Struggling with Sexual Desire: Seeking Solutions and Understanding - Urology

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Demand? Discontent?


Hello, doctor.
It's been a while.
Although I am someone with a psychogenic disorder, I still have sexual desires just like anyone else! I’m not saying that my condition affects me in a certain way, but I do want to engage in relationships with women.
This may seem normal to most people, but I just can't control this desire! Some suggest using exercise as a method, but I’ve tried that and it hasn’t reduced my urges.
I haven’t tried DIY methods because I find them repulsive.
I envy those who seek companionship with sex workers, though I know the risks of sexually transmitted infections.
Of course, I wouldn’t act on a specific target! I know there is a method that might work, which is getting injections.
In the U.S., sex offenders are periodically required to receive these injections to reduce sexual desire.
I might try this so that I won’t have this issue anymore.
Otherwise, whenever I see someone who fits my desires, I just want to engage with her.
But in reality, I cannot act on those impulses, as I would be violating the law, which frightens me.
I feel trapped between my sexual urges and the law...
There are also people who, for some reason, always manage to get girlfriends, while I struggle and end up with the same results every time! At the end of this message: Thank you for your response, doctor, but please send it to my email, as posting it on other websites (including Taiwan e-Hospital) might lead some people to misuse this injection.
Thank you.

Xiao Jie, 20~29 year old female. Ask Date: 2004/04/07

Dr. Liu Jianting reply Urology


I’m very sorry! These matters involve certain professional issues, and I suggest you consult a psychiatrist.

Reply Date: 2004/04/07

More Info


Struggling with sexual desire, especially when compounded by mental health issues, can be a complex and challenging experience. It's important to recognize that sexual desire is a natural human instinct, and feeling this way does not make you abnormal. However, managing these feelings in a healthy and constructive manner is crucial, especially when you are aware of the legal and ethical implications of acting on those desires.

Firstly, it’s essential to understand that sexual desire can be influenced by various factors, including psychological conditions, hormonal changes, and personal experiences. For individuals with mental health issues, such as psychotic disorders, the management of sexual desire can be particularly difficult. It’s commendable that you are seeking solutions and understanding rather than succumbing to impulsive actions.

Exercise is often recommended as a way to manage sexual desire. While you mentioned that it hasn’t worked for you, it’s worth noting that physical activity can help release endorphins, which may improve mood and reduce stress. This, in turn, might help in managing sexual urges. However, if exercise alone does not suffice, it may be beneficial to explore other coping mechanisms.

You mentioned DIY methods, which can be a healthy way to relieve sexual tension, but it’s understandable that they may not appeal to everyone. It’s important to find what works for you personally. If traditional methods do not resonate, consider exploring mindfulness or relaxation techniques, such as meditation or yoga. These practices can help you gain better control over your thoughts and impulses.

Regarding the use of medication or injections to manage sexual desire, it’s crucial to approach this option with caution. While some medications can reduce libido, they often come with side effects and should only be considered under the guidance of a qualified healthcare professional. It’s essential to have an open and honest discussion with your psychiatrist or therapist about your feelings and the potential options available to you. They can provide tailored advice based on your specific situation and mental health needs.

Additionally, seeking therapy can be incredibly beneficial. A mental health professional can help you explore the underlying causes of your sexual desires and develop strategies to cope with them. Cognitive-behavioral therapy (CBT), for example, can help you identify and change negative thought patterns and behaviors associated with your sexual urges.

It’s also important to cultivate healthy relationships and social connections. Engaging in social activities, joining clubs, or participating in community events can help you meet new people and potentially form romantic relationships. Building a support network can provide emotional relief and reduce feelings of isolation.

Lastly, it’s crucial to respect the boundaries of others and understand the legal implications of your desires. Engaging in illegal activities, such as soliciting sex, can lead to severe consequences, including legal action and harm to your mental health. It’s commendable that you recognize the potential risks involved and are seeking alternatives.

In summary, managing sexual desire, especially in the context of mental health challenges, requires a multifaceted approach. It’s essential to explore various coping strategies, seek professional guidance, and build a supportive social network. Remember, you are not alone in this struggle, and there are healthy ways to navigate your feelings. Always prioritize your well-being and the well-being of others in your journey towards understanding and managing your sexual desires.

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