I am not a mental health professional, but I am a writer. Thus I know and can explain the narrative of this sick punk's story clearly. He's a hurt little puppy who has seen all of the older men in his family, including his dad, die in their mid-fifties. He resents his mother who had to adopt the role of authority in his life as he was tutored by priests on the inferiority of women.
He deeply fears growing old and thus perversely worships his own male body by torturing it to excess. In the disguise of perfecting it, he self-flagellates like the celibate monk that he is not and can never be given his obsession with sex and the unknowable power in a woman's womb that he strives unsuccessfully to control. He is hiding behind the smile of a man terrified of his mortality as he bargains with the very devil of his imagining that he seeks to defeat. He is doomed and lashing out against the unstoppable future. This dude's way in life makes the deal that Faust struck look like a good bet.
Res Ipsa Loquitor,