Yes, I think he is depressed and anxious, and so this could be killing the sexual interest. However, he is not on anti-depression or anti-anxiety medication; paradoxically, I am--and my sex drive is higher! I agree with the comments that he is worrying unnecessarily etc; he doesn't seem to recognize or 'see' how much his body has changed. It never seems to be enough. I can't mention anything about how great he looks, because then he gets all self-conscious and feels 'under surveillance.' So it's basically a lose-lose scenario. Counseling does help, but he needs (we need) more help than that. I am trying to hang in there but all intimacy is too much for him, whether talking, including me in decisions that effect both of us, touching, cuddling, or sex. It's all off limits. Had hoped it would get better with T, but though things were looking better 3 weeks ago, they have been going downhill from there. And now his doctor wants new blood tests because he is worried about liver issues due to the T. He is already taking the max amount they prescribe. I don't know how to help him anymore, nor how to survive anymore in this relationship. But we have a son. I want to stick it out, but this is killing me. I've never had to withstand this sort of hurt for such a long period of time with so very little coming back. It's been about 8 months of this. Hope I am not oversharing. It's just so painful. My heart is breaking, and I love him so. But my love seems to mean nothing to him anymore. After 13 years together, I worry we're not going to make it. Helios.