PiedoDerPSSD: could symptoms come after few months from last dose?

[PiedoDerPSSD]

Graphic content

 

PIED - porn induced erectile dysfunction

PSSD - post SSRI sexual dysfunction

 

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.

 

Edited November 20, 2020 by ChessieCat
added warning

[Gridley]

Welcome to SA, Piedoderpssd.

 

To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly.

 

Account Settings – Create or Edit a signature.

 

Porn-induced erectile dysfunction is beyond the scope of our knowledge here.  However, I can look at your SNRI use and offer an opinion regarding whether or not it's the cause of your problems.  Based on your post, you used venlafaxine for a total of three weeks.  The general consensus is that a person is at risk of withdrawal symptoms, such as PSSD, after a month of regular use of an antidepressant.  Though there may be exceptions to the one-month time frame, my opinion is, since your use of the SNRI was only three weeks,  that your issues stem from causes other than venlafaxine and PSSD..  This is bolstered by the fact that when you abstained from masturbation you showed improvement.  

 

Propranolol has been linked to erectile dysfunction, but that is not PSSD.

 

I hope this has been of some help to you.

 

 

 

 

 

 

[PiedoDerPSSD]

Thank you, is propranolol erectile dysfunction a permanent side effect ? 

I only used it at 40 and 60mg doses in January, almost daily. But again, why side effects came late. 

I have healthy erections sometimes that last up to 5 minutes. so my issue is not physical, also i have erections at night during sleep, but i have to touch myself or do a kegel to realise i have an erection. Also sometimes, rarely i have painful erections as i wake up. 

[Gridley]

39 minutes ago, PiedoDerPSSD said:

Thank you, is propranolol erectile dysfunction a permanent side effect ? I

That's outside our scope of knowledge.  There's lots of information the Internet.  The fact that the side effects came late is an indication in my opinion that the propranolol is not the cause of your issues.

[PiedoDerPSSD]

Bro i have one last question. For the last few days, i have been feeling dead sexually, last night i was with a girl, i haven't felt anything, no lust or desires at all. Occasionally i got a quick weak erection which went away fast. 

But later at night, i forced myself to do something with her, for 30 minutes my body didn't react or feel aroused. But then suddenly i was in arousal state and i had a nice erection. That lasted for nearly 10 minutes before fading away again and my sex drive tanked again.

 

Is this a common or possible pssd symptom? 

 

I have noticed that my arousal state is brief, hard to trigger and fades away quickly despite constant mental/physical stimulation 

[ChessieCat]

On 11/21/2020 at 2:00 AM, Gridley said:

 

To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly.

 

Account Settings – Create or Edit a signature.

 

...  However, I can look at your SNRI use and offer an opinion regarding whether or not it's the cause of your problems.

 

 

We need more information about your drug history before we can respond to your questions.

 

Please create your drug signature as requested previously by Gridley.

[PiedoDerPSSD]

18 minutes ago, ChessieCat said:

 

We need more information about your drug history before we can respond to your questions.

 

Please create your drug signature as requested previously by Gridley.

I did that, i would appreciate your feedback and added details. Thanks. 

[ChessieCat]

Please remove the following from your drug signature.  We DO NOT need the explicit content thank you.

 

Possible pssd : zero lilibido, occasionally signs of libido early in the morning, inconsistent morning erections, erectile dysfunction which seems to be a result of dead libido. 

I could force my libido, but it takes a long time of trying to relax and constant mental and physical stimulation, but libido is short lived and back to flatline state in a matter of 5~10 minutes. I require extreme mental stimulation and libido/erections could only be felt through heavy making out. 

Porn has a different reaction on me each time, because there are times where my body doesn't react to it. 

 

Edited November 22, 2020 by ChessieCat

[ChessieCat]

Because of all the variables it is impossible to say what is causing your issues.

 

However, I think it would be a good idea to address your porn addiction.

 

SA is a site for tapering/reducing psychiatric drugs.  There are other forums, support groups, Facebook groups which would be more suitable for you.

[Deepu]

Do 2 year of nofap and forget about girls...if its pied it will 100percent recover in 1 year and if not see what on your faith

[Altostrata]

Hello, @PiedoDerPSSD. How are you doing?

[PiedoDerPSSD]

1 hour ago, Altostrata said:

Hello, @PiedoDerPSSD. How are you doing?

I am slightly better, last year when i wrote this i was completely not functional. Now slightly better. I reply in more detail in the pssd topic. Thanks for your interest. I am glad to read that you have recovered from this.

[Altostrata]

Good to hear you're a bit better. What symptoms have improved?

 

Please post your progress in this topic. Thanks.

[ChessieCat]

PiedoeerPSSD posted in another topic about some improvements so I have copied it here:

  

10 hours ago, PiedoDerPSSD said:

Tldr: it's still long, but i feel important to explain how this works for you. I feel there is very little details of very detailed descriptions of pssd. Mine started slowly and over a year it kept getting worse, from slight emotional bluntness, loss of libido, then full impotence, tinnitus, anhedonia became worse ect... all this throughout the course of almost a year. From late Feb_early Mar 2020 until oktober 2020. Then i got my first window of 3 days. Until today i had a handful of really good windows, and many subtle windows, of durations ranging from minutes up to few weeks as of lately.  First 1.5 years a window was never longer than 3 or 4 days. Also during windows it's not always feeling 100% and recovered, it's just feeling better sexually and emotionally. 

Today, i have an acceptable baseline, i can function sexually but i am not like before. I am a male, and not a female so this is different for us. Also i cannot give you proper description of my function and how it changed because it's not allowed here and could ban my account as i was warned before. Emotionally, i am not cured, but a little better, still numb but at least could feel connected again and realize i am in a love with a woman, unfortunately she dumped me not long ago. This has reversed any cognitive and mental improvement, even a healthy person would feel depressed and sad after a break up.. so, i can't focus on anything anymore because of her. 

 

 

Hello Sofa, i have been receiving email notifications and following your messages this whole time. I wanted to log in and share my experience with you.  

First, look up my post and comment history to know what my symptoms are. It's been 2 years and 3 months almost since i got pssd. For the first year it only kept getting worse, and i believe my emotional and mental state got much much worse even now. The reason is ocd and i am obsessed about my pssd. It ruined my life, all this negativity and feeling doomed got me more depressed and sad. I suffer sexual and cognitive functions,  not only few months ago i realized that sexual dysfunction is a walk in the park compared to cognitive dysfunction. Feeling no emotions, no excitement, void, mo love towards even mother... surprisingly i can only feel sad amd negative. And i have zero ability to day dream or fantasize anymore, blank mind, i was able to day dream and create movies in my head, it was so intense with music. Now i no longer feel any of that. Oh and tinnitus as well... these are some things i didn't post when i joined, i was like you only focused on my sexual function. 

 

 

What's my state now 2 years later

It's better, not cured but it's getting slowly better, very slow. I am having more and more windows occasionally. My baseline is not fully broken and dysfunctional.  

 

Contact me privately on a message and i will answer your questions in detail, all damage is in the brain, it's not permanent, could get better. Also i feel tinnitus started to feel slightly less since about a month when i felt the best improvement since this begin 2 years ago. It's very subtle and slow improvement in my case. It will be different from person to other.