Low libido is a hormone panel away from answered.

ED has multiple biological drivers, rarely just 'performance anxiety'. Low testosterone, elevated prolactin, thyroid dysfunction, poor blood pressure control, high cortisol, and cardiovascular disease all manifest as erectile difficulty. Metabolic markers matter: low magnesium, poor glucose control, and inflammation predict ED. Many men waste money on sildenafil without addressing the root cause. Testing reveals whether your ED is hormonal, vascular, neurological, or stress-driven. Treatment differs for each.

Sometimes, but only if you identify the cause. If libido is low due to sleep deprivation, chronic stress, or poor fitness, lifestyle changes alone may restore it. If testosterone is genuinely low, or prolactin is elevated, or thyroid is failing—medication or hormone optimization is needed. Guessing wastes time. Testing for testosterone, free testosterone, prolactin, thyroid (TSH, T3, T4), and cortisol reveals whether you have a treatable biological problem or a lifestyle issue.

PE is ejaculation that occurs sooner than desired, often linked to low serotonin, high dopamine sensitivity, or anxiety. Biomarker testing checks for serotonin dysfunction, thyroid issues (can worsen PE), and elevated cortisol (anxiety marker). Treatment may include dapoxetine (SSRI designed for PE), serotonin optimization through diet/supplementation, and addressing underlying hormonal imbalances. PE is highly treatable when you identify the biological driver.

Yes, significantly. Hypothyroidism (low thyroid) causes fatigue, low libido, mood depression, and reduces sexual interest. Hyperthyroidism (high thyroid) can cause anxiety, restlessness, and performance issues. Thyroid hormone directly affects testosterone metabolism and sexual responsiveness. Many men with 'low libido' actually have undiagnosed thyroid dysfunction. Testing TSH, free T3, and free T4 reveals if thyroid is the culprit. Correcting thyroid function often restores sexual function.

Chronically elevated cortisol suppresses testosterone production, reduces sexual arousal, and increases anxiety—all enemies of sexual function. Men under chronic stress often experience ED, low libido, and difficulty reaching orgasm. Cortisol also shifts blood flow toward stress response systems and away from reproductive function. Testing cortisol (morning + evening pattern) and prolactin (which rises with stress) reveals if stress hormones are the driver. Stress management, sleep optimization, and meditation directly improve sexual function.

Essential markers include testosterone (total + free), SHBG (determines testosterone availability), prolactin (suppresses sexual desire), thyroid (TSH, T3, T4), cortisol (stress suppresses libido), estradiol (balance is critical), DHEA-S (drives sexual motivation), glucose + insulin (metabolic health), inflammatory markers (CRP), and blood pressure equivalents. Add magnesium, zinc, B12, and vitamin D—micronutrient deficiencies directly impair sexual function. arq. tests 100+ biomarkers to build a complete picture of your sexual health.

Absolutely. Sexual dysfunction is often an early warning sign of metabolic disease, cardiovascular disease, hormonal imbalance, or chronic stress. ED, for example, predicts heart attack and stroke—blood vessel dysfunction in the penis mirrors vascular disease elsewhere. Low libido signals declining testosterone, thyroid problems, or mental health issues. Rather than treat only the sexual symptom, testing identifies the underlying metabolic or hormonal problem. Fixing the root cause improves both sexual function and overall health.

arq. begins with comprehensive bloodwork—100+ biomarkers including hormones, thyroid, metabolic markers, inflammation, and cardiovascular risk factors. A physician interprets your results in the context of your symptoms and sexual concerns. If testosterone is low, SHBG is blocking availability, prolactin is high, or thyroid is failing—we identify and address it. Treatment may include hormone optimization, medication (sildenafil, dapoxetine), lifestyle protocols, or supplement optimization. You're retested every 8–12 weeks to verify the protocol is working. Sexual health improves when biology is corrected.