[header] How to manage mysophilia [title] Identify common symptoms of mysophilia. [step] Certain specific symptoms indicate that you're experiencing mysophilia. These include an interest in touching or smelling soiled underwear and sexual arousal from doing so. 
Similarly, recurring sexual fantasies or urges involving soiled underwear or comparably foul smells also indicate mysophilia. In some cases, you may also be sexually aroused by marring or dirtying a sexual partner.