I started Masturbating in 2013 to fall asleep,because I get lots of time to fall in sleep ,I did it Every day once before sleep, now I want to stop, trying to leave this habit since 2020,but I relapse and do 4 to 6 times in a month,
I am planning to start and ask Naltrexone
But the internet shows it works for alcohol
Will it Also work for me ?
Will Naltrexone work for Masturbate
I am looking for multiple Doctors opinion
I dont want to waste time
Answers (8)
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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.
Next Steps
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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.
Next Steps
Consult a Professional: Schedule an online or in-person evaluation with a psychiatrist or clinical psychologist to discuss your sleep patterns and any underlying anxiety. You can book a session with me.
Address Sleep Hygiene: Focus on cognitive behavioral strategies for insomnia (CBT-I) rather than using masturbation or unprescribed medications to induce sleep.
Identify Triggers: Keep a journal to see if the urge arises from true sexual desire, or if it is a default response to boredom, stress, or the inability to sleep.
Health Tips
Do not attempt to source or self-medicate with Naltrexone. It requires baseline liver function tests (LFTs) before initiation and can cause adverse side effects like severe nausea, abdominal pain, and hepatotoxicity if unmonitored. Shifting away from guilt and understanding that occasional self-stimulation is a normal physiological release can help break the psychological loop of "relapse" and anxiety.
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.
Next Steps
If you feel unable to control the behavior despite repeated attempts, or if it is causing distress, relationship problems, or affecting work, consult a psychiatrist/sexologist for assessment. Sometimes underlying anxiety, OCD traits, depression, loneliness.
Health Tips
Avoid known triggers if they are part of the problem
✔ Stay engaged in exercise, hobbies, and social activities
✔ Avoid staying alone with excessive idle time before sleep
✔ Focus on reducing guilt and understanding triggers rather than counting days or relapses
✔ Seek professional help if urges feel compulsive or distressing
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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