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


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PiedoDerPSSD

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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 by ChessieCat
added warning

Venlafaxine 25mg twice a day ( taken for 2 weeks in December 2019)

Propranolol (20mg-40mg-60mg) doses most of January 2020.

Prazepam 10mg occasionally from December 2019 to February 2020. 

Venlafaxine 25mg twice again 1 week in February 2020.

At the moment i am clean. 

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  • ChessieCat changed the title to PiedoDerPSSD: could symptoms come after few months from last dose?
  • Moderator

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.

 

 

 

 

 

 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Lorazepam 1 mg 1986-1991 CT, soon reinstated.  CT 2000. RI 1 mg 2011-2016.  Sept. 2016  0.625mg X 3

Nov.27, 2020 Begin 6-week Ativan-Valium crossover.

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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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. 

Venlafaxine 25mg twice a day ( taken for 2 weeks in December 2019)

Propranolol (20mg-40mg-60mg) doses most of January 2020.

Prazepam 10mg occasionally from December 2019 to February 2020. 

Venlafaxine 25mg twice again 1 week in February 2020.

At the moment i am clean. 

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  • Moderator
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.

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Lorazepam 1 mg 1986-1991 CT, soon reinstated.  CT 2000. RI 1 mg 2011-2016.  Sept. 2016  0.625mg X 3

Nov.27, 2020 Begin 6-week Ativan-Valium crossover.

 

Imipramine 75 mg daily since 1986.  Jan. 2016 began every 3-weeks 10% taper, down to 15mg.  Aug 2016, discovered SA, updosed to 25mg and holding.  Taper is 66% complete.  

  

Supplements: omega, vitamins E and D3, magnesium glycinate, probiotic, melatonin .3mg


I am not a medical professional and this is not medical advice, but simply information based on my own experience, as well as other members who have survived these drugs.

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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 

Venlafaxine 25mg twice a day ( taken for 2 weeks in December 2019)

Propranolol (20mg-40mg-60mg) doses most of January 2020.

Prazepam 10mg occasionally from December 2019 to February 2020. 

Venlafaxine 25mg twice again 1 week in February 2020.

At the moment i am clean. 

Link to post
  • Moderator
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.

NEW!!!              INTERVIEW with Altostrata, SA's founder               NEW!!! 

 

ADs:  25 years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015  Current from 14 Nov 2020:  Pristiq 0.50 mg

My tapering program                                      My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

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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. 

Venlafaxine 25mg twice a day ( taken for 2 weeks in December 2019)

Propranolol (20mg-40mg-60mg) doses most of January 2020.

Prazepam 10mg occasionally from December 2019 to February 2020. 

Venlafaxine 25mg twice again 1 week in February 2020.

At the moment i am clean. 

Link to post
  • Moderator
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 by ChessieCat

NEW!!!              INTERVIEW with Altostrata, SA's founder               NEW!!! 

 

ADs:  25 years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015  Current from 14 Nov 2020:  Pristiq 0.50 mg

My tapering program                                      My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

Link to post
  • Moderator
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.

NEW!!!              INTERVIEW with Altostrata, SA's founder               NEW!!! 

 

ADs:  25 years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering Oct 2015  Current from 14 Nov 2020:  Pristiq 0.50 mg

My tapering program                                      My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

REMINDER TO SELF:  I don't need the drug now, but my still brain does.

Link to post

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

2019-till date--bupron xl 150mg and nexito 20 or 10mg for on and off in every 2 months

For low libido 

Start on september of 2019

2017-2019 august ----fluxovin 50mg which cause sexual dsyction

I want to ask is there any antidode for sexual and dslsyfuction and emotions and feeling

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