Could symptoms come after few months from last dose?

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PIEDOderPSSD
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Could symptoms come after few months from last dose?

Unread post by PIEDOderPSSD »

Before reading, this will be long, i will really appreciate if you take few minutes to read and help me diagnose if my issue is related to ssri or not. I put some sexual details about myself to describe my dysfunction.



My story :

1) Background:

i am 26 years old, healthy, fit, was hypersexual, high sex drive, masturbated alot, abused porn in the last few years, but never had an issue, i was able to easily get erections in 15 seconds just by resting my hands on my penis, unvoluntary 1 hour long hard erections during long bus rides, unintentional embarrassing erections when a kid jumps on my lap, with no sexual intention. Was able to get hard just by thinking about sex.



Now in just a matter of few months, i have zero libido, erectile dysfunction, no urges to masturbate or watch porn. After abstinence, i get brief moments( minutes) of good libido followed by hard erections, only able to have erections in the morning as soon as i wake up and still in bed. Other than that i am dead and unable to get aroused or have erections with the exception of those brief moments i told you about.



I have two explanations, porn induced erectile dysfunction and sexual exhaustion or PSSD. Now for the Story :



in December, due to anxiety and panic attacks from stress in college, visited a psychiatrist, he prescribed to me venlafaxine (TEDEMA) 10mg. And a benzodiazepine prazepam 10mg.



in December, i used venlafaxine 10mg twice a day for a week, then once a day for a week and i stopped. and prazepam occasionally until February.

In February, i started venlafaxine but only for a week until my dose run out and stopped.

I also used propranolol during January to control my panic attacks.



I stopped the snri because i had delayed ejaculation, which i reach the edge of orgasm and it runs away so i have to try hard to trigger an orgasm. Also my penis looked smaller flaccid.

In January, i noticed that sometimes when i masturbated, my penis wasn't fully hard, i gave that to 40mg propranolol side effects.



In February, March, i suddenly lost interest in my girlfriend and i broke up with her, but i still masturbated and watched porn daily, i notice sometimes my penis wasn't as hard as it used to be. But only sometimes.



In April, i notice that when masturbating, i lose erection as soon as i stop stimulation. At that moment i was shocked and since then, i had no libido to masturbate, watch porn.



So could PSSD come after some months, or was it because of my excessive porn use and masturbation?



Last year i could masturbate 4 times a day and always rock hard.



What i tried for recovery:



I learned about nofap(abstinence) in August. So in September, i stopped porn and masturbation, i didn't have any desires anyway.



After 40 days, i had consistent morning wood of good quality for 2 weeks. After that, it was inconsistent and varied in quality.

I had 3 days around day 50, where my penis became very sensitive, and each time i lay in bed, i get very aroused and felt extremely horny followed by the hardest erections i had in a long time. Then back to zero in the evening of the 3rd day.



There were short brief moments of libido but they don't last more than a minute.



I try talking dirty with a girl i know on the phone to test myself, it feels like a job, i get occasionally a weak erection that lasts seconds. But there were times where suddenly after a while i get very aroused and have an erection.



At day 70, i masturbated 4 times with few hours in between, first time i had inconsistent erection where it could be good then fades away. Secons Second time, i had a good erection all time, 3rd and 4th time, i was limp and slightly hard as i was about to ejaculate.



I regained morning wood after 3 days.



Now and since few weeks, i only can have an erection in the morning if i try to stimulate myself with hand, not very strong but good overall. But in the afternoon and night, no matter how hard i try, i cannot make my penis become erect.



Also some mornings i feel some libido and i could get erections by fantasy, but only while still in bed before waking up.



Please help me diagnose if this is pssd or porn related. If this is pssd, definitely i will prefer to die, i had bad days where i punch the wall and the closet, i cry in bed every night feeling bad about myself, and i think about suicide especially i am alone and i don't have family or friends. I never cried since i was 14 after my father's death, now because of pssd worries i broke down and cried. I quit college, lost all hope and motivation for life, please don't tell me it's depression, i was depressed all my life but never had sexual dysfunction like this.
Naczoz
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Re: Could symptoms come after few months from last dose?

Unread post by Naczoz »

Its PSSD.
arahant
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Re: Could symptoms come after few months from last dose?

Unread post by arahant »

PIEDOderPSSD wrote: Thu Nov 19, 2020 10:10 am Before reading, this will be long, i will really appreciate if you take few minutes to read and help me diagnose if my issue is related to ssri or not. I put some sexual details about myself to describe my dysfunction.



My story :

1) Background:

i am 26 years old, healthy, fit, was hypersexual, high sex drive, masturbated alot, abused porn in the last few years, but never had an issue, i was able to easily get erections in 15 seconds just by resting my hands on my penis, unvoluntary 1 hour long hard erections during long bus rides, unintentional embarrassing erections when a kid jumps on my lap, with no sexual intention. Was able to get hard just by thinking about sex.



Now in just a matter of few months, i have zero libido, erectile dysfunction, no urges to masturbate or watch porn. After abstinence, i get brief moments( minutes) of good libido followed by hard erections, only able to have erections in the morning as soon as i wake up and still in bed. Other than that i am dead and unable to get aroused or have erections with the exception of those brief moments i told you about.



I have two explanations, porn induced erectile dysfunction and sexual exhaustion or PSSD. Now for the Story :



in December, due to anxiety and panic attacks from stress in college, visited a psychiatrist, he prescribed to me venlafaxine (TEDEMA) 10mg. And a benzodiazepine prazepam 10mg.



in December, i used venlafaxine 10mg twice a day for a week, then once a day for a week and i stopped. and prazepam occasionally until February.

In February, i started venlafaxine but only for a week until my dose run out and stopped.

I also used propranolol during January to control my panic attacks.



I stopped the snri because i had delayed ejaculation, which i reach the edge of orgasm and it runs away so i have to try hard to trigger an orgasm. Also my penis looked smaller flaccid.

In January, i noticed that sometimes when i masturbated, my penis wasn't fully hard, i gave that to 40mg propranolol side effects.



In February, March, i suddenly lost interest in my girlfriend and i broke up with her, but i still masturbated and watched porn daily, i notice sometimes my penis wasn't as hard as it used to be. But only sometimes.



In April, i notice that when masturbating, i lose erection as soon as i stop stimulation. At that moment i was shocked and since then, i had no libido to masturbate, watch porn.



So could PSSD come after some months, or was it because of my excessive porn use and masturbation?



Last year i could masturbate 4 times a day and always rock hard.



What i tried for recovery:



I learned about nofap(abstinence) in August. So in September, i stopped porn and masturbation, i didn't have any desires anyway.



After 40 days, i had consistent morning wood of good quality for 2 weeks. After that, it was inconsistent and varied in quality.

I had 3 days around day 50, where my penis became very sensitive, and each time i lay in bed, i get very aroused and felt extremely horny followed by the hardest erections i had in a long time. Then back to zero in the evening of the 3rd day.



There were short brief moments of libido but they don't last more than a minute.



I try talking dirty with a girl i know on the phone to test myself, it feels like a job, i get occasionally a weak erection that lasts seconds. But there were times where suddenly after a while i get very aroused and have an erection.



At day 70, i masturbated 4 times with few hours in between, first time i had inconsistent erection where it could be good then fades away. Secons Second time, i had a good erection all time, 3rd and 4th time, i was limp and slightly hard as i was about to ejaculate.



I regained morning wood after 3 days.



Now and since few weeks, i only can have an erection in the morning if i try to stimulate myself with hand, not very strong but good overall. But in the afternoon and night, no matter how hard i try, i cannot make my penis become erect.



Also some mornings i feel some libido and i could get erections by fantasy, but only while still in bed before waking up.



Please help me diagnose if this is pssd or porn related. If this is pssd, definitely i will prefer to die, i had bad days where i punch the wall and the closet, i cry in bed every night feeling bad about myself, and i think about suicide especially i am alone and i don't have family or friends. I never cried since i was 14 after my father's death, now because of pssd worries i broke down and cried. I quit college, lost all hope and motivation for life, please don't tell me it's depression, i was depressed all my life but never had sexual dysfunction like this.
Were you able to fap 4 times a day after quiting meds?
I think that's something quite impressive for someone considering having PSSD.
You confessed "testing behavior" to se "if you can work" many times, also reported some immense sensitivity months after. Also confessed being full of worries.


If you were always depressed and porn abuser for your entire life. Everyone on the nofap community says minimum 90 days, so one month is just the beginning to say something about it...and it can be even worse at first weeks, research about "flatline", just to have an idea.It's wise trying to adress these problems, giving yourself time, before jumping to doomsday conclusions.
Wellbutrin (2007 - 2018)
Wellbutrin + Sertraline (2015)
Wellbutrin + Ritalin (2016 - 2018)
Wellbutrin + Ritalin + Sertraline (3 months in 2018)
Buspirone (Feb 2019 - Today)
Ritalin + Buspirone (Nov 2019 - today)
PIEDOderPSSD
Posts: 26
Joined: Thu Nov 19, 2020 10:01 am
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Re: Could symptoms come after few months from last dose?

Unread post by PIEDOderPSSD »

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Last edited by PIEDOderPSSD on Wed Oct 27, 2021 8:15 am, edited 1 time in total.
Dalmatian
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Joined: Tue Apr 16, 2019 4:36 pm
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Re: Could symptoms come after few months from last dose?

Unread post by Dalmatian »

Hello,

Honestly, in my opinion your story sounds like a problem of psychogenic nature. Obviously, nobody can rule out PSSD completely so there is always a chance that those pills are the real culprit, but I think it might be that in your case pills induced temporary sexual dysfunction and you have been mentally carrying it onwards. It could be that once you learned and started worrying about PSSD your symptoms just worsened and you got stuck in a magic circle. Mind is a very powerful thing. I'm basing it on the fact that you are having some good moments when you feel high libido, arousal and somewhat good erections. Of course PSSD is a strange syndrome and I've come across really bizarre cases so no guarantees here, but from purely statistical point of view I think the chances are that you don't have it.

When exactly did you learn about the existence of PSSD if I may ask?
Trazodone, 25 pills (50/100/150mg), April '19, quit cold turkey

Improved significantly in 3 years. Greatest improvements came within the first year and a half. Still suffering from mild PSSD.
PIEDOderPSSD
Posts: 26
Joined: Thu Nov 19, 2020 10:01 am
Contact:

Re: Could symptoms come after few months from last dose?

Unread post by PIEDOderPSSD »

..
Last edited by PIEDOderPSSD on Wed Oct 27, 2021 8:15 am, edited 1 time in total.
Dalmatian
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Joined: Tue Apr 16, 2019 4:36 pm
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Re: Could symptoms come after few months from last dose?

Unread post by Dalmatian »

PIEDOderPSSD wrote: Fri Nov 20, 2020 9:42 am I read about pssd before ssri, i found a reddit group of 1000 people, i never thought of it seriously,( ssri consumption in december and February, back then nothing serious hit me. in around late may i noticed my erection issue, and since then i did a quick google about ed and read that antidepressants could cause it, then read about pssd again. Around then, and the precisely the moment i realized my erection was bad, i became aware that i had no real libido and things got worse.
I think it's entirely possible you experienced a psychological shock which greatly impacted your sexual function. I had very similar symptoms as yours in the first 7-8 months post withdrawal, the only difference being that my PSSD started while taking ADs and not after quitting.
My guess would be that you had a mild PSSD from the pills (which has a good chance of significant natural recovery), but then after you learned about PSSD your mind entered in sort of a shock state and everything worsened. First thing you need to do is relax. I know it's much easier said than done, but is a good way to go. You need to try various methods of relaxing yourself
Trazodone, 25 pills (50/100/150mg), April '19, quit cold turkey

Improved significantly in 3 years. Greatest improvements came within the first year and a half. Still suffering from mild PSSD.
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