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What Causes The Sudden Lack Of Interest Towards Masturbation Or Sex?

Posted on Mon, 28 Jan 2019

Question: Hello, I am a 27 year male. Still virgin and had been masturbating for more than 15 years now. However recently like 2 years back I stopped getting aroused and that tinge you feel when you urge for sex is missing like suddenly and it's been the same ever since. I am getting married and i am worried of this. pleass help

Answered by Dr. Dr. Soujanya (2 hours later)

Brief Answer:
My suggestion.

Detailed Answer:

Hi,

I have gone through your query and understand your concern towards your sexual urge.

There is nothing to worry in your case as the new relationship will help in originating your sexual drive and urges towards sex, provided you have a good understanding with your fiancee.

I can also understand that you are worried about negative consequences of masturbation for years together.

Yes, there are few negative effects due to over masturbation, such as thickening of skin over the penis which may cause decrease in sexual stimulation. However, it is not seen in all cases.

More over, you are getting exposed to a new relationship in your life. So, I definitely hope it would cause a sexual urge in you.

I would advise you to not worry so much as it may lead to unwanted anxiety that might result in decreased sexual performance.

As long as there are no other problems with your erection and ejaculation, there is nothing to worry.

Try to avoid unnecessary anxiety and perform some physical exercise which would help you better.

If possible, try to avoid masturbating which can also clear your concerns.

If you are still not comfortable after marriage, I advise you to take Nano Leo Sachets to increase your urge, which helps in the production of nitric oxide required for sexual drive.

Hope this information helps you. Feel free to ask any further questions or if you face any difficulty after getting married.

Regards,
Dr. Soujanya
Psychiatrist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Soujanya (6 hours later)

Thanks a lot for your response. As I am not getting aroused, the erection is the problem and maintaining the same is the problem. It feels as if I am asexual. I would highly appreciate if you can help me on this. If there is any serious problem I have to stop the wedding from going any further. Hence your help is highly appreciated. Thanks

Answered by Dr. Dr. Soujanya (45 minutes later)

Brief Answer:
You can take phosphodiesterase inhibitors like Sildenafil.

Detailed Answer:

Hi,

I understand the main problem is about erection and sustaining it. I would advise you to check your sustainability of erection by a simple test called NPT, nocturnal penile tumescence in which erections occur in the early morning during sleep which can rule out any problem.

If it is normal, there is nothing to worry, it is unlikely that you are suffering from any erection problem.

Even if it is not normal, nothing to worry and no need to stop your wedding at all because after marriage you can follow a simple method called Master and Johnson technique which would certainly help you.

In that, the lady partner has to make some signal or she can squeeze (squeezing technique) the penis forward just before you ejaculates, which would make your erection to last longer and sexual satisfaction would be better.

This method is very effective.

The other advise I can suggest is, if you are anxious and stressed you may need to take anti-anxiety drugs like Escitalopram (prescription based medication) which would help to get relief from anxiety and fear.

Still if it is not better, you can take phosphodiesterase inhibitors like Sildenafil tablets.

I would advise you to confirm your erection problem by NPT first, and then it can be solved by either these simple methods or finally, you can go for medications.

Hope this clears your concerns. Please post further questions if any. I will available to answer your follow up questions.

Regards,
Dr. Soujanya
Psychiatrist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (4 hours later)

Thanks for your quick revert. I am unsure of how to explain this. I get erection but with out sexual arousal it's difficult to maintain it. That arousal or stimuli stopped a year back

Answered by Dr. Dr. Soujanya (3 hours later)

Brief Answer:
Then you can take Sildenafil tablets to sustain your erection.

Detailed Answer:

Hi,

I understand you have a problem with maintaining your erection. Usually, long term sustainability of erection depends upon the production of nitric oxide (NO) which can be improved by phosphodiesterase inhibitors like Sildenafil.

Nothing to worry about this. If you are worried about sexual arousal, you can start taking Nano Leo Total Sachets after your marriage. This is the safest preparation composed of ginko biloba, arginine, zinc sulphate etc., which helps in sexual arousal.

Anyway, getting exposed to a new relationship itself may lead to sexual arousal. So, be relaxed, don't get worried too much and try to get good rapport with your fiancée, which obviously builds good sexual relationship.

Hope this information would help you. Let me know if I can assist you further.

Regards,
Dr. Soujanya
Psychiatrist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (1 hour later)

Thanks a lot for the support. I am just worried that it was normal for all these 15 years and all of a sudden this happen out of no where Is this a normal occurrence? I know I am being a bit critical on this as I don't want my future wife to face any problems. Thanks in advance

Answered by Dr. Dr. Soujanya (3 hours later)

Brief Answer:
My suggestion.

Detailed Answer:

Hi,

I understand you are experiencing this problem all of a sudden. There might be the either any medical condition that may lead to the sudden occurrence of this or it could be your psychological anxiety that is causing you the difficulty.

As you feel that you are a bit critical, but absolutely not.
It is always better to clear all your concerns. The following medical conditions like high blood pressure, diabetes, any heart disease, obesity, high cholesterol or any neurological problems may result in this kind of erection problem.

I could not think of any of these causes considering your age, so it might be psychological.

If any of the above mentioned medical problems are present, you need to be evaluated thoroughly by the concerned specialist.

Please let me know if any of those are present.

In 2-3% of people, this may occur suddenly without any obvious cause due to worry about new circumstances.

Hope I have answered your query. Feel free to discuss any other concerns. I will always be available to answer your queries.

Regards,
Dr. Soujanya
Psychiatrist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Soujanya (20 minutes later)

Thanks for building my confidence in the issue. I was diagnosed with Thyroid and by the time I started the medication the cholesterol levels were high and with r the regular use, it has come to normal. can this be a cause. Can this be rectified in a natural way as I don't l like using the medication unless it's mandatory. kindly suggest. From your revert I understood and I feel it looks like my dopamine levels have come down as my interest or enthusiasm in a lot of things had come down in the recent year. I'd there a way to check the dopamine levels or naturally increase it

Answered by Dr. Dr. Soujanya (9 hours later)

Brief Answer:
Thyroid dysfunction is the cause for decreased sexual desire and erection.

Detailed Answer:

Hi,

I have gone through your query and can certainly understand that thyroid dysfunction is the most important cause that might be causing erectile dysfunction in your case. As thyroid problems are less common in men of your age, I couldn't suspect initially.

Anyway, now it is pretty sure that thyroid dysfunction is the problem. Once it is corrected, you can revert back to your normal erection. But, it would take around 6 months after attaining euthyroid hormone levels.

Decreased sexual desire could be due to this, which can be reverted back once it is corrected.

There is nothing to worry. Please let me know how long it has been after attaining euthyroid levels in your case. Another cause for your decreased interest or enthusiasm is not due to Dopamine levels, but it could be due to decrease in serotonin levels that is seen in depression.

It might also result due to thyroid dysfunction as depression is commonly seen with hypothyroidism.

If you have other symptoms of depression like fatigability, low mood, lack of interest in pleasurable activities, sleep problems, then you can be started on antidepressants.

Considering all these factors, I can clearly say that thyroid is the main reason and it can be normally reverted once it is corrected.

Hope you got a clear idea about this. Feel free to ask any further questions.

Regards,
Dr. Soujanya
Psychiatrist

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Soujanya (18 minutes later)

I started taking Thyronorm and the TSH T3 T4 levels have returned to normal like 4-5 months back but still the heaviness in the head and phlegm ringing ears sort of (like in a depressurized cabin) still these are persistant

Answered by Dr. Dr. Soujanya (3 hours later)

Brief Answer:
It could be tinnitus related to ear problem.

Detailed Answer:

Hi,

I have gone through your query and understand that your ringing ears could be tinnitus related to ear problem. Heaviness might be there in thyroid dysfunction but it is uncertain to persist for a long time even after getting thyroid corrected.

I would like to advise you to consult an ENT specialist regarding these symptoms. I just want some details about your blood pressure which might play an important role in erection.

Anyway, it is better to take a concerned specialist's opinion about tinnitus.

Please let me know if you have any other medical problems. Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Soujanya
Psychiatrist

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

Follow up: Dr. Dr. Soujanya (55 minutes later)

Thanks. The problem with erection is desire. That has come down is the root cause - this I can sense. what ever you have mentioned above about the neural chemical problem might be the case. Is there a way I can take an appointment, I am based out of XXXXXXX Kindly suggest

Answered by Dr. Dr. Soujanya (3 hours later)

Brief Answer:
Yes, definitely.

Detailed Answer:

Hi,

I have gone through your concerns and can understand that there is a possibility of neuro-chemical imbalance which is disturbing your thoughts about your sexual performance. Anyway, it might get corrected with thyroid levels, if that is the main reason. Otherwise, you need to be treated with antidepressants or anti-anxiety drugs after thorough evaluation.

Hope this information would help you.

Regards,
Dr. Soujanya
Psychiatrist

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

Above answer was peer-reviewed by : Dr. Vaishalee Punj