Jump to content

AppleofSodom: PSSD


AppleOfSodom

Recommended Posts

Age at the start of SSRI's treatment: 27/28
Gender: Male
Country: Portugal

September 2011 to September 2012: Treated for depression and anxiety with 75 mg Effexor and 15 mg Mirtazapine. No noticeable sexual dysfunction during treatment.

September 2012: End of treatment (quit cold turkey). Developed PSSD.

Symptoms (1/10 being 10 normal function):

Erections are harder to get and maintain. (7/10)
Soft glans (even when the shaft is erect). (3/10)
Watery sperm. (7/10)
Less pleasurable orgasms (7/10)
Morning erections (6/10)
Loss of general enjoyment of sex (6/10)
Libido (10/10)

Improvements:

None so far.

Treatments:

Acute Cialis + acute Yohimbine works well, unfortunately I can't take cialis due to my eye problems and yohimbine makes me jittery and anxious.

 

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment

I must add I have no symptoms of depression nor anxiety, which were chronic before SSRIs. I believe whatever physiological changes PSSD causes are also "treating" those issues. Although I mourn the loss of my sexuality it's as if something in my brain has shutdown and there's a limit to how much grief and sadness I can feel.

The physical and emotional attachments I made with several girls along my life gave me the most blissful moments of my existence. Life feels incomplete without that.

After 2 and a half years I don't expect to recover. I'm learning to accept my condition, I guess.

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment
  • Moderator Emeritus

Hi Appleof Sodom ,  Welcome to the site.

 

It's great to hear that you've survived the antidepressants with most of your faculties intact.

Obviously PSSD is a big issue for a young man , and I hope you experience improvement in this area as time goes on.

 

What is yohimbine?

You may find some interesting discussions in Symtoms and Self Care with ideas.

 

Good to have you on board ,  Fresh

 

p.s.  if you click FOLLOW at the top right , you'll receive an email each time someone posts.

1987-1997 pertofran , prothiaden , Prozac 1997-2002 Zoloft 2002-2004 effexor 2004-2010 Lexapro 40mg

2010-2012Cymbalta 120mg

Sept. 2012 -decreased 90mg in 6months. Care taken over by Dr Lucire in March 2013 , decreased last 30mg at 2mg per week over 3 months. July 21 , 2013- last dose of Cymbalta

Protracted withdrawal syndrome kicked in badly Jan.2014 Unrelenting akathisia until May 2014. Voluntary hosp. admission. Cocktail of Seroquel, Ativan and mirtazapine and I was well enough to go home after 14 days. Stopped all hosp. meds in next few months.

July 2014 felt v.depressed - couldn't stop crying. Started pristiq 50mg. Felt improvement within days and continued to improve, so stayed on 50mg for 8 months.

Began taper 28 Feb. 2015. Pristiq 50mg down to 45mg. Had one month of w/d symptoms. Started CES therapy in March. No w/d symptoms down to 30mg.

October 2015 , taking 25mg Pristiq. Capsules compounded with slow-release additive.

March 2016 , 21mg

Link to comment
  • Moderator Emeritus

Welcome AOS,

Thank you for posting an introduction, I'm sorry this has happened to you, but I don't think there is a reason to give up hope. You quit 2 powerful drugs cold turkey and are now experiencing PSSD as a withdrawal symptom. Withdrawal symptoms can last a long time in some people, but do get better over time.

 

You have some sexual functioning and the fact that the treatments you tried work, indicates that your body is capable of functioning properly, it may just take a little more time before things get back to normal.

 

Did you experience any other withdrawal symptoms when you first went CT? Are you taking any other medications now? Were effexor and mirtazapine the only drugs you tried as treatment for anxiety and depression? 

 

It would be great if you would put your drug and withdrawal history in your signature. Doing this helps people understand your context, it appears below each of your posts. Here are instructions for how to do it:

 

http://survivinganti...your-signature/

 

Petunia.

I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?



VIDEO: How are psychiatric diagnoses made?



VIDEO: Why do psychiatric drugs have withdrawal syndromes?



VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes

 

 

 

Link to comment

I must add I have no symptoms of depression nor anxiety, which were chronic before SSRIs. I believe whatever physiological changes PSSD causes are also "treating" those issues. Although I mourn the loss of my sexuality it's as if something in my brain has shutdown and there's a limit to how much grief and sadness I can feel.

 

The physical and emotional attachments I made with several girls along my life gave me the most blissful moments of my existence. Life feels incomplete without that.

 

After 2 and a half years I don't expect to recover. I'm learning to accept my condition, I guess.

 

 

these are symptoms of anhedonia, by the sounds of it.  ssris interfere with the neurons that cause pleasure, which causes these feelings of apathy.  ironically thee drugs kill the feelings we are trying to get back when we seek treatment.

 

sorry to hear it has gone so long.  wish I could help both of us

March 5, 6  2015 1 10mg Paxil each day - only 2 pills total - experienced huge tingle in my head on first pill

 

numbness in my hands and feet, skin less sensitive over all... not ticklish anymore

**anhedonia, blank emotions

PSSD, anorgasmia

heartbeat rhythm problems

"To err is human.  To really foul things up requires a psychiatrist."

http://survivingantidepressants.org/index.php?/topic/8554-akakoom-lost-in-no-mans-land/

 

"When you are going through hell, keep going" - Winston Churchill (the only way out is through)

Link to comment

Fresh:

Yohimbine is the active ingredient of Yohimbe, a plant. It makes my PSSD much better if taken together with Cialis before sex. But i can't do it anymore. I have a severe eye disease so Cialis is a big no for me. Yohimbine is also uncomfortable at those dosages. Still, I'd take the discomfort if only I could take Cialis. Best sex I have ever had post-PSSD was with those two drugs.

akakoom:


I hesitate to describe it as anedhonia because I still like a lot of things. I still like music, going out with friends, watching movies, etc.

But there has definitely been a trend towards less-emotions in some aspects. For instance, before SSRIs I would fall head over heels in love and be a crazy romantic guy. Now It seems things are much more bland.

 

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment
  • 4 weeks later...
  • Moderator

Hey AOS, I'm sorry to hear that you feel damaged by the drug.

 

I would like to believe it is not true, that there is hope for recovery for you.

 

If you were in yoga, real, formal yoga, they would be all about teaching you "sexual continence."  This means different things in different schools.

 

You can ignore what I'm about to say if you like - I've not met many men who like this prescription.

 

Move your mind, your emotions, your investment to areas other than sex.  Stop having sex, stop masturbating. Avoid movies, sexy videos, porn, things that you find arousing (and possibly frustrating). Pretend your genitals do not exist.  Coming off the drugs can rob you of B vitamins, minerals, amino's.  And semen is made up of just these.  Expending semen is like spilling vitamins.  I know this sounds like the catholic church - but I assure you, this is a yogic perspective.

 

Many yogis learn to have sex and never ejaculate.  Addtionally, I would add (as InvisibleUnless reminded me on another thread) that the orgasm is a stress to the system, that it is energy draining.  

 

The Western way says, "use it or lose it."  Yoga teaches "preserve it and keep it."  There are meditation exercises for running internal circuits in your body to help strengthen the chi sexual circuit without being aroused.

 

Seek nutritional assistance - I am not a doctor or even a naturopath, but zinc and B vitamins will be important to replenishing your sexual energy.  Some cultures might say to eat the "oysters" of an animal (testicles) will help nourish your sexual energy.

 

Here is an example of sexual continence:  http://venus.org.ro/index.php/en/sexuality/32-his-secrets/101-male-sexual-continence-a-new-approach

 

There are more, now that I've given you this information, have a look and see if this is something that will help you.

 

I hope you begin to see improvement soon.

"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.


The tedious thread (my intro):  JanCarol ☼ Reboxetine first, then Lithium

The happy thread (my success story):  JanCarol - Undiagnosed  Off all bipolar drugs

My own blog:  https://shamanexplorations.com/shamans-blog/

 

 

I have been psych drug FREE since 1 Feb 2016!

Link to comment
  • 1 month later...

Thanks for the advice Carol,

I would be willing to try a form of sexuality less focused on the genitals and on ejaculation, more whole-body based and holistic.

I do have concerns about stopping masturbating altogether as I remember reading a study about people that got improved erectile function after a period of daily Cialis use, which seems to indicate that having frequent erections can improve your erectile funcion long term.

People with PSSD have much less or none random erections as well as night-time and morning erections. I'm worried that the absolute absence of erections could lead to a worse outcome. Maybe I could try edging?

But I do think your advice is excellent and I think I could benefit by exploring a different way of viewing sexuality with a partner. What do you think of karezza? Is there any specific set of teachings or practices you would advise for me to try with a partner?

I have tried zinc and b6 in the past but it didn't seem to help.

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment
  • Administrator

I would look carefully at that Cialis study to see who funded it or who the authors were consulting for.

 

I agree with JanCarol, finding other ways to be sexual would make you feel better -- and probably your partner, too!

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

Link to comment
Move your mind, your emotions, your investment to areas other than sex.  Stop having sex, stop masturbating. Avoid movies, sexy videos, porn, things that you find arousing (and possibly frustrating). Pretend your genitals do not exist.  Coming off the drugs can rob you of B vitamins, minerals, amino's.  And semen is made up of just these.  Expending semen is like spilling vitamins.  I know this sounds like the catholic church - but I assure you, this is a yogic perspective.

 

JanCarol, yes I'd expect men to dislike this advice. But I think it is very good advice. I am finding in myself many many deficiencies such as you mention (selenium, glycine) and I've found the deficiencies get worst as I lose minerals via ejaculate. I am finding that laying off doesn't lead to losses (as in "lose it use it") but the opposite. Taking a break facilitates restoration to make enough gains to overcome. I really can't emphasize this point enough. It's not that easy though. And I wouldn't try for total abstinence because I have a problem with stagnant fluid backing up, but when I restrict orgasm to 1-4x a month I feel a lot better, less loss of sensation, less anxiety, and vast improvements in pssd symptoms. I am also treating infections that are common in the reproductive system such as fungal and viruses and treating these dramatically reduces urges. So, anyway, I would look into this advice, apple.

"Well my ship's been split to splinters and it's sinking fast
I'm drowning in the poison, got no future, got no past
But my heart is not weary, it's light and it's free
I've got nothing but affection for all those who sailed with me.

Everybody's moving, if they ain't already there
Everybody's got to move somewhere
Stick with me baby, stick with me anyhow
Things should start to get interesting right about now."

- Zimmerman

Link to comment
  • Administrator

What an excellent observation, alexj. Please add to the PSSD topic.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

Link to comment
  • 6 months later...

Just to let you know that there have been no improvements, if anything it's worsened :(

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment

Hey Apple,

 

Don't feel too bad. My "Man" down there has felt mostly non existent the past week. It's gotten worse for me too.

We just have to hope that it gets better. Try and stay positive. Be careful what advice is given to you especially with regards to PSSD/Sexual dysfunction issues.

 

To comment on what was written above, as a male completely abstaining from sex can only lead you to having a wet dream. Wet dreams are how your body gets rid of old semen so the body can produce new semen when you aren't sexually active in anyway. Or something along those lines.

Link to comment

Your history is confusing. Your sexual dysfunction doesn't seem to be related to psych drugs.

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment

Did you ever try to reinstate the medication to see if your sexual function would return? If not, is there a reason why you wouldn't?

December 2010: 10mg Citalopram

April 2011: 5mg for 2 weeks then cold turkey withdrawal - Extremely bad depression / no emotions

June 2011: Reinstated 10mg - After 3 weeks started getting impulsive suicidal thoughts

July 2011: Cold turkey - Withdrawal hell begins...

 

January 2021: Reinstated 0.1mg Citalopram as last resort

February 2021: 0.2mg Citalopram for 2 days had bad foggy head so went back down to 0.1mg

Upon reducing I experienced low mood, suicidal thoughts, burning up, low appetite, very bad insomnia, mild diarrhoea

22 Feb 2021: Stopped all Citalopram after panic / depression attack and crying similar to when I reinstated back in June 2011.

 

4 April 2022: Reinstated 0.1mg Citalopram - Anxiety + foggy head

5 April 2022: Stopped Citalopram.

Link to comment

Me? No way I'm going back on an SSRI.

September 2011 - 75 mg Effexor, 15 mg Mirtazapine
September 2012 - CT. Developed PSSD (mostly erectile dysfunction and diminished enjoyment of sex).
January 2016 - Symptoms persist, no improvements. In fact, things seem worse now than they were in the first year.

Link to comment

Please sign in to comment

You will be able to leave a comment after signing in



Sign In Now
×
×
  • Create New...

Important Information

Terms of Use Privacy Policy