Ya i've looked up hard flaccid - the trouble is I don't have any of the other symptoms like E.D., deformed genitalia, trouble urinating, or genital pain so I really don't think I fit the bill.john099 wrote: ↑Fri Jun 05, 2020 1:31 pm I believe its caused by pelivc floor dysfunction - if you look at he CPPS forums they also have numb genitals, no libido, ED, Soft glans, issues with urinating, hard flaccid, etc
So you can see they are similar symptoms due to the nerves being compressed - I have had better orgasms and better sensation after doing DCT - resistance stretching for pelvic floor.
But this is not the cause of PSSD - just one of the many symptoms. Others have reported improvement with pelvic floor therapy
Not a miracle cure though - but it helps
I do sometimes hope that Pundendal Nerve Compression/Injury is a possibility in my case since I've had colo-rectal problems in the past that lead me to strain at stool pretty often which is one of the leading causes. But, to be honest, it doesn't strike me as very likely for four reasons:
(1) my genital numbness only occurred when I began SSRI's, and increased when I increased my dose. Prior to that I had perfect sensitivity.
(2) From what I understand, in most cases of serious pundendal nerve compression there is pretty widespread numbing in the genital region, but the numbing I experience is mostly isolated to the head of my penis, I might have very slight numbing elsewhere in my scrotum, but honestly its hard to tell and things feel mostly normal.
(3) I don't experience any pain/sensory disturbances in my genital region or E.D., which are two very common symptoms of Punendal Neuralgia.
(4) Although these have thankfully more or less gone away, in the first 9 months since stopping meds I had other PSSD symptoms like Anhedonic Orgasms, Anorgasmia, and emotional blunting; none of which are accounted for by Pundendal Neuralgia as far as I can tell.
Still, I can't rule out pundendal nerve compression entirely. In fact, the development of my symptoms might have gone something like this. I go on SSRI's for 8 months, which are known to cause constipation and numbing in the groin. The constipation+other factors (sitting too long, etc) eventually causes me to get a pundendal nerve injury, but I don't feel it because of the effect of the SSRI's (this seems very plausible since SSRIs are prescribed for nerve pain sometimes). I get off SSRI's and have moderate PSSD symptoms including severe genital numbing, which I attribute entirely to PSSD. Unbeknownst to me, my genital numbing is at least partially caused by a pundendal nerve injury at this point, which is why it has persisted even when my other PSSD symptoms have substantially improved. This is certainly a coherent story, even if it would be a very big coincidence. But if this is what's going on, hopefully it is still treatable.