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Suggest Treatment To Recover From Over Masturbation

Posted on Mon, 18 Jan 2016

Question: I am having terrible sexual problems. I have extreme urges to masturbate many many times a day. I still get excited with urine and urination.the feeling is overwhelming and it become hard to not masturbate in public, at work in my car and at home. Sometimes I just have to even in public. I masturbate because I am trying to ease the urge and so I can get a break. Urination is a problem again . I get excited when I have to urinate especially in public and that makes me want to masturbate. Can you advise me as to how to get rid of this problem? It's really taking over my life yet I love it at the same time because it feels so good.

Answered by Dr. Chintan Solanki (3 hours later)

Brief Answer:
it needs behavioral modifications with help of counselling

Detailed Answer:
Hello,

Thanks for writing to us again. I can understand your concern.

Your extreme urges to masturbate are either part of obsessive compulsive spectrum disorder or impulse control disorder. If your diagnosis of bipolar disorder is confirmed it may be part of the same. It requires detail history and mental status examination to diagnose exact problem.

Medications can also help. If obsessions are there fluoxetine (prozac) can help and if impulse control or bipolar phenomenon sodium valproate can help.

In any case behavior therapy will be helpful.

You need to observe your frequency of masturbation and urinating. Set a specific frequency of masturbation per day for 1 week and do not go beyond it. Every week reduce frequency 10-20% and continue doing the same till you feel it is now in normal limit. Also decide specific timing for masturbation in a day. It is difficult but not impossible.

When you go for urinating, start thinking something else actively (for example about your family, your work, your pending tasks and so on). This will help to divert your mind from masturbation urge.
At last if you cannot succeed with behavioral approach, medicines will help.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (32 minutes later)

So the medicine can control my urges to masturbate and the urges to urinate in my pants, diaper, and other weird paces? This along w/ therapy will help? Such as simply having a conversation with a friend and I was talking to her and suddenly she says what are you doing? I say what do you mean? I had put my hands in my pants and before I knew it I had peed myself and had an orgasm when I looked at my pee on my pants and the floor. Needless to say she exited quickly from the store. I find myself all the time rocking , rubbing, crossing my legs in order to come. Sometimes by myself but mostly with people around. I also have orgasm sometimes just by way of thinking about an orgasm or peeing. They often take me by XXXXXXX My friends say they can see a faraway look in my eyes before I pee or orgasm. I am afraid to be around people because sometimes I'm too far gone to notice what I'm doing . Will medication help with this? I have both a counselor and psychiatrist but although it has greatly helped my depression it is not helping with the other problem. I need to know if the medicines you describe will help me with this because I don't think I'm on the right kind to control this problem.I am always wet down there and I masturbate about 14 times in one sitting and about five times a day. Could you please explain how to wean off of this other than just thinking about something else because that does not help me

Answered by Dr. Chintan Solanki (5 hours later)

Brief Answer:
yes medicines will help

Detailed Answer:
Hello,

Thanks for information.

Your problem is really troublesome. I can understand your situation and embarrassment. Basically if you feel that your thoughts of masturbation are in excess and you want to get rid of them, fluoxetine can help. Simultaneously when you try to resist urge for masturbation and feel discomfort , benzodiazepine group of medicine can help to make you relax.

Considering frequency and severity of your problem I guess you should be treated first with pharmaco-therapy then psychotherapy and behavior therapy can be applied.

You can discuss my opinion with your treating psychiatrist and move ahead.

Do not hesitate to ask your doubts if any.

Take care.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar