My husband and I are in the process of investigating his declining libido. He is 45. We still have sex (performance doesn't seem to be a problem), but he doesn't always have the interest. He is lovingly seeking medical attention because I expressed my sadness and concern over his lack of desire. I have maintained my appearance - and we are very much in love. Thank heavens he responded by wanting to help our relationship - instead of in resentment or anger. He is not computer savy, but wants to investigate this.

Here are the facts:
6', 190 lbs.
Meds: Lotensin HCT (bp is great on med) and Crestor (cholesterol is almost where it needs to be). He has been off Effexor XR for 13 months (it was prescribed for anxiety and caused terribly delayed ejaculation - and decrease in libido).
Vasectomy 9 years ago
Back surgery 6 years ago (has degenerative disc - and is in some pain most of the time).

His first bloodwork revealed:
Testosterone 389 (Reference range 241-827)
Free Testosterone 10.8 (Ref. range 6.8-21.5)
LH 3.1 (Ref. Range 1.5-9.3)
FSH 4.2 (Ref. Range 1.4-18.1)
TSH 2.358 (Ref. Range 0.350-5.500)

This was performed by general practioner and he sent in a prescription for Androgel. After all of my reading, we want to be sure this is the best route, and if we need to do anything at all. We have an appt. tomorrow with the local urologist.

Any comments or ideas from you all who have experienced similar situations would be appreciated. Thanks in advance.

Well, the urologist today said that all tests proved normal. He saw the same ones I posted earlier. Since performance is ok, just to try to make more time, work less, etc. Also said the Lotensin HCT (with the fluid pill) could be part of the problem. At first we were very happy and reassured that everything was "normal", but now I'm faced with the reality that there's no quick fix - maybe it is me. Anyway, we'll call general practitioner tomorrow to see if there's an alternative to the HCT.

Thank you Megazoid and JinL. I'm sort of afraid we're back to square one now that the urologist assured us that my husband's testosterone is "normal". I think my husband was so relieved to hear that, that he is convinced now that his problem must be related to his blood pressure medicine. He is currently on Lotensin HTC. I called the Dr. today to see if he could try Cozaar instead. The fluid part (HTC) can effect libido - the urologist said. Do you all agree? I guess the BP meds have no effect on the testosterone levels though. So, I am now really wondering if we'll make any real improvements. I don't know if I can persuade my husband to ask for those more detailed blood tests yet. I think he wants to blame it all on BP med. So, I guess we'll see what happens next. Reminder - performance is not my husband's concern, but the lack of interest in sex is what sent us to the Dr. to begin with. Thanks again and feel free to make any other suggestions.