Sexual Orientation Confusion: A Guide for Young Men - Psychiatry

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Sexual orientation confusion


Hello doctor, I am a 24-year-old male from Taipei who has been "single since birth" and has "no sexual experience." After reading many responses, I still feel uneasy, so I would like to consult you personally.
My biggest issue right now is that I cannot distinguish whether I am homosexual or bisexual.
Since before I turned 12, I would get an erection when I saw boys shirtless (with the exception of those with poor physiques), and it wasn't until puberty that I became somewhat desensitized.
Strangely, I enjoy watching videos of boys masturbating, but I don't have a particular preference for gay porn (male homosexual acts); instead, I prefer watching heterosexual porn and I don't have a fear of women.
However, I don't usually have a physiological reaction to seeing naked women.
The oddest thing is that all the sexual dreams I've had in my life have involved women.
Looking back, although I have never deeply fallen in love with anyone, I have appreciated certain women and had some ambiguous feelings; with men, it seems more desire-driven, and once that is satisfied, I don't think about pursuing a relationship.
This might be related to my internal rejection of homosexuality.
Regarding my gender expression, I consider myself male, but for some reason, I often give off a somewhat effeminate vibe.
I've always been weaker, have a higher-pitched voice, and my index finger is longer than my ring finger, which suggests a possible deficiency in androgens.
Psychologically speaking, I often feel like I lack a sense of self and frequently "imitate" others.
For example, if I want to be like a certain celebrity, I will mimic all their behaviors, regardless of their gender; sometimes it's a male celebrity, and other times it's a female one.
However, even when imitating a female celebrity, I don't reject my own penis, which is quite strange.
Even more oddly, I dislike wearing women's clothing, feeling that I am already feminine enough, and wearing gender-neutral clothing would make me appear even more feminine.
Overall, I feel very contradictory.
I have asked some seniors for advice, and some said that I am too insecure and envy masculinity, suggesting that if I developed more masculine traits, I would become heterosexual.
Others have suggested that I might have a split personality, possibly indicating that I would be a homosexual if I transitioned to female, or a homosexual if I remained male.
In any case, I am extremely confused right now, and as an only child, my expectations are not high.
I just hope you can help me analyze my situation and suggest ways to help me respond more physiologically to naked women.
*As a side note, I have no interest in transgender individuals and even find them repulsive; since I turned 22, I have found it easier to become aroused by female bodies, especially vaginal squirting and breasts, although this happens only occasionally.
Thank you very much, doctor.

Niming, 20~29 year old female. Ask Date: 2021/05/25

Dr. Wu Menghuan reply Psychiatry


Hello: Current medical understanding suggests that sexual orientation is innate, and no sexual orientation is considered a disorder or requires treatment.
Everyone has their own unique personality and temperament.
It seems that you may be struggling with the need to boost your confidence or self-identity through imitation or seeking validation from others.
It is recommended that you visit a mental health clinic to seek a referral for psychological therapy.

Reply Date: 2021/05/25

More Info


Understanding sexual orientation can be a complex and deeply personal journey, especially for young men navigating their feelings and experiences. Based on your description, it seems you are grappling with a mix of sexual attraction, societal expectations, and personal identity. Here’s a breakdown of your situation and some guidance on how to approach it.

Firstly, it’s important to recognize that sexual orientation is not strictly binary; it exists on a spectrum. Many individuals experience attractions that may not fit neatly into categories like heterosexual, homosexual, or bisexual. Your feelings of arousal towards men, coupled with your lack of physical response to women, suggest that you may be exploring aspects of your sexuality that are not yet fully defined. This is completely normal, especially at your age.

Your experiences of arousal when viewing male bodies, alongside your enjoyment of heterosexual adult films, indicate a nuanced relationship with your sexual orientation. It’s also noteworthy that your dreams feature women, which suggests that your subconscious may be processing these feelings differently. The fact that you have had some level of attraction or admiration for women, even if it hasn't translated into physical arousal, further complicates the picture.
The feelings of confusion and contradiction you describe—such as feeling more comfortable in your male identity while also exhibiting traits that others perceive as "feminine"—are common among many individuals. Gender identity and sexual orientation can be intertwined, but they are distinct aspects of who you are. Your self-description as having a more "feminine" demeanor does not negate your identity as a man, nor does it dictate your sexual orientation.

Regarding your concerns about societal perceptions and the pressure to conform to traditional masculinity, it’s essential to understand that societal norms can be restrictive and do not define your worth or identity. The idea that you must embody a certain type of masculinity to be considered "normal" is a misconception. Embracing your individuality, including your interests and preferences, is crucial for your mental health and self-acceptance.

If you find yourself mimicking others as a way to build confidence, this could be a sign of underlying self-esteem issues. Seeking therapy or counseling can be beneficial in helping you explore these feelings and develop a stronger sense of self. A mental health professional can provide a safe space for you to discuss your thoughts and feelings without judgment, helping you to navigate your identity and relationships more effectively.

As for your desire to have a stronger physical reaction to women, it’s important to remember that sexual attraction can be influenced by various factors, including emotional connection, context, and personal comfort. Engaging in open conversations with potential partners about your feelings and desires can help create a more comfortable environment for exploring intimacy.

Lastly, it’s crucial to approach this journey with patience. Understanding your sexual orientation and identity is not something that happens overnight. Allow yourself the grace to explore these feelings without the pressure of labeling yourself immediately. Engaging with supportive communities, whether online or in-person, can also provide valuable insights and connections with others who may be experiencing similar feelings.

In summary, your journey of self-discovery regarding sexual orientation is valid and important. Embrace the complexity of your feelings, seek support when needed, and remember that your identity is uniquely yours. It’s okay to take your time in understanding who you are and what you want in relationships.

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