Body image, transmasculinity, and sexual anxiety.
Posted: Mon Apr 20, 2026 10:21 am
I'm going to start this by saying this is deeply embarrassing. I am transmasculine (I don't know if I'm a binary man, though I do wish to be physically male) and recently, I feel like I've woken up. For many years, I realize I've been constantly dissociating from my feelings and my body. A change in my environment means that I no longer am, but part of me hates it. My dysphoria feels worse than before, and for the first time in my 17 years, I'm actually feeling active sexual desire. But I don't enjoy it. Any of it. My only fantasies either involve a cisgender version of me, or don't involve me at all. Masturbating, which I can only do over my clothes, makes me feel terrible. I'm attracted to men, which can complicate things. Sexual health, hookup culture, etc. And, honestly, I'm scared of doctors, sometimes. If, in the future, I do somehow manage to have sex with men, doctors probably won't treat my concerns seriously. "You won't get HIV, because you're not really a man who has sex with men." Shit like that. Feeling desire makes me feel ashamed, dysphoric, and dirty. And, since I'm not an adult yet, it's impossible to talk about it with anyone. And adding any romantic fantasies on top of it just makes it a depressing mess. I guess my question is, what do I do? Can I turn the libido off somehow? If masturbation is supposed to feel good, than why doesn't it work for me? How do people even know what they're doing?