Question: I’m a man in my 60s and in the last year or so I’ve lost interest in sex. My wife feels hurt, but it is nothing she has done. Physically, I feel OK. What do you think is going on with me?

Dr. Cwynar's answer:
"Manopause" has increasingly been a subject of discussion and may be at the root of your problem. More and more we realize that just like women, men go thru hormonal changes as well as they age. The most important thing to check is testosterone. Make sure your doctor checks not only the total testosterone but the free testosterone level as well. The free level is the hormone that is actually active and influences the brain and the body to do what its suppose to do. The total testosterone is the amount of hormone made in the body, but it may not actually get to the receptors it needs to. You are not alone in feeling this way. Many men have a loss in libido as they get older. Unfortunately, most men don't discuss these issues so they can get the help they need.