Hi

That's normal. Naltrexone has various side effects too. So I would recommend to decrease it by yourself or with therapy.

Consult any psychiatrist for the same

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Hi, consult online for treatment

As a psychiatrist, I would advise against starting Naltrexone on your own. Masturbation itself is not a disorder. Based on what you’ve described, you’ve reduced from daily use to only 4–6 times per month, which actually suggests significant improvement and self-control. The key question is whether it is causing distress, loss of control, relationship problems, excessive time consumption, or impairment in daily functioning. Naltrexone has been studied in some cases of compulsive sexual behavior, but evidence is limited, and it is not a standard treatment for someone who masturbates a few times per month. It can also cause side effects and requires medical supervision. I would recommend a psychiatric assessment to evaluate: • Whether this is truly compulsive sexual behavior or normal sexual activity with guilt attached to it. • Associated anxiety, OCD, depression, or sleep problems. • Triggers leading to relapse. In many cases, Cognitive Behavioral Therapy (CBT), habit-reversal strategies, stress management, and addressing underlying anxiety or OCD are more beneficial than medication. From the information you’ve provided, I would not consider Naltrexone the first-line option. The fact that you’ve reduced from daily masturbation to 4–6 episodes monthly suggests progress rather than treatment failure. Focus on gradual improvement rather than complete elimination, and consult a psychiatrist before considering any medication.

First, it is important to clarify that masturbating 4 to 6 times a month is medically and statistically well within the normal range of adult sexual behavior. It does not constitute a clinical addiction or pathology unless it causes profound distress or severely disrupts your daily occupational and social functioning. Regarding your question about medication: Naltrexone is an opioid receptor antagonist primarily approved for treating alcohol and opioid dependence. While it is occasionally explored off-label in neuropsychiatry to manage severe impulse control disorders or hypersexuality (by blocking the brain's reward/dopamine surge), it is not a standard, first-line, or approved treatment for compulsive masturbation. Furthermore, since your habit originally started as a mechanism to cope with delayed sleep onset, the primary focus should be on addressing the underlying insomnia or anxiety rather than suppressing the behavior with heavy anti-craving medications.

Hii . Can understand what you are going through. Masturbation by itself is a normal sexual behavior and the frequency you mention (4–6 times per month) is generally not considered excessive or harmful. The main concern is whether you feel a loss of control, significant distress, guilt, or impairment in daily life because of it. Naltrexone is approved for alcohol and opioid use disorders. There are a few case reports and small studies suggesting it may help some people with compulsive sexual behaviors, but it is not a standard or first-line treatment for masturbation. It should not be started without evaluation and prescription by a psychiatrist.