Q&A: Unable to think about / engage in sex … causing depression? Is there therapy?
Posted by: Alan in Obstructive Sleep Apnea, tags: About, Causing, Depression, engage, Therapy, There, Think, unableQuestion by : Unable to think about / engage in sex … causing depression? Is there therapy?
I am unable to think about, much less participate in, sex. I want to explore this in the context of my depression and sleep problems, maybe understanding/addressing it will help.
I’ve never had sex, or a girlfriend. I don’t masturbate, since it was an exercise in futility. I can ejaculate but it’s never felt “good”. I don’t think about having sex, but I recollect that normal, healthy guys think about sex once every 10 seconds. (!) I cannot force myself to picture a sex act, its like my mind has to jump past it. But, I do obsess about my inability … every day I think about how I’m inferior. This makes me wonder if there is somebody out there to talk to about this. Sex therapy is about couples, so that’s not for me. Is there help out there?
I have sought help for depression, poor sleep, and low testosterone.
I suffer from chronic depression (severe, if you believe online tests). Over the past 20 years, I’ve seen two psychoanalysts and a psychologist for therapy. Primary care physicians and a psychiatrist have subscribed 1/2-dozen anti-depressants, mostly SSRIs. Neither therapy nor drugs have helped. I’ve also tried herbal supplements, kept a diary with thought analysis, improved exercise, and adopted two cats.
I’ve also attacked the poor sleep aspect (depression can cause sleep problems or vica versa). I had a sleep study, but they were only interested in finding obstructive sleep apnea (which they did, and I’ve been using a CPAP for the last two years without fail). I’m taking care to exercise good sleep hygene, tried sleep aides (nytol, melatonin, zolpidem, etc.), got a new mattress, prop up legs, and have a wedge pillow for my head. Nothing works.
My testosterone did test low (~190 ng/ml, normal 300-800). I saw an endocrinologist (and, typical for a doctor, couldn’t find a cause) who prescribed hormone replacement with patches (vs. gel or shots). I did try the patches, which didn’t make me feel different but I did get a rash.
What’s left to try? I’m 40 years old, and thinking that I should just give up.
Best answer:
Answer by Mary
it is because of your depression. Fix depression and you’ll be like other men
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