Brief Answer:
No specific medicine for that, psychotherapy and behaviour therapy helps

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern. Desire to wear clothes of opposite sex is called Transvestitc fetishism or cross dressing.

There is no specific medicine to stop such desire.

But yes there are some behavioral approach which can help you.

Please provide more detail of your problem to help you further.

-Since when do you have such desire?How did problem arise?

-What is the reason behind such desire?Which thoughts make you to do so?

-How do you feel after wearing wife/woman's clothes? Does it give you sexual gratification?

-If you try to avoid wearing those clothes, what happens to you? do you feel any discomfort?

Waiting for your reply to help you further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Psychotherapy and behaviour therapy with anti anxiety medicines

Detailed Answer:
Hello XXXXXXX

Thanks for detail information.

Now diagnosis of cross dressing is confirmed as onset is from childhood. Positive points in your history are your willingness to stop this, history of avoidance for 2-3 months and guilt of doing cross dressing in absence of wife.
In my opinion your wife should not support for this habit rather she should help you to come out of this problem/habit.

At present your habit is compulsion means you have to wear females dress sometime to relieve fulfill your desire.

Cognitive behavior therapy(CBT), psycho dynamic therapy , aversive conditioning and hypnosis are useful approaches. For some detail about each type of therapy,choice of therapy and sessions you need to consult psychiatrist/psychologist personally.

Meanwhile considering your history and attitude to solve this problem I think anti anxiety medicines form SSRI group like fluoxetine as well as benzodiazepine group like clonazeapm or etizolam can help.
Fluoxetine will help to reduce frequency of thoughts of cross dressing and benzo will reduce your anxiety when you resist your compulsion of cross dressing.

If I were your treating doctor I would start medicines and psychotherapy both. Later on medicines can be stopped easily if psychotherapy works well and psychotherapy can remove your problem from root. However it may take weeks to months.I would also like to involve your wife in behaviour therapy to help you.
Discuss above aspects with your wife and move ahead.

All the best.

Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly on this site if you wish with this link: http://bit.ly/drchintansolanki

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Sorry, it is practically not possible to treat online

Detailed Answer:
Hello Mr. XXXXXXX

I can understand your situation. But it is practically not possible to treat online.

For psychotherapy detail history,frequent sessions are required. That is practically not possible online.Drugs I have mentioned are prescription drugs.It is not feasible to give online prescription according to XXXXXXX laws.

You need to discuss this thing with psychiatrist personally.I am sending you a link showing available psychiatrists in UP.You can search district near to you and consult anyone of them.

http://doctor.healthcaremagic.com/doctors/Psychiatrists-in-Uttar-Pradesh/L18888S35

At last resort if you cant do this you can contact me on my skype id drpsychiatrist. I will try to discuss you about your treatment if will get time.

All the best and take care.


If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly on this site if you wish with this link: http://bit.ly/drchintansolanki

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Ok.But I cant treat your problem completely, I may provide some more help

Detailed Answer:
Hi,

Thanks for writing again. Your wife is ready to help you that is very good.

Your therapy required lots of question answers to you and your wife. We can write few pages. that is why I am not able to treat/provide help through chatting only as it will take too much time.Still I will try my best.

First of all she should understand that your habit is not any severe disorder. It is neither going to affect health of any one.It is just a social problem. Initially after marriage this problem may increased but if wife is supportive gradually it can be stopped.

Two aspects are important.
1.What does she think about your habit and is she ready to allow you to wear or not?

2. Sexual relationship between you.How much is she ready to experiment in sex methods as per your wish.

You need to take medicines by consulting doctor. As in behavior therapy your wife will stop you from cross dressing and you need to relax by deep breathing or medicines.

Revert back to me with your wife's opinion what I have mentioned.

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Brief Answer:
you both need to move forward

Detailed Answer:
Hello Mr. XXXXXXX

I can understand your situation and feelings.

First of all if you want to stop your habit, you need to determine yourself that you would not wear at any cost.
Your wife is right on her part but she needs to be active to help you out.
You have to convince her that you would not wear female dress if she is ready to give you love.

I suggest you that whenever this desire come in your mind ,tell your wife. She has to treat you at that time gently. She should not be angry. She should love you and convince you that for your love life you have to stop this habit. She has to be romantic and give you gratification with her gestures.Sex is not needed.

Whenever thought come in your mind and she is not there you need to resist wearing clothes by convincing your self that you have promised your wife that you would not do the same.For that promise and not to be guilty you have to stop your habit. Each time if you can do the same thing with success, gradually thoughts of wearing cross dress will be reduced and stopped. If you feel anxiety while resting desire you can take low dose clonazepam. It will help.It is difficult to follow what I have mentioned but not impossible.
I feel if some one talk you to and your wife personally she can better understand the problem and help you more.

You can add XXXXXXX to sex life by using some normal measures.

-take bath together and help each other while bathing, no need to do sex.

- use chocolate cream and fruits while foreplay.

-Give her fashionable lingerie in gift if she likes.

-Fulfill your sexual desire with masturbation if she is not comfortable
sometime

Actually you need to search what she likes apart fro sex and try to fulfill the same. You will get reward in response to that.

Do not feel depress, your problem is not big as you feel.Positive point is you love each other.

Discuss points with her and revert back to me.

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Brief Answer:
try to resist your desire the most, contact me after 15 days

Detailed Answer:
Hello,

Thanks for follow up. Sorry for delayed response due to busy Monday schedule.

For medicine you have to contact your GP.Ask your doctor to prescribe 0.25 mg mouth dissolving clonazepam to take on required basis only.

You need to stop cross dressing immediately by force. Try to relax yourself by deep breathing.First exhale your lungs completely then slowly inhale for 3 seconds, keep breath in lungs for 3 seconds and exhale gradually for 3 seconds. By doing so for 10-15 minutes you almost will feel good and there will be no need of any medicine.If this will not help by chance, you can go for medicine.Ask your wife to help you and divert your mind.

Just note down the incidences on daily basis that what happens when thought of cross dressing comes in your mind and what do you do. After 15 days revert back to me with details of incidences.

Oral sex is ok if genitalia is clean and there is no infection in either partner. Just take care of proper hygiene.
Avoid anal sex. Practically it can damage anal mucosa and chances of infection are more due to bacteria in rectum.
For role play you need to tell me more about which type of role and gestures you want to do.It may be normal or abnormal.

Hope this is satisfactory answer.

In future you can contact me directly by clicking this link: http://bit.ly//drchintansolanki
and asking question directly through ask me a question.

All the best and take care.

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