question-icon

Does Anxiety, Depression And Obsessive Compulsive Disorder Affect Sexual Health?

default
Posted on Tue, 17 Mar 2015
Question: I am a software engineer. I got married 8 years back( when was 22 ). Since my marriage we are not together(till day) . Only 3rd year we are together and we don’t have children due to ovarian syst problem to my wife. She working in working in different place I am in different place and she is Govt employee. I lost my job in 3rd year due recession, at that time I was at home and I was in little depression. She is little dominant on me but she loves me a lot (Love marriage). I am having cross dressing habit in my child hood for 2 years ( 9th and 10th standard ) later i went to hostel I was totally forgot that. When I lost my job it again started in 2009. But I did not have any issue from my wife end. When we fight, she never reminds that almost we are happy even we meet 2 days a week. But from 2013 onwards I became week on sex due to office tensions. When I do cross-dress I am bit better but not up to the mark. This issue was never before. From past 2 years only. Almost 1.5 years back she joined in college for higher studies and because of that we participate very less time even though she is not happy with me as CD or straight. 4th and 5th and 6th she is having period irregular problem as we tried multiple medication for child including steroid, because of that she is not having interest in sex later years I became week over sex. from past 6 months CD became too much I can feel that and she also complaint first time, she said I am not happy to see you like that . The reason is she became student again in her higher studeis in college and as she mingle with so many people and she said you have to be good and I can feel her love towards me. I am not able to stop cross dressing. I started controlling and after some days again i will start. Recently one more phobia started apart from CD, what people thinking about me and they are thinking badly about me. This is not because of CD because of politics in office. My wife only knows about this Habit.
Problem I am facing:
Talking myself with normal voice (not inside).
Cross dressing and I am not XXXXXXX
Too much masturbating (daily once may be more) But sperm count is good
Too much sexual feeling but failed when I participate
When I see god also I get some time sexual feeling and some time I wanted to beat him.

People around has no issues with me. My wife only knows that I am having this CD and talking myself issue I am sure about this. I don’t have any depression regarding no children issue. We are happy with each other. She is going to complete the course in couple of months by that time I have to be normal and we want to for children normally if not possible IVF( she having Ovarian issue ). I want participate sex normally and want to satisfy my partner. Please help.
.
doctor
Answered by Dr. Ashish Mittal (15 hours later)
Brief Answer:
You appear to have psychosexual problem.

Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

CD is not only problem, as you was able to have normal sex in past with it. Your current sexual appear due to anxiety, depression and excessive masturbation.

Desire to beat god, sexual thoughts towards god and excessive masturbation are common in a type of anxiety disorder called obsessive compulsive disorder (OCD).

Following steps will be helpful in treatment:
-Stop masturbation or atleast stop masturbation 7 days before having sex with wife.
-In person evaluation by nearby psychiatrist to rule out OCD.
-Treatment of anxiety and depression by nearby psychiatrist with prescription medicines like SSRIs and CBT (talking therapy).
-Start daily brisk walk or jogging for 30 minutes to improve blood circulation in body.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ashish Mittal (1 hour later)
Dear Sir,

Thanks for answer.

My problem here is I am not able to stop CD and mastubation. Means cannot able to control my mind from it. I wanted to stop thease two and self talking also is major problem while walking, bike driving and in journey. Please suggest some medicines.

Regards,
Patient.
doctor
Answered by Dr. Ashish Mittal (23 hours later)
Brief Answer:
Medicines are prescription medicine.

Detailed Answer:
Hello again,
Thanks for follow up,

Excessive-repetitive thoughts and excessive masturbation are common in obsessive compulsive disorder (OCD). CD may reduce after control in thoughts. OCD improve significantly with treatment.

But it need in person evaluation, before prescribing medicines. Moreover medicines are prescription medicine which need to given on prescription only. For, that you can meet nearby psychiatrist. If you are in XXXXXXX NCR, You can meet me personally.

TC
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1859 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Does Anxiety, Depression And Obsessive Compulsive Disorder Affect Sexual Health?

Brief Answer: You appear to have psychosexual problem. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. CD is not only problem, as you was able to have normal sex in past with it. Your current sexual appear due to anxiety, depression and excessive masturbation. Desire to beat god, sexual thoughts towards god and excessive masturbation are common in a type of anxiety disorder called obsessive compulsive disorder (OCD). Following steps will be helpful in treatment: -Stop masturbation or atleast stop masturbation 7 days before having sex with wife. -In person evaluation by nearby psychiatrist to rule out OCD. -Treatment of anxiety and depression by nearby psychiatrist with prescription medicines like SSRIs and CBT (talking therapy). -Start daily brisk walk or jogging for 30 minutes to improve blood circulation in body. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards,