With Dr. Abraham Morgentaler and Dr. Marianne Brandon

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In this episode, Dr. Brandon & Dr. Morgentaler talk about male libido and performance issues, testosterone and medication effects, performance anxiety, delayed orgasm, and why women's sexual desire often changes over time in long-term relationships.

00:00 Listener TRT Libido Question – A 50-year-old man asks why TRT helped at first but libido, arousal, sensitivity, and orgasm have since declined.

01:36 Medical Causes and Testosterone Tuning – They explore testosterone levels, medication side effects, and whether adjusting TRT could improve sexual function.

08:53 Anxiety Aging and Practical Fixes – They discuss performance anxiety, normal age-related sexual changes, and ways to increase stimulation and reduce pressure.

17:07 Orgasm Game Plan – Dr. Brandon explains how couples can plan ahead for erection or orgasm difficulties so the moment feels less stressful.

18:38 Evolutionary Libido Gap – They examine why women's desire may decline more than men's over time in long-term relationships.

23:29 Fixing Desire Not Fault – Instead of blaming either partner, they focus on making sex more exciting, increasing attraction, and understanding changing desire.

#sexualhealth #testosteronetherapy #relationshipintimacy