Sexual Performance January 16, 2026

Has the Spark Faded? Why Your Long-Term Relationship Might Be Missing More Than Just Romance

It’s a common story. The initial passion and intimacy of a long-term relationship can sometimes fade, leaving you and your partner feeling more like companions than lovers. While emotional and relational factors play a significant role, what if there was a physiological reason behind this shift? For many men, the answer could lie in their testosterone levels.

The Unspoken Culprit: Low Testosterone

Testosterone is the primary male sex hormone, but it does more than just fuel your libido. It’s crucial for maintaining energy levels, muscle mass, mood, and overall vitality. As men age, it’s natural for testosterone levels to decline. In fact, average testosterone levels in men are declining by approximately 1% per year [11].

This decline can be even more pronounced in some individuals. In the UK, it’s estimated that 8-12% of men aged 40-69 have testosterone deficiency (TD) [4]. Furthermore, a staggering 20% of UK men over 50 suffer from low testosterone, yet only a fraction receive a proper diagnosis [7]. Low libido is a common symptom, reported by 31% of men with TD symptoms, alongside reduced erectile function in 27% of cases [9].

An Expert’s Perspective

“In my practice, I see many men who are concerned about their declining libido and energy levels. They often attribute it to stress or getting older, but frequently, low testosterone is a contributing factor. It’s a real medical condition that can have a significant impact on a man’s quality of life, but the good news is that it’s treatable. The first step is always to get tested.” – Dr. Raphael Olaiya, GP and TRT Expert Doctor

Knowledge is Power: The First Step to a New You

Ignoring the symptoms of low testosterone won’t make them go away. In fact, low testosterone is an independent risk factor for developing metabolic syndrome and type 2 diabetes [28]. The only way to know for sure if your testosterone levels are affecting your health and relationship is to get tested.

Our simple, at-home testosterone blood test kit is a discreet and convenient way to get the answers you need. Understanding your testosterone levels is the first step towards taking control of your health and revitalising your life.

Beyond the Bedroom: The Benefits of Optimised Testosterone

While improving your libido is a significant benefit, optimising your testosterone levels can have a profound impact on your overall well-being. Studies have shown that Testosterone Replacement Therapy (TRT) can lead to:

  • Improved Sexual Function: Significantly enhances sexual activity, desire, and erectile function [14].
  • Increased Muscle Mass and Strength: Helps you feel stronger and more vital [15].
  • Better Mood and Energy Levels: Contributes to a greater sense of well-being [17].
  • Reduced Fat Mass: Helps in achieving a healthier body composition [19].

Recent large-scale studies, such as the TRAVERSE trial, have also confirmed the cardiovascular safety of TRT, showing no increase in major adverse cardiac events [24].

Ready to take control of your health? Find out your testosterone levels with our simple and discreet at-home blood test kit. Order yours today and start your journey to a new you.

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About the Author

Dr. Raphael Olaiya is a UK-based General Practitioner and Expert in Testosterone Replacement Therapy. With years of experience helping men optimise their health, Dr. Olaiya is dedicated to providing safe, effective, and evidence-based care. (GMC No. 7492303)

References

[1] Awareness and prevalence of the symptoms of testosterone deficiency – BMJ Open 2025
[2] Cardiovascular Safety of Testosterone-Replacement Therapy – NEJM 2023 – TRAVERSE Trial
[3] Testosterone Treatment and Fractures in Men with Hypogonadism – NEJM 2024
[4] Long-Term Effect of Testosterone Therapy on Bone Mineral Density in Hypogonadal Men – JCEM 1997
[5] British Society for Sexual Medicine Guidelines on Adult Testosterone Deficiency, with a Focus on Male Sexual Dysfunction – British Society for Sexual Medicine Guidelines 2023
[6] The Testosterone Trials: Seven coordinated trials of testosterone treatment in elderly men with low testosterone – TTrials / JCI 2021
[7] Low Testosterone In Men Over 70 – Goldman Laboratories
[8] Why are we missing the diagnosis of low testosterone in men? – Dr Jeff Foster
[9] Awareness and prevalence of the symptoms of testosterone deficiency – BMJ Open 2025
[10] The five signs of testosterone deficiency all men need to know – Telegraph 2025
[11] Why do Gen Z and Millennial men have lower testosterone? – Medichecks
[12] Testosterone and the Metabolic Syndrome – PMC 2010
[13] Long-Term Effect of Testosterone Therapy on Bone Mineral Density in Hypogonadal Men – JCEM 1997
[14] The Testosterone Trials: Seven coordinated trials of testosterone treatment in elderly men with low testosterone – TTrials / JCI 2021
[16] Testosterone treatment and heart disease – VA Research 2017
[20] Cardiovascular Safety of Testosterone-Replacement Therapy – NEJM 2023 – TRAVERSE Trial
[22] The effect of testosterone replacement therapy on body composition and metabolism in men with hypogonadism – Frontiers Endocrinology 2023
[23] Testosterone and erectile function: from basic research to a new clinical paradigm for managing men with androgen deficiency and erectile dysfunction – ScienceDirect 2016
[24] Cardiovascular Safety of Testosterone-Replacement Therapy – NEJM 2023 – TRAVERSE Trial
[25] Testosterone Treatment and Fractures in Men with Hypogonadism – NEJM 2024
[26] Long-Term Effect of Testosterone Therapy on Bone Mineral Density in Hypogonadal Men – JCEM 1997

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