Talk to Psychiatry on Daily Nightfall Side Effects

Assalam o Alaikum Doctors,

Main 25 saal ka male hoon aur mujhe kuch arsay se low libido ka masla face ho raha hai. Pehle meri sexual desire normal thi lekin ab kaafi kam ho gayi hai. Arousal bhi pehle jaisa strong nahi hota. Main single hoon aur currently koi sexual relationship mein nahi hoon.

Mera past medical history yeh hai ke mujhe depression aur anxiety ka issue raha hai. Kuch time pehle main ne **Clomfranil 25 mg (clomipramine)** use ki thi. Ab main yeh samajhna chahta hoon ke:

1. Kya meri low libido ka sabab woh antidepressant ho sakti hai, even agar main ab regular use nahi kar raha? 2. Kya mujhe hormonal tests karwane chahiye? Agar haan to kaun se specific tests (Total Testosterone, Free Testosterone, LH, FSH, Prolactin, TSH etc.)? 3. Agar hormones normal aayein to next step kya hona chahiye? 4. Is condition ke liye kaun si medicine safe aur effective hoti hai meri age mein? 5. Kya lifestyle changes (exercise, diet, sleep improvement) se real improvement aa sakti hai ya me