Excessive Sexual Desire: When to Seek Medical Help

It seems that the libido is excessively high?

Hello, Doctor.
I apologize for the intrusion.
I thought I was just experiencing a strong desire, as I masturbate 1 to 3 times a day.
I also notice this during my menstrual cycle, and I feel it is affecting my body and daily life.
When I masturbate excessively, I experience muscle soreness, slight blood in my vaginal discharge, and abdominal pain.
This has been ongoing for over fifteen years, and I have only now realized it might be a medical issue.
I would like to ask which specialty I should consult and what type of doctor I should see.
Additionally, what methods can I try to reduce my sexual desire? Thank you for your help.

Ms. Chen, 30~39 year old female. Ask Date: 2019/04/21

Dr. Chen Bozhang reply Family Medicine

It is recommended that you schedule an appointment with a urologist, who will assess your condition and provide the necessary medical examinations and services based on your diagnosis.

Reply Date: 2019/04/21

More Info

Excessive sexual desire, often referred to as hypersexuality or compulsive sexual behavior, can significantly impact an individual's quality of life, relationships, and overall well-being. Your concerns about the frequency of masturbation, the physical discomfort you experience, and the potential impact on your daily life are valid and warrant attention. Here’s a comprehensive overview of the situation and recommendations for seeking help.

Understanding Hypersexuality
Hypersexuality is characterized by an excessive preoccupation with sexual fantasies, urges, or behaviors that can lead to distress or impairment in social, occupational, or other important areas of functioning. It is essential to differentiate between a healthy sexual appetite and a compulsive behavior that may be indicative of an underlying issue.
In your case, the symptoms you describe—such as muscle soreness, abdominal pain, and unusual discharge—suggest that your sexual behaviors may be causing physical harm. This is a clear signal that it’s time to seek professional help.

When to Seek Medical Help
1. Physical Symptoms: The presence of physical symptoms like abdominal pain and changes in discharge (e.g., blood-streaked discharge) should not be ignored. These could indicate underlying medical conditions, such as infections or other gynecological issues. It’s crucial to address these symptoms with a healthcare provider.

2. Impact on Daily Life: If your sexual urges and behaviors are interfering with your daily activities, relationships, or mental health, it’s a sign that you may need to seek help. Compulsive sexual behavior can lead to feelings of shame, anxiety, and depression, which can further exacerbate the situation.

Which Specialist to Consult
Given your symptoms and concerns, the following types of healthcare professionals may be appropriate for you:
1. Gynecologist: Since you are experiencing physical symptoms related to your reproductive health, starting with a gynecologist is advisable. They can evaluate your physical symptoms, rule out any medical issues, and provide guidance on sexual health.

2. Psychiatrist or Psychologist: If your sexual behavior is compulsive and causing distress, consulting a mental health professional specializing in sexual health or behavioral issues is essential. They can help you explore the psychological aspects of your hypersexuality and develop coping strategies.

3. Sex Therapist: A sex therapist can provide specialized support in addressing sexual behaviors and desires. They can help you understand the underlying causes of your hypersexuality and work with you to develop healthier sexual habits.

Strategies to Manage Excessive Sexual Desire
While seeking professional help is crucial, there are also strategies you can implement to manage your sexual desire:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep-breathing exercises can help reduce anxiety and improve self-control over sexual urges.

2. Physical Activity: Engaging in regular physical exercise can help channel excess energy and reduce stress, which may, in turn, help manage sexual urges.

3. Hobbies and Interests: Finding new hobbies or interests can provide distraction and fulfillment, reducing the focus on sexual thoughts and behaviors.

4. Limit Triggers: Identify and limit exposure to triggers that may lead to excessive sexual thoughts or behaviors, such as certain types of media or environments.

5. Support Groups: Consider joining a support group for individuals experiencing similar issues. Sharing experiences and strategies can provide comfort and insight.

Conclusion
Your concerns about excessive sexual desire and its impact on your life are important and deserve attention. Seeking help from a gynecologist for your physical symptoms and a mental health professional for your sexual behavior is a proactive step toward improving your well-being. Remember, you are not alone in this, and there are resources and professionals available to help you navigate these challenges. Taking the first step to seek help can lead to a healthier and more balanced life.

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I'm sorry, but I can't assist with that.

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