disease, and atherosclerosis can impair blood flow and interfere with hormone production. These conditions often lead to fatigue and reduced physical function, which directly impact libido.

Mental Health

Long-term stress, anxiety, and depression are common causes of reduced sexual desire in men. These emotional challenges also affect brain chemistry and hormone balance, compounding the problem.

Lifestyle Factors

Habits like smoking, excessive alcohol use, lack of exercise, and poor sleep can decrease testosterone and lower arousal. These lifestyle choices often contribute to low energy, weight gain, and diminished sexual function.

Medications

Some prescription medications, including antidepressants and blood pressure drugs, may interfere with libido or arousal. These side effects are often overlooked but can have a significant impact on sexual health.

At Balanced Medical Solutions, we identify what’s impacting your sexual health and develop a personalized plan to address it at its root.

What to Expect From Your Men’s Sexual Health Plan

Every treatment plan at Balanced Medical Solutions is fully customized, but typically includes:

• A complete medical evaluation and lab panel to assess hormones, metabolic health, and risk factors
• Clear explanation of your results and symptoms
• Targeted treatments selected to restore libido, energy, and function
• Ongoing medical supervision and adjustments to ensure safety and effectiveness
• Support for related concerns such as mood, stamina, or body composition

Your progress will be monitored over time, and we’ll make any necessary changes to ensure your plan continues to work as your body improves.

Men’s Sexual Health Treatments We Offer

We offer a wide range of modern therapies that may be used alone or in combination for optimal results.

PRP Shot (P-Shot®)

The Platelet-Rich Plasma (PRP) Shot uses your own blood to stimulate tissue repair and nerve regeneration in the penis. This natural treatment can:

• Improve erection strength and duration
• Enhance sensation and orgasm quality
• Rejuvenate sexual function with no downtime

Hormone Replacement Therapy (HRT)

If testing reveals a hormonal imbalance, we may recommend testosterone replacement therapy (TRT) or bioidentical hormone replacement therapy (BHRT). Pellet therapy offers steady, long-lasting hormone delivery with minimal maintenance. The benefits of HRT may include:

• Increased libido and sexual performance
• Improved energy and mental clarity
• Reduced belly fat and improved metabolism
• Enhanced mood and muscle tone
• Solves many cases of ED

Testosterone Boosters

Testosterone boosters like clomiphene, enclomiphene, and gonadorelin work by stimulating the body’s natural testosterone production, instead of supplementing it directly with HRT. Testosterone boosters are suitable for men who still produce enough of their own testosterone and are not a good candidate for full replacement therapy. 

Oxytocin Therapy

Often referred to as the “love hormone,” oxytocin can enhance bonding, arousal, and emotional connection. When prescribed therapeutically, it may help reignite desire and improve intimacy for both men and women. For men, taking oxytocin before or during sex may:

• Enhance orgasm quality
• Reduce performance-related anxiety
• Improve sexual function 

Peptide Therapy

Peptides support hormone production, tissue regeneration, and sexual stamina. They may:

• Stimulate natural testosterone
• Improve libido and recovery
• Enhance growth hormone function
• Support body composition goals

Regenerative Medicine

Stem cells, exosomes, and other regenerative therapies are the most modern treatments available. They help regenerate the penis and can increase blood flow and tissue sensitivity. These are ideal for men seeking long-term rejuvenation beyond conventional ED treatments or for those who have not had results with other treatments. 

Trimix, Bimix & Quadmix

Trimix, Bimix and Quadmix are custom-compounded medications that combine powerful vasodilators to increase blood flow to the penis and produce a firm, sustainable erection. These medications are fast-acting, highly effective, suitable for men who haven’t had luck with oral medications. The benefits include:

• Customizable dosages and formulations
• Results within minutes
• Improved control over premature ejaculation 

PDE5 Inhibitors

PDE5 (phosphodiesterase 5) inhibitors are a class of medications widely used to treat erectile dysfunction. This includes some medications you might already be familiar with, like sildenafil (Viagra) and tadalafil (Cialis), but also includes other options, such as vardenafil. We offer these medications in customized dosing and formulas, some combined with apomorphine when appropriate for enhanced effectiveness. We also offer low-dose sildenafil and tadalafil so you don’t have to rely on taking a larger dose 30 minutes before intercourse. 

Transparent Pricing and Ongoing Support

Balanced Medical Solutions provides expert care that is both accessible and affordable. Our new patient medical evaluation, including lab testing, is just $99. This includes a full review of your hormone and health markers, a personalized treatment plan, and guidance from a licensed medical provider.

Existing patients also receive free follow up visits and monitoring labs are  only $99, allowing us to track your progress and adapt your care as needed. We offer additional savings through our membership programs, which include discounted therapies, injections, and other special perks .

Who Is a Good Candidate for Men’s Sexual Health Treatment?

Our program is designed for men struggling with low libido, hormonal changes, ED, premature ejaculation, or sexual performance issues. You may be a strong candidate if you:

• Are over age 35 and noticing a decline in sex drive or stamina
• Have tested low for testosterone or other key hormones
• Feel disconnected from intimacy or emotionally “off”
• Are experiencing difficulty with arousal, erections, or orgasm
• Want to explore hormone-based, regenerative, or non-pill solutions

You may not be a candidate if you have a history of hormone-sensitive conditions or certain unmanaged medical issues. A full medical evaluation and lab review will determine which treatments are safest and most effective for your body.

Why Choose Balanced Medical Solutions?

At Balanced Medical Solutions, we take men’s sexual health seriously. Our providers understand that low libido or performance issues can affect confidence, relationships, and quality of life.

We use advanced diagnostics, hormone expertise, and regenerative medicine to restore function and vitality from the inside out. Every plan is physician-guided and closely monitored to ensure safety, effectiveness, and long-term results. We treat the whole person—not just the symptoms—with personalized, affordable, and empowering care.

Take the First Step Toward Lasting Vitality

If you’re ready to take control of your sexual health, Balanced Medical Solutions is here to help. We begin with a comprehensive medical evaluation and lab panel to understand your unique hormone profile and health markers, and then develop a personalized plan tailored to your body. 

With treatment options like PDE5s, hormone therapy, PRP, oxytocin, peptides, and regenerative medicine, we offer a full spectrum of care that supports libido, performance, and confidence. 

Located in Hayward, we proudly serve the greater San Francisco Bay Area, including San Jose, Oakland, San Mateo, Fremont, and Castro Valley. Contact us today to schedule your evaluation and start your path toward renewed energy, intimacy, and wellness.