Sexual Arousal: Confusion and Concerns for College Students - Psychiatry

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

andy, 20~29 year old female. Ask Date: 2004/02/15

Dr. Wang Zhenyang reply Psychiatry


Hello Andy: Whether one is homosexual involves not only physiological responses but also emotional orientation, which is an important aspect.
Young men are often sensitive to sexual stimuli or physical touch; if a classmate plays with you and you become aroused, it does not necessarily mean you are homosexual.
It is essential to consider whether your romantic feelings and sexual fantasies are directed towards the same sex.
There could be many reasons why you might not be able to achieve an erection during intercourse with your girlfriend, and it is important to explore these factors to gain a better understanding.
Additionally, homosexuality is not considered a pathological condition in psychiatry; unless an individual struggles to accept their orientation, it is generally not recommended to attempt to forcibly change them back to heterosexuality.
If you have further questions, it would be beneficial to consult a psychiatrist to discuss your situation for a clearer understanding.

Reply Date: 2004/02/15

More Info


It's completely normal to experience confusion and anxiety regarding sexual arousal, especially during the college years when many individuals are exploring their identities and sexual orientations. Your situation raises several important points that can help clarify your feelings and experiences.

First, it's essential to understand that sexual arousal can be influenced by a variety of factors, including psychological, emotional, and physiological elements. The fact that you find it difficult to maintain an erection with your girlfriend but experience arousal in other situations, such as seeing your classmates, does not necessarily indicate that you are gay or that there is something wrong with you. Many people experience situational erectile dysfunction, which can stem from anxiety, stress, or performance pressure. This is particularly common among young men who may feel societal expectations to perform in a certain way during sexual encounters.

Your feelings of embarrassment and confusion when you find yourself aroused by seeing other men's bodies can be distressing, especially if you hold beliefs that being gay is "not normal." It's important to recognize that sexual attraction can be fluid and complex. Many individuals experience attraction to multiple genders at different times in their lives, and this does not define their overall sexual orientation. For instance, some people may identify as heterosexual but still find themselves attracted to the same sex at times. This phenomenon is often referred to as bisexuality or fluidity in sexual orientation.

It's also worth noting that societal norms and personal beliefs can heavily influence how we perceive our sexual feelings. If you have been taught that homosexuality is wrong or abnormal, it can create internal conflict when you experience attraction to the same sex. This internalized homophobia can lead to feelings of shame and confusion. It's crucial to challenge these beliefs and understand that sexual orientation is not a choice; it is a part of who you are.

If you're feeling overwhelmed by these thoughts and experiences, it may be beneficial to seek support from a mental health professional. A therapist can provide a safe space to explore your feelings without judgment and help you understand your sexual orientation better. They can also assist you in addressing any anxiety or performance issues you may be facing in your sexual relationships.

In the meantime, consider practicing self-acceptance and being open to the idea that your feelings do not define your identity. Engaging in open conversations with trusted friends or peers about sexuality can also help normalize your experiences and reduce feelings of isolation.

Lastly, remember that sexual orientation is a spectrum, and it's okay to take your time to understand where you fit within it. Your worth is not determined by your sexual experiences or attractions, and it's essential to be kind to yourself as you navigate this complex aspect of your identity.

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