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Hello, My Issue Is Very Embarrassing, But As I Am
Question: Hello, my issue is very embarrassing, but as I am a woman aged almost 27 and a half now, I think I should definitely start looking into this seriously. Masterbation doesn't come naturally to me,( I have to remember to do it once every few months), and it doesn't feel good at all, just neutral, except for the occasional good sensation on the outside. Romantic kissing provokes a gagging and coughing reflex in me and it feels disgusting and makes me feel nauseous. Sex is a very tight fit and doesn't feel good at all, although it isn't always painful. I have been practicing these things from time to time since I was 20, but haven't achieved much in that time.
I am mildly autistic and one of my two ex boyfriends, who is also autistic, feels the same way about romantic kissing. I have felt attracted to men many times despite these problems. As I mature my autistic symptoms are also getting milder and milder, so if there is a cure to my sex issues, I think it would be a pity to miss out on having a family one day as a result of not having found a solution to this. Do you have any suggestions for me? I have no known physical problems.
I am mildly autistic and one of my two ex boyfriends, who is also autistic, feels the same way about romantic kissing. I have felt attracted to men many times despite these problems. As I mature my autistic symptoms are also getting milder and milder, so if there is a cure to my sex issues, I think it would be a pity to miss out on having a family one day as a result of not having found a solution to this. Do you have any suggestions for me? I have no known physical problems.
Hello, my issue is very embarrassing, but as I am a woman aged almost 27 and a half now, I think I should definitely start looking into this seriously. Masterbation doesn't come naturally to me,( I have to remember to do it once every few months), and it doesn't feel good at all, just neutral, except for the occasional good sensation on the outside. Romantic kissing provokes a gagging and coughing reflex in me and it feels disgusting and makes me feel nauseous. Sex is a very tight fit and doesn't feel good at all, although it isn't always painful. I have been practicing these things from time to time since I was 20, but haven't achieved much in that time.
I am mildly autistic and one of my two ex boyfriends, who is also autistic, feels the same way about romantic kissing. I have felt attracted to men many times despite these problems. As I mature my autistic symptoms are also getting milder and milder, so if there is a cure to my sex issues, I think it would be a pity to miss out on having a family one day as a result of not having found a solution to this. Do you have any suggestions for me? I have no known physical problems.
I am mildly autistic and one of my two ex boyfriends, who is also autistic, feels the same way about romantic kissing. I have felt attracted to men many times despite these problems. As I mature my autistic symptoms are also getting milder and milder, so if there is a cure to my sex issues, I think it would be a pity to miss out on having a family one day as a result of not having found a solution to this. Do you have any suggestions for me? I have no known physical problems.
Brief Answer:
A visit with a sex therapist is recommended- treatment modalities explained below
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,
I carefully read your query and understand your concern.
Reduced sexual desire and not enjoying sexual activity is called Female Sexual Dysfunction. This is found to be quite common among highly functioning adults with autistic disorder spectrum.
So, it is relevant that you and your boyfriend experience reduced sexual desire and enjoyment.
On the other hand, female sexual dysfunction can be caused by several reasons and treating the exact cause is crucial.
The best specialist to evaluate you and further advise you is a sex therapist. The sex therapist will do a thorough physical evaluation and also will try to evaluate possible psychosocial factors that may be contributing to your symptoms. Hormonal blood tests may be conducted as well.
There are drugs that doctors may prescribe to help patients enjoy sexual intercourse. But a good evaluation is needed to determine what is best in your case. Sometimes, simple lifestyle changes and education on sexual activity may be good enough for some patients, others may need a combination of these with drugs.
So to conclude:
- a good and thorough physical examination and psychosocial evaluation is needed
- some blood tests to determine blood levels of certain hormones may be conducted
- the best specialist in your case is a sex therapist
- lifestyle changes, counseling and sexual health education are important elements in the treatment of the female sexual disorder
- approved drugs for female sexual dysfunction and that can be tried are any of the following: long-release bupropion 150 mg a day, transdermal testosterone patch (up to 6 months), flibanserin 50-100 mg at bedtime, bremelanotide 1.75 mg injection, Tribulus Terrestris (herbal extract), etc.
- Medications improve female sexual dysfunction but do not cure it, so patients will need to be regularly followed up by their doctor related to the desired effect and possible adverse effects as well. This also brings to focus the importance of lifestyle, sexual health education and counseling for better long term results.
I would advise you to talk to your GP so than he/she can refer you to a sex therapist. You may discuss the above information with your doctor and together decide on the most appropriate treatment in your case.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
A visit with a sex therapist is recommended- treatment modalities explained below
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,
I carefully read your query and understand your concern.
Reduced sexual desire and not enjoying sexual activity is called Female Sexual Dysfunction. This is found to be quite common among highly functioning adults with autistic disorder spectrum.
So, it is relevant that you and your boyfriend experience reduced sexual desire and enjoyment.
On the other hand, female sexual dysfunction can be caused by several reasons and treating the exact cause is crucial.
The best specialist to evaluate you and further advise you is a sex therapist. The sex therapist will do a thorough physical evaluation and also will try to evaluate possible psychosocial factors that may be contributing to your symptoms. Hormonal blood tests may be conducted as well.
There are drugs that doctors may prescribe to help patients enjoy sexual intercourse. But a good evaluation is needed to determine what is best in your case. Sometimes, simple lifestyle changes and education on sexual activity may be good enough for some patients, others may need a combination of these with drugs.
So to conclude:
- a good and thorough physical examination and psychosocial evaluation is needed
- some blood tests to determine blood levels of certain hormones may be conducted
- the best specialist in your case is a sex therapist
- lifestyle changes, counseling and sexual health education are important elements in the treatment of the female sexual disorder
- approved drugs for female sexual dysfunction and that can be tried are any of the following: long-release bupropion 150 mg a day, transdermal testosterone patch (up to 6 months), flibanserin 50-100 mg at bedtime, bremelanotide 1.75 mg injection, Tribulus Terrestris (herbal extract), etc.
- Medications improve female sexual dysfunction but do not cure it, so patients will need to be regularly followed up by their doctor related to the desired effect and possible adverse effects as well. This also brings to focus the importance of lifestyle, sexual health education and counseling for better long term results.
I would advise you to talk to your GP so than he/she can refer you to a sex therapist. You may discuss the above information with your doctor and together decide on the most appropriate treatment in your case.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
A visit with a sex therapist is recommended- treatment modalities explained below
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,
I carefully read your query and understand your concern.
Reduced sexual desire and not enjoying sexual activity is called Female Sexual Dysfunction. This is found to be quite common among highly functioning adults with autistic disorder spectrum.
So, it is relevant that you and your boyfriend experience reduced sexual desire and enjoyment.
On the other hand, female sexual dysfunction can be caused by several reasons and treating the exact cause is crucial.
The best specialist to evaluate you and further advise you is a sex therapist. The sex therapist will do a thorough physical evaluation and also will try to evaluate possible psychosocial factors that may be contributing to your symptoms. Hormonal blood tests may be conducted as well.
There are drugs that doctors may prescribe to help patients enjoy sexual intercourse. But a good evaluation is needed to determine what is best in your case. Sometimes, simple lifestyle changes and education on sexual activity may be good enough for some patients, others may need a combination of these with drugs.
So to conclude:
- a good and thorough physical examination and psychosocial evaluation is needed
- some blood tests to determine blood levels of certain hormones may be conducted
- the best specialist in your case is a sex therapist
- lifestyle changes, counseling and sexual health education are important elements in the treatment of the female sexual disorder
- approved drugs for female sexual dysfunction and that can be tried are any of the following: long-release bupropion 150 mg a day, transdermal testosterone patch (up to 6 months), flibanserin 50-100 mg at bedtime, bremelanotide 1.75 mg injection, Tribulus Terrestris (herbal extract), etc.
- Medications improve female sexual dysfunction but do not cure it, so patients will need to be regularly followed up by their doctor related to the desired effect and possible adverse effects as well. This also brings to focus the importance of lifestyle, sexual health education and counseling for better long term results.
I would advise you to talk to your GP so than he/she can refer you to a sex therapist. You may discuss the above information with your doctor and together decide on the most appropriate treatment in your case.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
A visit with a sex therapist is recommended- treatment modalities explained below
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,
I carefully read your query and understand your concern.
Reduced sexual desire and not enjoying sexual activity is called Female Sexual Dysfunction. This is found to be quite common among highly functioning adults with autistic disorder spectrum.
So, it is relevant that you and your boyfriend experience reduced sexual desire and enjoyment.
On the other hand, female sexual dysfunction can be caused by several reasons and treating the exact cause is crucial.
The best specialist to evaluate you and further advise you is a sex therapist. The sex therapist will do a thorough physical evaluation and also will try to evaluate possible psychosocial factors that may be contributing to your symptoms. Hormonal blood tests may be conducted as well.
There are drugs that doctors may prescribe to help patients enjoy sexual intercourse. But a good evaluation is needed to determine what is best in your case. Sometimes, simple lifestyle changes and education on sexual activity may be good enough for some patients, others may need a combination of these with drugs.
So to conclude:
- a good and thorough physical examination and psychosocial evaluation is needed
- some blood tests to determine blood levels of certain hormones may be conducted
- the best specialist in your case is a sex therapist
- lifestyle changes, counseling and sexual health education are important elements in the treatment of the female sexual disorder
- approved drugs for female sexual dysfunction and that can be tried are any of the following: long-release bupropion 150 mg a day, transdermal testosterone patch (up to 6 months), flibanserin 50-100 mg at bedtime, bremelanotide 1.75 mg injection, Tribulus Terrestris (herbal extract), etc.
- Medications improve female sexual dysfunction but do not cure it, so patients will need to be regularly followed up by their doctor related to the desired effect and possible adverse effects as well. This also brings to focus the importance of lifestyle, sexual health education and counseling for better long term results.
I would advise you to talk to your GP so than he/she can refer you to a sex therapist. You may discuss the above information with your doctor and together decide on the most appropriate treatment in your case.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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