Struggling with Uncontrolled Sexual Thoughts and Behavior

Question #28688

19 days ago

Struggling with Uncontrolled Sexual Thoughts and Behavior - #28688

Client_b17947

I am 37 years old, married, and I am struggling with bad sexual thoughts, uncontrolled masturbation, and abnormal sexual behavior. I want to answer some questions to get help.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

19 days ago

Hello dear
See it is probably anxiety issues only.
Iam suggesting some precautions for improvement
Do physical exercise atleast half an hour daily for 5 months
Do meditation
Take good balanced diet for good health
Engage in social media
Indulge in hobbies like reading and writing
Avoid overthinking
Avoid junk food and alcohol/ smoking
Set your goals for every day
kindly consult gynaecologist for further clarification
Hopefully you recover soon
Regards

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

16 days ago

Hi,
· Acknowledging the concern is the first step—you’re seeking help, which is important
· Uncontrolled sexual thoughts and masturbation may be linked to anxiety, stress, or compulsive sexual behavior disorder
· Next steps:
· Consult a urologist or sexologist to rule out hormonal or physical causes
· A psychiatrist or psychologist can help manage compulsions and thought patterns
· Treatment options include counseling, behavioral therapy, and sometimes medications to reduce urges
· You are not alone—this is a treatable condition with the right support
Take the first step toward professional guidance.
— Dr. Nikhil Chauhan
Urologist

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

14 days ago

Hello, thank you for sharing this. It takes courage to talk about it, and you are not alone. You might have compulsive sexual behavior or be related to stress, anxiety, or underlying psychological factors. Having sexual thoughts is normal, but when they become excessive, distressing, or hard to control, it may need attention. This is a treatable condition, and improvement is definitely possible.
Try to avoid triggers (explicit content, certain situations). Keep yourself engaged in activities (exercise, work, hobbies). Maintain a structured daily routine. Reduce alone idle time.
The most effective help is through counseling or therapy. Cognitive Behavioral Therapy (CBT) can help control thoughts and behaviors. So, kindly visit a psychologist/ psychiatrist/ family medicine specialist for it’s initiation. Even some medications are there to help you, but they should be prescribed be a certified psychiatrist only. So, kindly consult one.
Seek help- If this is affecting your married life, work, or mental peace. If you feel loss of control over behavior.
This condition is more common than people think. With proper guidance and treatment, you can regain control and feel better. You’ve already taken an important first step by asking for help, consider consulting a mental health professional for proper support and recovery.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

19 days ago

In person consultation would be better option.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

18 days ago

Hello
You’re not alone — many people struggle with intrusive sexual thoughts or feeling their sexual behavior is hard to control. This can happen due to stress, anxiety, habit patterns, or compulsive sexual behavior, and it is treatable.
What helps:
•	Identify triggers (stress, boredom, loneliness, pornography use).
•	Set limits and create structure in daily routine.
•	Reduce exposure to sexual content.
•	Consider speaking with a mental health professional if the behavior feels out of control or causes guilt or relationship problems.
If symptoms are persistent or severe, doctors may sometimes use therapy and, in certain cases, medications such as Fluoxetine to help reduce compulsive urges.
Thank you
Take care

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

17 days ago

Hey there! It’s great that you’re reaching out for help. It takes courage to talk about these things, and I’m here to support you. Feel free to ask your questions, and I’ll do my best to provide guidance and suggestions. What would you like to discuss?
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

17 days ago

It’s important to recognize that experiencing distress from intrusive sexual thoughts and engaging in behaviors like uncontrolled masturbation can significantly impact daily life and relationships, and it may be worth exploring potential underlying causes. These behaviors and thoughts might be linked to compulsive sexual behavior disorder, which shares characteristics with impulse control disorders or other mental health issues. Evaluating your mental and emotional health is a crucial step. A healthcare professional, particularly one who specializes in sexual health or mental health, can provide tailored help. Cognitive behavioral therapy (CBT) has shown positive results for people dealing with similar challenges by helping to modify thought patterns and behaviors. Mindfulness and relaxation techniques might also aid in reducing these intrusive thoughts by fostering greater mental control. Additionally, it could be beneficial to examine potential stressors or emotional triggers in your life that may be exacerbating these issues. Reducing substance use, practicing healthy coping strategies for stress management, and ensuring adequate sleep and physical activity can all support mental wellness. If immediate intervention is required or if these issues are causing significant distress or impairment in daily functioning, seeking a psychiatrist or a psychologist is recommended. They can offer a thorough evaluation and create a comprehensive management plan. Medication is sometimes considered if there’s an indication of coexisting conditions like anxiety or depression. Remember to seek help immediately if there are any feelings of hopelessness or thoughts of self-harm, as these require urgent attention.

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