Significantly decreased attraction to girls, what to do in this situation?

Artem: Good day! I have this problem. Decreased attraction to girls, and noticeable. Took the Cialis, he helped. Now it is very bad helps. Tried the Levitra is not mine. Viagra works, but to me it becomes not so good. In General, sex is very rarely desirable. I am 34 years old, height 182, weight 90. Not fat, belly is not hanging. Earlier too there were such problems, but expressed slightly. And now it has become worse. Alcohol use less often, maybe once a week in the company of friends well sit. Smoke, however, many (1.5 packs per day). Stress did not seem to be. Did ultrasound of the prostate, it's fine. Yes, and even sexual intercourse I have a very fast. Took Dapoxetine. He only helps out. But an erection even with Cialis became ill. What can you recommend? Thank you.

The answer of the doctor-doctor: Hello, Artem! You first need to determine the cause of decreased libido. You described the drugs only improve the quality of erections, but libido is not affected. I recommend to explore total testosterone, LH, SHBG, TSH, prolactin, estradiol, blood sugar, perform ultrasound penile Doppler and address on reception to the sexologist about medicines to delay ejaculation. But Smoking need to quit. This greatly affects the vessels of the penis. I wish you health.