Sexual Fantasies: Insights from a Psychiatric Perspective - Psychiatry

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Sexual fantasy issues?


Hello, doctor.
When I masturbate, I often have sexual fantasies about sexual intercourse between a girl and a boy.
I have also been curious and worn women's lingerie a few times, but I still psychologically prefer girls.
Thank you for your response, doctor.

Niming, 20~29 year old female. Ask Date: 2020/01/25

Dr. Liang Sunyuan reply Psychiatry


Hello: If it involves private behaviors and thoughts, it should be considered an exploratory attempt for stimulation.
As long as one is not addicted to it, there shouldn't be too much concern.

Reply Date: 2020/01/25

More Info


Understanding sexual fantasies is a complex topic that intertwines psychological, emotional, and biological factors. From a psychiatric perspective, sexual fantasies can serve various purposes and reflect a range of desires, anxieties, and personal experiences. It is essential to recognize that sexual fantasies are a normal part of human sexuality and can vary widely among individuals.

In your case, you mentioned that during masturbation, you often fantasize about sexual activities involving both males and females, while you primarily identify as being attracted to females. This duality in your fantasies is not uncommon and can be understood through several lenses.

Firstly, sexual fantasies often allow individuals to explore desires that they may not act upon in real life. They can serve as a safe space to experiment with different scenarios, identities, and experiences without the risks associated with real-life interactions. For instance, fantasizing about a sexual encounter between a male and female may not necessarily indicate a desire for such an encounter in reality; rather, it could reflect curiosity or an exploration of sexual dynamics.

Moreover, the act of fantasizing about wearing women's lingerie, even if infrequently, can be seen as a form of sexual exploration. This behavior does not inherently indicate a change in sexual orientation but rather an interest in the sensations and experiences associated with femininity. Many individuals engage in cross-dressing or similar behaviors as a way to explore their identity, challenge societal norms, or simply for the thrill of it.

From a psychological standpoint, it is also important to consider the role of societal influences and personal experiences in shaping sexual fantasies. Cultural narratives, media representations, and personal relationships can all contribute to the development of specific fantasies. For example, if you have been exposed to media that portrays sexual relationships between males and females in a particular light, it may influence your fantasies, even if your primary attraction is towards females.

Additionally, the concept of fluidity in sexual orientation is increasingly recognized in contemporary psychology. Many people experience shifts in their attractions and fantasies over time, which can be influenced by various factors, including age, life experiences, and emotional states. It is possible that your fantasies reflect a natural exploration of your sexuality, which may evolve as you gain more experiences and insights about yourself.

It is also worth noting that sexual fantasies can sometimes evoke feelings of guilt or confusion, especially if they conflict with one's self-identified sexual orientation. It is crucial to approach these feelings with self-compassion and understanding. Engaging in open conversations with a mental health professional can provide clarity and support as you navigate your feelings and fantasies.

In conclusion, your experiences with sexual fantasies are a normal part of human sexuality. They can serve as a means of exploration and self-discovery. It is essential to approach these fantasies without judgment and to recognize that they do not define your sexual orientation or identity. If you find that your fantasies or feelings are causing you distress, consider seeking guidance from a mental health professional who specializes in sexual health. They can help you explore these feelings further and provide support as you navigate your sexual identity.

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