Hello
If he feels tiredness then once check his blood sugar levels. He might be suffering from piles or fissure in ano as you mentioned bleeding with motion. The above mentioned symptoms are the causes of libido or loss of interest in sex. So he needs physical examination. Consult to sexologist or surgeon.
Next Steps
Investigations blood sugar, fasting and pp. Rectal examination.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Sexual Health
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