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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can CBT Therapy Help To Change Fantasies Or Sexual Preference?

Dear Sir, I am 34 years old man. I am married person and i have 3 years old baby. When I am trying to sex with my wife I don t get aroused by normal stuff. When I imagine femdom staff then only I get aroused. I have not discussed this thing with my wife. I have femdom fantasy before marriage. After marriage I used to take vigora 50 mg every day because by that i had got normal arousal but now vigora is not effective for me. I really want to get rid from this fantasy. I read your one answer and you advises for CBT therapy. CBT therapy can help to change fantasy or sexual preference? Can we do at home? Please sir suggest me i can be a normal man who can attract for sex by normal stuff? I am facing issue of early discharge also less than 2 minutes after penetration.
Tue, 2 Apr 2024
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General & Family Physician 's  Response
Hello,

Stop watching porn, avoid looking at stuff that seduces you visually. If you get seduced visually the brain gets triggered but your performance with your partner is not good. Try to concentrate on real life. Give yourself feedback about love and not lust. This will help you to develop better chemistry with your wife.

Connect with a physical therapist. Do pelvic floor exercises to strengthen those muscles as they help get better erections and delay ejaculation. Do Kegel exercises. Pause and squeeze technique also helps to delay ejaculation.

CBT is helpful also, meet the therapist / counsellor. Talk to your therapist and your partner. Don't keep secrets. You will be taught couple-communication techniques. You will be given mindfulness-based therapy, emotion-based therapy, aroma therapy, etc. In the meantime, get clinically examined by a urologist to rule out any other factor / pathology that may cause you symptoms.

If obese, lose weight, fat deposition in the penile area will affect blood circulation and hence cause PE or ED. Take healthy, homemade, balanced food that is rich in minerals and protein. Apply numbing gels or creams before sex containing benzocaine or lidocaine. Oral medicine to delay premature ejaculation are sildenafil (Viagra), tadalafil (Cialis), it is quite effective. Counselling helps.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Can CBT Therapy Help To Change Fantasies Or Sexual Preference?

Hello, Stop watching porn, avoid looking at stuff that seduces you visually. If you get seduced visually the brain gets triggered but your performance with your partner is not good. Try to concentrate on real life. Give yourself feedback about love and not lust. This will help you to develop better chemistry with your wife. Connect with a physical therapist. Do pelvic floor exercises to strengthen those muscles as they help get better erections and delay ejaculation. Do Kegel exercises. Pause and squeeze technique also helps to delay ejaculation. CBT is helpful also, meet the therapist / counsellor. Talk to your therapist and your partner. Don t keep secrets. You will be taught couple-communication techniques. You will be given mindfulness-based therapy, emotion-based therapy, aroma therapy, etc. In the meantime, get clinically examined by a urologist to rule out any other factor / pathology that may cause you symptoms. If obese, lose weight, fat deposition in the penile area will affect blood circulation and hence cause PE or ED. Take healthy, homemade, balanced food that is rich in minerals and protein. Apply numbing gels or creams before sex containing benzocaine or lidocaine. Oral medicine to delay premature ejaculation are sildenafil (Viagra), tadalafil (Cialis), it is quite effective. Counselling helps. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician