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Making a Change

Months into quitting, my libido still hasn't come back

The early improvement faded. My libido is low, my morning erections are gone, and I'm barely holding on while I decide whether to wait or see a doctor.

Hi,

I’m Nathan. I’ve had this problem for four years (I’m twenty-four now). At first I wasn’t aware that anything was changing. At some point, about three years ago, I noticed I couldn’t get hard. Back then I came across a website run by a sex therapist. It had information about porn addiction and its effects, and it said that the consequences of this addiction, the not getting hard, are fully reversible. I should add that I have a girlfriend who wanted us to wait until marriage to have sex. I decided there was still plenty of time before the wedding, so I stopped worrying about my problem and went back to the addiction. (I know it would have been easy to get back to full function then, because a month-long break I’d taken from porn had brought a noticeable improvement.)

I started quitting a little over four months ago; this is my fifth month. I’ve had a few slips, but for the last two months I’ve been completely abstinent. At the beginning things were better, and I had a few morning erections. My mood dropped a bit, but after a while things stopped improving, and the morning erections disappeared completely. Right now my libido is reduced, I don’t feel like doing anything, and I have no hope that this can get better. I have wet dreams about once a week. Will they drag out my recovery and my return to normal function, or are they actually a good sign? Before, while I was still hooked, I didn’t have them this often.

Recently I had blood tests. My prolactin was 15.53 ng/ml (reference range 4.04–15.20), and my total testosterone was 370 ng/dl (normal range 280–800). Where could such a low testosterone level be coming from? My goal for the next few months is to follow advice on ways to raise testosterone. I hope it works, because honestly I’m barely coping anymore, and I don’t know whether to keep going and wait, or take this problem to a doctor.

A thoughtful conversation.

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