Brief Answer: Do not worry and follow below advice. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 19 year old male • Complaints of: excessive masturbation, weakness ,weak erection, weak memory, vibrating hands, numbness in parts of body, mumble words while speaking fast and repeat words while speaking Masturbation is considered as a part of normal human sexual behaviour and it is very common among young males. It does not have any bad effects on health and does not lead to any medical problems. Some people have many wrong ideas about masturbation - that it causes ill effects on health like nervous weakness, reduced energy, etc or sexual problems like impotence in the future. All this is not true and these are just myths and misconceptions. In general masturbation upto 1-2 times per day do not cause any issue. But in some cases (like in yours) person involved in excessive masturbation and they lost control in its frequency. It frequently occur in anxiety disorder (but masturbation do not lead to anxiety disorder), as in anxiety disorder some patient have repeated sexual thoughts (obsessive thoughts) and masturbation provide some relaxation. Your current symptoms like weakness, weak memory, vibrating hands, numbness in parts of body, mumble words while speaking fast and repeat words while speaking are common symptoms of anxiety, which will improve after treatment of anxiety. Other symptoms of anxiety which may or may not be present in your case: nervousness, restlessness, mild irritability, excessive worry regarding own health, tremor, muscle spasm, heaviness in body, easy fatigability, headache, sleep disturbance, palpitation and dry mouth. Anxiety occurs due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. Anxiety occur in 5-10% of general population. There is need for treatment, if symptoms cause significant personal distress or affect personal/professional life. Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment. In drug treatment two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect. All these process is complex. I have just simplified it to make you understand it. For help I would advice you to meet nearby psychiatrist, as all above mentioned medicines are prescription medicines and need supervision. 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,

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Brief Answer: Hi Detailed Answer: Hello again, Thanks for follow up. Masturbation is not harmful itself. You can self control its frequency. It is better to restrict frequency 3-7 times per week rather than totally stopping masturbation. But do not worry and enjoy masturbation whenever you do it without any guilt. For me, your other symptoms are more likely due to anxiety (not masturbation), for that you need treatment as mentioned above. For dark circles: avoid stress, eat fruits daily and take proper sleep. Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

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