Question: Dear Doctor,

Could you please help me understand what the likely cause of my problem may be, or which specialist I should see? Basically, I don't feel aroused to touch (anywhere except my penis). It's as though I have absolutely no errogenous zones except that one place.

I am a 29 year old man and have never had intercourse with another person, as I always thought I wanted to wait until marriage. However, I had doubts about my sexual abilities for the 1st time when I was getting ready to have an arranged marriage and a girl I was interested in started discussing intimacy. So I decided to test myself at a sensual massage with a "happy ending." I was not able to get an orgasm. In fact, I wasn't at all aroused nor did I find it pleasurable at all. I found it humiliating. There was an erection but no arousal. I tried again a few months later, and this time I quit even before she started massaging the front of my body. I quit because I felt absolutely no arousal when she was massaging all parts of the back of my body while I was laying on my stomach. I feel as though I have no errogenous zones or that they are dormant. There is absolutely no arousal to touch on any part of the body except for the penis. I did not find either of these women attractive, but they were about average looking. Not bad looking atleast. I would really like to get better and be able to have relationship with a woman I care about and have a happy married life. Could you please help me understand what the likely problem(s) might be, or which specialist I should see?

Here's some background. I have never had any difficulty ejaculating to porn. I watch and ejaculate to porn at least once every day and I have done so since I was 14. I have been severely addicted to porn and have watched on average about 50 hours of porn a week since 17 and until now (12 years). I am trying to get out of this addiction (for my spiritual health), but the longest stretch I have gone on is 2 weeks. I have never had difficulty ejaculating to or getting aroused by porn. However, I find it very difficult (almost impossible) to ejaculate without porn or without imagining an attractive woman. I am otherwise in good health based on regular general exams every 2 years (blood work, urine test, lung function, blood pressure etc.). Also, I am very ticklish (more than any of my friends) and sensitive touch in all other ways besides sexual. There is no family history that we are aware of regarding sexual disorders (I have disclosed this condition to my parents).

Some more background. I get a strong erection to images of attractive women (ex. models) which are not even pornographic. Once in a while (even in the past 6 months), I have even accidentally and unexpectedly partially ejaculated during friendly chats with women involuntarily (without wanting to and without touching myself). I find I am more aroused even by a woman's voice than I am to her touch. The only 2 times I might have felt slightly aroused to touch was when I was not expecting to be touched (once on my upper back and the other time it was my palm). Also, I have a fetish for very tall girls with super model looks. In such cases, my physical attraction is almost unnaturally intense. However, I am attracted to most types of girls.

I am most aroused by visual stimuli, then to voice, and least to touch. My only errogenous zone seems to be my penis. Even there, I wasn't able to orgasm during the one massage I had. I feel absolutely no arousal at any other the errogenous zones. Could you please help?

Thanks So Much, XXXXXXX

Thanks Doctor. I appreciate your XXXXXXX simple, and prompt response. I had a few things I wanted to understand regarding my lack of erogenous zones except penis.

Is there a way (through hypnosis, self touch) to activate erogenous zones that may be dormant?

Would a typical man with erogenous zones have arousal when touched by a woman at their erogenous zones (besides penis), even if they are not attracted to her?

Will the typical man with erogenous zones be aroused by his own touch? If so, that will answer the question before as well.

You mentioned not all men have erogenous zones, do you mean those who are only erogenous in the penis?
If so, do you know if there's a term for such people, so I can learn more about what other men like that do? Very roughly speaking what percentage (10%, 1%, 0.1%, or even less) of men would you say fit this category of only being erogenous in penis? I was just wondering how uncommon it might be.

Thanks in Advance! XXXXXXX