Changes in sexual desire, erectile function or sexual performance are common concerns for men—and they can happen for many different reasons.

Hormones can be part of the picture, but so can cardiovascular health, medications, psychological factors, lifestyle, age and other medical conditions.

At Ontario Regenerative Medicine, we provide a private, physician-led environment where men can talk openly about changes in their sexual health and better understand what may be contributing to them.

Understand what’s changed. Explore the possible causes. Discuss your options.

More Than a Sexual Concern

Erectile dysfunction generally refers to persistent difficulty achieving or maintaining an erection sufficient for satisfactory sexual activity.

It can occur at different ages and may have multiple contributing factors.

These can include physiological, hormonal, medication-related, psychological and lifestyle factors.

For some men, more than one factor may be involved.

That’s why identifying the underlying clinical picture is an important first step.

Sexual Desire Can Change

Sexual desire varies considerably between individuals and can change throughout life.

If you’ve noticed a meaningful change in your libido, there may be several possible contributing factors.

These can involve:

  • physical health
  • hormonal health
  • medications
  • sleep
  • stress and psychological well-being
  • relationship factors
  • lifestyle
  • other individual circumstances

A change in libido does not automatically mean that testosterone is low.

Medical assessment can help determine whether additional investigation may be appropriate.

Testosterone Is Part of the Picture

Testosterone is a naturally occurring hormone with normal physiological roles in the male reproductive system and sexual function.

Testosterone levels can change throughout adulthood and may be relevant to the assessment of some men experiencing sexual-health concerns.

However, erectile dysfunction or reduced sexual desire does not automatically establish a testosterone deficiency.

Hormone levels are only one part of a broader clinical picture.

When clinically appropriate, your healthcare provider may consider testosterone and other hormone measurements alongside your symptoms, medical history, medications and other relevant health information.

Testosterone isn’t the only hormone involved in male physiology.

Men naturally produce estrogen, including estradiol.

A portion of testosterone is converted into estradiol through an enzyme called aromatase, and estrogen receptors are found in tissues throughout the male body.

When hormone testing is clinically appropriate, your healthcare provider may determine whether testosterone, estradiol or other measurements are relevant to your assessment.

A Hormone Result Doesn’t Automatically Determine Treatment

If testing identifies a hormonal finding, your physician will interpret it alongside your symptoms, medical history and other relevant clinical information.

Additional investigation may sometimes be appropriate.

If medical treatment is being considered, your physician can discuss the specific options with you privately as part of your individual medical care.

That discussion can include:

  • why treatment is being considered
  • potential benefits
  • potential risks and side effects
  • limitations
  • alternatives
  • monitoring requirements
  • reasonable expectations

Treatment decisions are individualized rather than based on a symptom or laboratory number alone.

Look at the Bigger Picture

Sexual function involves interaction between several systems within the body.

Blood flow, nerve signalling, hormones, medications, psychological well-being and general health can all be relevant.

This means changes in sexual function can sometimes provide a reason to look more broadly at a man’s health rather than treating the concern in isolation.

At ORM, our goal is to understand the individual before discussing treatment options.

Body composition and general physical health can form part of the broader health picture.

When appropriate, ORM can provide body-composition assessment that includes measurements such as skeletal muscle mass, body fat and body water.

These measurements can be considered alongside other clinical information when relevant to your overall health assessment.

Sexual-health concerns can be difficult to discuss.

They shouldn’t be.

ORM provides a confidential medical environment where men can speak openly about changes in sexual desire, erectile function and other sexual-health concerns.

You don’t need to diagnose yourself before booking.

And you don’t need to know which treatment you want.

Start by telling us what’s changed.

This page provides general educational information about men’s sexual health and medical assessment.

References to testosterone describe testosterone as a naturally occurring hormone and its role within normal male physiology. They are not intended to advertise or recommend a prescription testosterone product.

Sexual-health concerns can have multiple possible causes. Symptoms discussed on this page should not be interpreted as establishing testosterone deficiency or another medical condition.

Diagnosis and treatment decisions require individualized assessment by a qualified healthcare professional.