Sexual Dysfunction: Concerns About Apathy and Morning Erections - Urology

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Sexual dysfunction


Doctor, I really dislike seeing intimate scenes, and I also don't like the way I look when I wake up with an erection in the morning.
I have never had thoughts of masturbation.
Is there something wrong with me?

Xingqu Queque, 10~19 year old female. Ask Date: 2005/12/30

Dr. Xu Weikai reply Urology


Lack of interest: Hello, I suggest you consult a psychiatrist for a comprehensive evaluation.
This is a response from Dr.
Hsu Wei-Kai, Head of Urology, Taitung Hospital, Department of Health, Executive Yuan, who cares about your well-being.

Reply Date: 2005/12/30

More Info


Sexual dysfunction can manifest in various forms, and your concerns about disliking intimate scenes, feeling uncomfortable with morning erections, and lacking interest in masturbation are valid and deserve attention. It's important to understand that sexual health is a complex interplay of physical, psychological, and emotional factors.
Firstly, your aversion to seeing intimate scenes could stem from a variety of reasons, including personal beliefs, past experiences, or even cultural influences. Some individuals may find such scenes uncomfortable due to their upbringing or personal values regarding sexuality. This discomfort is not inherently a problem unless it significantly impacts your quality of life or relationships. It’s crucial to explore these feelings further, as they may provide insight into your overall sexual health and well-being.

Regarding morning erections, it’s essential to recognize that they are a normal physiological response. Morning erections, or nocturnal penile tumescence, occur during REM sleep and are a sign of healthy blood flow and nerve function in the penis. However, if you find these occurrences distressing or uncomfortable, it may be helpful to explore why you feel this way. It could be linked to anxiety, discomfort with your body, or other psychological factors.
Your lack of interest in masturbation is also noteworthy. While masturbation is a common and healthy sexual activity, not everyone feels compelled to engage in it. Some individuals may not have the desire to masturbate due to personal preferences, psychological factors, or simply a lack of interest in sexual activity at that moment. However, if this lack of interest is accompanied by feelings of distress or if it affects your sexual relationships, it may be worth discussing with a healthcare professional.

It’s also important to consider the broader context of your mental health. Feelings of apathy or disinterest in sexual activity can sometimes be linked to conditions such as depression or anxiety. If you are experiencing other symptoms of mental health issues, it may be beneficial to seek support from a mental health professional. They can help you explore these feelings in a safe environment and provide strategies to address any underlying issues.

In summary, while your feelings about intimacy, morning erections, and masturbation may seem concerning, they are not uncommon. It’s essential to approach these feelings with curiosity rather than judgment. Engaging in open conversations with a healthcare provider or a mental health professional can help you gain a better understanding of your sexual health and emotional well-being. They can provide guidance tailored to your specific situation, helping you navigate any concerns you may have. Remember, seeking help is a sign of strength, and addressing these issues can lead to a more fulfilling and healthy sexual life.

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