

Dr Tan Kok Kuan
Men’s Health & Sexual Health Doctor
MBBS (S’pore), Cert. Men’s Health, Cert. Clinical Dermatology,Member, Academy for Men’s Health (Singapore)Member, Singapore Association for the Study of ObesityMember, International Society of Sexual Medicine
Low sex drive, also known as low libido, refers to a persistent decrease in sexual desire or interest in sexual activity. While libido naturally changes throughout life, a prolonged decline that affects your wellbeing or relationships may be a cause for concern.
Common signs of low libido include:
Persistent low libido can affect more than your sex life. It may impact self-confidence, emotional wellbeing and intimate relationships, while sometimes signalling an underlying medical condition that requires evaluation.
A temporary decline in sex drive is common and may occur during periods of stress, illness or major life changes. As sexual desire naturally varies throughout life, low libido is not always a sign of an underlying medical condition. It may become a medical concern when the decrease in sex drive no longer seems temporary, or is accompanied by other issues.
Low libido is generally considered a medical concern when it:
While occasional fluctuations in libido are normal, a noticeable decline that continues for several weeks or months without improvement may warrant medical assessment. Persistent low sex drive can sometimes be linked to medical factors that require appropriate evaluation.
Low libido becomes a concern when it causes ongoing frustration, worry or emotional distress. If the change in sexual desire is affecting your confidence, self-esteem or overall quality of life, seeking medical advice can help determine whether an underlying cause is contributing to your symptoms.
Differences in sexual desire between partners can place strain on a relationship, particularly when low libido leads to reduced intimacy or difficulty maintaining a satisfying sexual relationship. A medical assessment may help identify treatable causes and support appropriate management.
Low libido accompanied by other symptoms may indicate an underlying medical condition that requires further investigation. These symptoms may include:
When low libido begins to influence your emotional wellbeing, daily functioning or overall quality of life, a comprehensive medical assessment can help identify contributing factors and guide appropriate treatment.
Seek early medical intervention if you’re experiencing a persistent decline in your sex drive, or are concerned about ongoing symptoms.
Our clinic can help identify the underlying causes and move forward with treatment options.
Low libido can result from a combination of physical, hormonal, psychological and lifestyle factors. In many cases, more than one contributing factor is involved, making a comprehensive assessment important to identify the underlying cause and guide appropriate treatment.
Hormones play an important role in regulating sexual desire. A decline or imbalance in certain hormones can reduce libido, particularly when accompanied by other symptoms. Common hormonal causes include:
Certain medical conditions may directly or indirectly contribute to a reduced sex drive by affecting circulation, nerve function, hormone regulation or general health. These include:
Managing these underlying conditions may help improve sexual health alongside overall wellbeing.
Mental and emotional wellbeing can have a significant influence on sexual desire. Psychological factors that may contribute to low libido include:
These factors may reduce sexual interest even when there is no underlying physical cause.
Daily habits and personal circumstances may also influence libido. Factors that can contribute to a decline in sexual desire include:
Addressing these contributing factors, where appropriate, may help support improvements in sexual desire as part of an overall treatment plan.
There is no single treatment for low libido, as this condition can be influenced by a wide range of factors. Following a comprehensive assessment, our men’s health doctor will recommend a personalised treatment plan based on the underlying cause of your symptoms.
If investigations confirm clinically low testosterone levels, Testosterone Replacement Therapy (TRT) may be recommended to restore hormone levels. For suitable patients, TRT may help improve sexual desire, energy levels, mood and overall wellbeing while being carefully monitored throughout treatment.
Low libido and erectile dysfunction are distinct conditions, but they may occur together. Men experiencing both reduced sexual desire and difficulty achieving or maintaining erections may benefit from treatment for erectile dysfunction, helping to restore sexual confidence and improve overall sexual function.
For suitable men with erectile dysfunction, Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment that stimulates blood vessel formation and improves penile blood flow. Although ESWT is not a direct treatment for low libido, improving erectile function may help enhance sexual confidence and satisfaction in selected patients.
Where low libido is associated with lifestyle habits, chronic medical conditions or certain medications, treatment may involve addressing these contributing factors. This may include improving sleep, increasing physical activity, managing body weight, optimising control of existing medical conditions or reviewing medications where appropriate.
When stress, anxiety, depression or relationship difficulties contribute to reduced sexual desire, appropriate counselling or psychological support may be recommended alongside medical treatment. Addressing both the emotional and physical aspects of low libido often provides the best long-term outcomes.
Finding the right treatment starts with understanding the cause of your symptoms.
Our clinic provides confidential assessments to identify the factors contributing to low libido and recommend a personalised treatment plan based on your individual needs.
Persistent low sex drive can affect your confidence, relationships and overall quality of life. Seeking medical advice early allows potential contributing factors to be identified and managed before they have a greater impact on your physical and emotional wellbeing.
At Dr Tan Medical Center, Dr Tan Kok Kuan provides confidential, personalised assessment and treatment for men experiencing low libido and other sexual health concerns. By identifying and addressing the factors contributing to reduced sexual desire, he develops tailored management plans that support long-term improvements in sexual health and overall wellbeing.
If you are concerned about a persistent decline in your sex drive, contact us to arrange a confidential consultation.

Meet Our Sexual Health Specialist in Singapore
Dr Tan Kok Kuan
Men’s Health & Sexual Health Doctor
MBBS (S’pore), Cert. Men’s Health, Cert. Clinical Dermatology,Member, Academy for Men’s Health (Singapore)Member, Singapore Association for the Study of ObesityMember, International Society of Sexual Medicine
Dr Tan Kok Kuan is a men's health and sexual health doctor with over 20 years of clinical experience in evaluating and managing conditions that affect male sexual wellbeing, including low libido. He takes a personalised approach to care, recognising that reduced sex drive may be influenced by hormonal imbalances, underlying medical conditions, psychological factors or lifestyle habits.
Where appropriate, Dr Tan offers evidence-based treatments such as Testosterone Replacement Therapy (TRT) for men with clinically confirmed testosterone deficiency, alongside tailored management plans that address the underlying causes of low libido to support long-term improvements in sexual health and overall wellbeing.
“Every patient deserves our fullest attention.”
If you have any queries, please contact us at 6513 0359 or use the contact form below.
10 Sinaran Drive #09-30, Novena Medical Centre, Singapore 307506
Tel: (+65) 6513 0359 | WhatsApp: (+65) 9750 5037
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Monday to Friday: 8:30 AM to 6:30 PM
Saturday: 9:00 AM to 2:00 PM
Closed on Sundays and Public Holidays