My reply is too long for one post so I'm splitting it into 2 posts.
The only thing I could see that could be an issue hormonally that could cause your libido to be low would possibly be the E levels being higher than normal. Your T levels are in the range for some guys that are on TRT and we get a lot of feedback from men on TRT whose libidos haven't gone up like they hoped about adding Inhibit-E into their protocol and it helping them a lot.
^^^ So that's an option that you could try that would cost less than 20.00 to try out and see if it helps.
When you say libido:
- Are you meaning that you just lack the desire for sex but can perform fine and it feels good when you have sex?
- Or do you lack the desire for sex and also don't get enjoyment from it and/or have a hard time keeping an erection?
I agree with what is already being said that seeing a therapist could be a good idea for this.
My post from this point forward is meant to hopefully be informative to you, but I'm not writing it specifically to you. I'm writing it in an overall informative context in hopes that other people that may read the thread now or down the road may find a benefit from some of it as well.
Lack of libido &/or lack of sexual satisfaction can be be related to medication, physical, or mental factors.
And if it is mental, it can be a combination of factors and not just one thing.
Lack of libido and lack of sexual satisfaction can be two completely different issues but can also relate to one another as well.
- Some people lack the desire for sex but can perform fine and sex feels good to them when they do have it.
- Some people lack the desire for sex and also don't get any enjoyment from it &/or have a hard time keeping an erection.
- Some people have the desire for sex but don't physically enjoy it as much once doing it as they hoped &/or have a hard time maintaining an erection; which may lead them to psychologically want it less.
Libido - As in Lack of Desire:
A variety of factors can contribute to a lack of sexual desire including hormonal issues, stress, anxiety, depression, performance anxiety, self image issues, or mental stimulation & sexual perception issues.
Medications - It's always important to check with your doctor and make sure it isn't related to medications that you may be taking. Common examples of these can include, but are not limited to SSRI's, antidepressants, anxiety medications, antihistamines (allergy medicine), decongestants, and more.
Hormone Levels - Hormone levels play a key role for many people and oftentimes people focus on the testosterone level too much and not enough on the estrogen level. So in the case of the OP, it could be that the estrogen levels being so high are the culprit or at least a contributing factor.
Stress, Anxiety, & Depression - sometimes when we're going thru things or overcome and overwhelmed by things, our minds are just so overwhelmed that we can't focus on other things that we want to do, enjoy, or think we should enjoy. And it can be a vicious cycle because we can then beat ourselves up more bc we don't want to do those things and it puts even more pressure on us and overwhelms us more.
Performance Anxiety - for many people, they may become so concerned with how they perform sexually that the brain can actually reduce the desire for sex as a coping mechanism to help them deal with the performance anxiety. Think of it like this - a person is so concerned about pleasing their partner, doing a good job, lasting longer, etc. that sex becomes a source of stress and anxiety and pressure rather than pleasure and the brain adapts to that stress, anxiety, and pressure by removing the desire for it as a protective mechanism for the person.
In a lot of cases like this, people result to using erection enhancing drugs to help perform better but then that can be be detrimental in the long term bc they then feel like they can't perform without them and that its not them pleasing their partner, that its the erection enhancing medication.
In this case, mental coping techniques, an understanding partner, and certain types of therapy can be very beneficial. One very common suggestion in cases like this is if the main worry is pleasing your partner, do it before you do anything penetration related. For example, if you please your partner with manual or oral stimulation, then it takes the pressure off to perform in other ways. Also, for many females, if they are already stimulated beforehand, they are more likely to have an orgasm during.
Lack of Physical Sensation:
Lack of sensation is different in a way than lack of feeling please. Lack of feeling pleasure can be physical or psychological. Lack of sensation from sexual activity can be a side effect of some medications and can also be the result of decreased blood flow &/or the result of too much manual stimulation or the type of manual stimulation.
For example, a person that masturbates frequently can have lack of sensation issues during sex because the hand can deliver a level of pleasure and tightness than the human body cannot. So its a common suggestion from a therapist perspective to people that do masturbate regularly to cut back on the amount of times but to also decrease the level of grip or stimulation strength to get yourself mentally and physically back used to levels of sensations and tightness that the human body can replicate.