Hiroka could understand and respected the young mans frustration. It was certainly the last thing he had wanted to hear when coming in today but at least they knew the source which meant potentially having a solution. He would rub his lips together as he tried to feel out the best words to say. "Dominant Omegas are a little different than traditional Omegas. it isn't that you're infertile. In simpler terms it's like this. Your body has the designs of an Omega. You can procreate by getting pregnant, produce slick, all of those things. Under all of that though you do have Alpha hormones at work. It's quite plausible this is a reason your sex drive is kind of out of sorts. Think of it like your active body wants sex but it isn't quite certain the kind that it wants. Now there are also studies that indicate that of course gender and sexuality are not always hand in hand. That could also explain your mind not being to keen on the idea but your body certainly is."
He would ease back a little and look at the folder as if it were a puzzle to be solved. "You will need much stronger suppressants which I can prescribe but I do fear that the nausea and blacking out is because the chemical balance in your body is getting more and more out of alignment. Each heat cycle that comes and goes without you, how should I say this? Alleviating the tension? Is just going to make it worse." He would cough a little at the awkwardness of the conversation. "If you don't mind my asking, do you ever or have you ever pleasured yourself?"