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How to control sexual urges in young men?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am an 18-year-old male. I weigh 32 kgs, and my height is 5'6". I have been addicted to masturbation since I was 8 years old. I feel depressed and anxious, and I masturbate three to four times a day. My libido is high, so I cannot control myself from masturbating. How do I control my sexual urges? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern. It is heartbreaking to read about your suffering. But rest assured, I understand you, and I will help make all these urges go away.

So, this is the action plan:

1) I will prescribe you four medications. You will have to take them for seven to ten years. First good results will be there after two to four weeks, but for a true cure, you must take the medications for a very long time.

2) Compliance is immensely important. This therapy must be controlled, and the dosage must be adjusted from time to time. This can only be done by an experienced andrologist. That means we will have to stay in touch.

The probable cause could be:

Severe sexual disorder.

I would suggest the following investigation:

  1. One comprehensive physical examination with laboratory tests every 12 months.

  2. I assume that the information about your weight being 70.5 lbs at 5'6" must be wrong. Should it be correct, contact me again, and then I have to adjust the dosage of the medication, and you would have to gain weight.

Probable diagnosis:

  1. Compulsive masturbation disorder, stage 10 (extreme).

  2. Psychiatric sexual abnormality.

  3. Loss of libido control.

  4. Reactive depression and anxiety.

For treatment, I would suggest you take:

  1. Tablet Dutasteride 0.5 mg once per day.

  2. Tablet Estradiol-Valerate 2 mg once per day (no other type of estradiol).

  3. Tablet Clomipramine 50 mg three times per day.

These medications are only valid if your weight is more than the most likely wrong 70 lbs that you mentioned. They have to be taken for ten years. Then the dose will be tapered down carefully by 10 % per month.

You should be able to buy the medication online. That is less embarrassing, and I would recommend that. When using a stationary pharmacy and you are asked why you need this, inform the pharmacist that this medication was prescribed by an andrologist and urologist. Tell them that these medications need to be taken long-term (10 years) due to a severe hormonal and psychological condition that you will not talk about because it is a sensitive issue. Have a complete physical and laboratory examination every twelve months to monitor your general health, and walk a lot to prevent blood clots as a rare side effect. If you have a history of blood clots, do not take this medication.

I hope this helps.

Thank you.

Answered byDr. Yousef Abbas

Medically reviewed byiCliniq medical review team

Published At June 1, 2022
Reviewed AtFebruary 16, 2026

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