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Question: I just showered at the gym....and I am OCD all the time about what if I got an erection or leaked pre-cum....that would mean I was XXXXXXX ...
So I just got to work and checked to see if I leaked anything (like I said I have OCD) and although overall I was dry I found a speck of something and I checked it and it has viscosity like pre-cum.....I know had a had a bowel movement before I went to the gym and sometimes this can happen......but I am going crazy right now thinking I am XXXXXXX (which I am 57 and have a wife and 4 kids)....but like I said I do have OCD about this. Ugh
So I just got to work and checked to see if I leaked anything (like I said I have OCD) and although overall I was dry I found a speck of something and I checked it and it has viscosity like pre-cum.....I know had a had a bowel movement before I went to the gym and sometimes this can happen......but I am going crazy right now thinking I am XXXXXXX (which I am 57 and have a wife and 4 kids)....but like I said I do have OCD about this. Ugh
Brief Answer:
you canngo for CBT for managing this
Detailed Answer:
Hello,
Reading your query I can see that most of the time there is hardly any major issue with you because of OCD. You only seem to have this fear in public palces...
The symptoms are definitely of OCD and in some other patient I would have gone for medication bu as you have been living relatively peacefully with this illness till now without drugs, have a family life and you are in your late adulthood..I think better choice here would be therapy. You may go to a councellor or therapist or a psychiatrist in your area who gives CBT for OCD.
This therapy will help you deal with these fears and checking compulsions and also prevent the increase in symptoms/ anxiety.
You should also get your TSH level and Vit. B 12 levels done. Their disturbance is commonly associated with psychiatric illnesses and treating them helps a lot.
Dont worry, you have a good prognosis and I am hopeful that with simple CBT alone you will get control on this symptom.
Good luck.
Please feel free to ask more questions for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry
you canngo for CBT for managing this
Detailed Answer:
Hello,
Reading your query I can see that most of the time there is hardly any major issue with you because of OCD. You only seem to have this fear in public palces...
The symptoms are definitely of OCD and in some other patient I would have gone for medication bu as you have been living relatively peacefully with this illness till now without drugs, have a family life and you are in your late adulthood..I think better choice here would be therapy. You may go to a councellor or therapist or a psychiatrist in your area who gives CBT for OCD.
This therapy will help you deal with these fears and checking compulsions and also prevent the increase in symptoms/ anxiety.
You should also get your TSH level and Vit. B 12 levels done. Their disturbance is commonly associated with psychiatric illnesses and treating them helps a lot.
Dont worry, you have a good prognosis and I am hopeful that with simple CBT alone you will get control on this symptom.
Good luck.
Please feel free to ask more questions for clarification.
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for getting back to me. I do take Prozak (40 MG).
What about the issue of "leaking" today....if I did would that mean I got excited? I mean it wasn't a lot of wetness, but there looked like a spec of dry mucus or something...really small but when I checked it - it did have the viscosity of pre-cum.
That is what really bothers me....thanks
I don't know if you saw my follow up question, thanks
What about the issue of "leaking" today....if I did would that mean I got excited? I mean it wasn't a lot of wetness, but there looked like a spec of dry mucus or something...really small but when I checked it - it did have the viscosity of pre-cum.
That is what really bothers me....thanks
I don't know if you saw my follow up question, thanks
Brief Answer:
secretion was minute but needs treatment
Detailed Answer:
Hello,
1. You take prozac 40mg but the original query didnt mention it, so I thought that there are no meds.
Prozac is a mild drug used for treating OCD and 40mg is a lower dosage strength at which you seem to be doing fairly well. Bith suggest a good prognosis.
2. Now the real question which you are concerned about.. . The secretion thing...I will try to explain in simple language - in OCD or normal life there are several thoughts which make the bodily reactions happen...like, e.g.: desire to urinate when one hears sound of flowing water or when one goes in water and even when one repeatedly thinks of such scenarios....most of the people do urinate, as it is very difficult to control. Here, in such situations one dosent want to do so but cant help much..this happens due to a "reflex arc".
So, when you had a small secretion (which I dont think is really the pre-cum thing as the quantity was very small..) it could have been produced by the obsessive thought process bothering you...due to "reflex process " which is not under ones control...(even process of erection is also controlled by feelings)..
The real nature of that secretion can only be confirmed by testing it, but that's not necessary. When in doubt one should take a safe approach and prepare oneself to handle it.
So, now you may go for any of the two things -
A- hike prozac to 60mg OR
B- take CBT for managing these thoughts so that they do not increase or expand..
Or you may go for both of A & B together.
The presence of this thought of being a XXXXXXX and risk of getting erection can bother your social life making its treatment essential.
I hope the reply is helpful for you.
Do ask if there is something else that is bothering .
Wish you a speedy recovery!
Dr. Manisha Gopal
MD Neuropsychiatry
secretion was minute but needs treatment
Detailed Answer:
Hello,
1. You take prozac 40mg but the original query didnt mention it, so I thought that there are no meds.
Prozac is a mild drug used for treating OCD and 40mg is a lower dosage strength at which you seem to be doing fairly well. Bith suggest a good prognosis.
2. Now the real question which you are concerned about.. . The secretion thing...I will try to explain in simple language - in OCD or normal life there are several thoughts which make the bodily reactions happen...like, e.g.: desire to urinate when one hears sound of flowing water or when one goes in water and even when one repeatedly thinks of such scenarios....most of the people do urinate, as it is very difficult to control. Here, in such situations one dosent want to do so but cant help much..this happens due to a "reflex arc".
So, when you had a small secretion (which I dont think is really the pre-cum thing as the quantity was very small..) it could have been produced by the obsessive thought process bothering you...due to "reflex process " which is not under ones control...(even process of erection is also controlled by feelings)..
The real nature of that secretion can only be confirmed by testing it, but that's not necessary. When in doubt one should take a safe approach and prepare oneself to handle it.
So, now you may go for any of the two things -
A- hike prozac to 60mg OR
B- take CBT for managing these thoughts so that they do not increase or expand..
Or you may go for both of A & B together.
The presence of this thought of being a XXXXXXX and risk of getting erection can bother your social life making its treatment essential.
I hope the reply is helpful for you.
Do ask if there is something else that is bothering .
Wish you a speedy recovery!
Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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