Patient :Hi, I am a male and I’m 19 years old and I’ve got a question regarding something that has been happening to me recently that I can’t explain and would love if you could help. It’s been happening for just under a month now, well it’s been happening ever since I started to notice it (which I think could be part of the problem). Whenever I’m around someone that makes me very nervous or anxious I start to worry. However, I seem to notice a feeling particularly in my penis. It’s often the case that for some reason (possibly due to my anxiety or insecurity about my sexuality) I get this sort’ve tingly sensation in my penis. Sometimes it feels uncomfortably sensitive and other times it just feels like a very uncomfortable pressure. When I experience it, it makes me feel very uncomfortable and the more I focus on it the more intense it feels. I often feel it in awkward situations or inappropriate situations where I’m anxious or nervous about getting aroused by people I know I’m not sexually attracted to in any way and it’s almost a knee jerk reaction now where if I’m in an environment that makes me worried in that way I’m always concerned and being very aware of any sort of feelings or slight movements in the lower area of my body and I can’t help but focus on that area which makes it worse. It’s becoming a regular and uncomfortable experience for me and I feel if I could get some sort’ve explanation for why this actually happens it could help control it and it wouldn’t make me so uncomfortable and distress me. I feel like I do suffer from some anxiety related disorder but I’d like to know why this is happening from a biological/scientific perspective. Is it because I’m focusing on my penis involuntarily because I’m worried about what’s going on down there? It’s also worth mentioning that the tingly sensitive feeling feels kind of similar to arousal but not how I usually feel when I’m sexually attracted to someone and get sexually aroused by them (I’m sexually attracted to women). This feels different and is very uncomfortable and occurs when I catch a glimpse of someone or if I enter an environment that makes me nervous. In these situations I often feel my heart jump first from fear and then the tingly sensitivity sensation in my penis. Finally, because it’s so sensitive in this state in feels like if I accidently hit it or rub it against something it’d get slightly bigger. I’d really appreciate if you could help explain what is going on here and why. Is it anything to worry about/is it normal? Is this representing some form of sexual arousal or is this because of my anxiety/worry? It could be nothing but I’d just like to make sure and get a better understanding of how my body works. Thank you.
Symptoms: Heart jumping, weird tingly sensation, sometimes increased heartbeat
Thanks for writing to us.
I have read your case and can understand your worry.
Since this physical sensation is not present all the time it may not be organic in nature.
Usually extreme anxiety can certainly contribute greatly to perceiving abnormal body sensations and this is what panic attacks/ anxiety disorder are all about - they are misperceiving normal body sensations as abnormal, and escalating from there.
You seem to be having genitally focussed physical symptoms of anxiety which includes getting tingling and burning sensation, minor pain, uneasiness and even arousal in anxiety situations.
This can be associated with other physical symptoms like palpitations, tingling and numbness in body, sweating, trembling,etc.
This can be treated by use of anxiolytics like SSRIs mainly Paroxetine, Fluoxetine, etc.. Benzodiazepines like clonazepam, lorazepam etc can be given to treat acute anxiety reaction .
Psychotherapy mainly CBT ( Cognitive behaviour therapy) may also help to get relief by working on your cognitive distortions.
It is advisable for you to visit your doctor who may prescribe you with one of above options and also guide you with psychotherapy if required.
Hope this helps.
Feel free to refer back.
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