Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can i ask your first name?
Hi. My first name is LIam.
nice to meet you
do you take any meds?
I am on 40mg of paroxetine for ocd and depression
or any supplements?
No. That's it.
I think there are two possibilities
1)prostate as you suggested
2)a nerve in the low back is being stimulated
these nerves can stimulate pelvic muscles
Can fear, anxiety and arousal become misattributed and are they physiologically similar
that is interesting
I think theoretically it is possible
I just have never heard of it
but yes that is possible
Do they both release dopamine?
fear and sexual stimulation are located in similar centers of the brain
and yes they both involve dopamine among other neurotransmitters
I sometimes struggle to maintain erection when I'm anxious due to my OCD. Can the anxiety itself inhibit penile response?
anxiety and sexual dysfunction are closely related
especially in young guys
in older men its usually something else
Is it possible for pre-ejaculatory fluid to sometimes release without arousal. Can the prostate be sometimes stimulated just by sitting down and can defecation also put pressure on the prostate?
1)certain meds can cause that. but you are not on any. It is possible but not common
2)yes, both can
and that is why I suggested that is a possible cause. prostatic stimulatiin
How long would it take for the bodily feeling to diminish and return to a state of equilibrium?
from the prostate stimulation?
I'm not complaining because it is a strangely pleasurable feeling, but I always assumed such pleasurable feelings would only exist when one is sexually aroused?
like you said, the prostate can be stimulated and cause it
also nerves that control it can be affected
basically you are just bypassing the brain and stimulating the nerves directly
Why would this produce pre ejaculatory fluid? Is the purpose of the prostate something to do with seminal production?
that is exactly what the prostate does
it release fluid to nourish sperm
that is its function
A final question:
I sometimes feel the need to masturbate (like needing to scratch an itch) even when I'm not subjectively aroused. This seems to occur after a few days of not masturbating. Is this due to the testicles becoming full of semen and needing to release it and achieve a state of bodily equilbrium?
that is exactly the cause
If one wants to cut down on masturbation, can one simply stop viewing sexual stimuli and try to focus on other things?
yes, that is a reasonable plan
Thank you for your help.
any more questions Liam?
No. That's it. Thanks
did I do excellent work for you today sir?
would you mind rating positive for me?
I appreciate it
i will do
thank you sir