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[imre1]

So I just realized that live is to short to be in a fight with any bulies so I will just give in to what bizzy wants and leave. Altough I haven't seen him come up with any bright ideas.

Just wanted to add that you (except for buzzy who for I care can spent the next 50 years feeling miserable) should realy have to look into gingko biloba.

The full description on the bottle states:

"Gingko has the ability to promote circulatory perfusion, particularly in cerebreal tissue. Gingko is neurosupportive, promotes cognition and memory function, and is good for occasional mild memory problems associated with aging. In addition, Gingko contains antioxidant properties that help fight free radicals in the body."

Well I don't know what you are talking about, but I am talking about post orgasmic cognitive symptoms.

After trying it out there are some pros and cons:

+ it realy does work. The pressure in the body is not as high as what it used to be
- as it reduces blood pressure you might get some very mild form of erectile dysfunction

But if I have to choose between days of pain and having to put some extra effort into it. I know what I would choose.

[demografx]

I quit testosterone, no effect on POIS. But now my libido is waaaaaaaaaay down. I feel that my approach of taking Levitra works well on POIS. I need Levitra for ED; I suggest you DON'T try it if you don't need it, it may cause a stroke if you don't need it for ED, according to one source. Levitra works successfully on POIS (qualifiedly: for me)  - and, you know what? Even though I finally have a "solution" to POIS 25 years later, I'm EXHAUSTED, it's become anti-climactic (yes, I know it's immature, but I'm pissed off at the world for giving me this pathetic syndrome - it's ruined a good chunk of my life) - so, for now, I'm not even bothering to take the steps necessary to improve my libido, either short term or longterm.

Sorry, everyone, to be so negative, but I suspect some of you might understand firsthand what I'm going and have gone through. Maybe my mood will improve. Just for now I'd like to throw the whole sex business in the garbage.

[B_Jim]

More cases :

16/  http://answers.yahoo.com/question/index;_ylt=AkuYeRLHvLVorgGkeUM1KeIjzKIX;_ylv=3?qid=20060713182235AANHC0z

Does ejaculation make us tired?
I feel tired for about three or four days whenever I ejaculate, so I should sleep more during this period, is this normal? if so is there anyway to prevent such tiredness?
I feel tired for about three or four days whenever I ejaculate, so I should sleep more during this period, is this normal? if so is there anyway to prevent such tiredness? (I can experience very energetic moments when I haven't had ejaculation for a week or so) --------- Why champion sportsmen (like football players) stop having ejaculation before and during contest period? does it make them to have more energy for playin?

17/  http://answers.yahoo.com/question/index;_ylt=Air.yHwZYWnJgBcgKqHc.C4jzKIX;_ylv=3?qid=20070621210406AAWMgye

Why is it that i get tired, no energy for 1 week, afraid of cold, cant concentrate, sweating all over the body, sore back, need multi-vitamins to gain back the strength for 1 week, stomach hurts, after ejaculation while i was sleeping ? What kinda of doctor should i go see? I'm so afraid of it right now because its been bothering my life.

18/  http://www.soc.ucsb.edu/sexinfo/?article=faq&refid=029

am a 27 year old male with good physical health. However, i feel that after masterbation, i really feel very tired and my body hurts like i am
suffering with fever specially my back. Would u tell me what could be the cause of this tiredness which remain sometimes for more than on day after masterbation??? In addition, my penis also hurts sometimes??

Update : the link has been deleted. I certify it was a real case. I just make a copy of what i found, no modification. All cases here are real.

19/ http://www.healthboards.com/ubb/Archives/Archive-000011/HTML/20030420-107-000294.html

Okay... I don't just get sleepy immediately after I masturbate, I actually feel more tired like the whole next day if I don't get a good nights sleep.
Or to put it more clearly, unless I have time to sleep sleep sleep (like 9 hours instead of 6-7 I guess), I will feel more tired in general if I jack off every single day.
I also noticed that if I jack off without being aroused I feel more tired... ie. it's harder on the body.
Does anyone else notice this? I think I do a lot better when I listen to my body and see if I feel I need to masturbate. Or usually wait a day or two in between.
I don't know if it's different with sex cause I haven't gotten laid much.... Is this just ME? Anyone care to comment on the above?

20/  http://www.sexinfo101.com/forum/sexual_health_men/18603-tired_second_day_after_sex.html

Tired the second day after sex
In the next day after making love, I feel very tired...even more tired than in the day when it was - I don't have the same concentration power I used to have if nothing had been happened a few days ago.
What can be done to regain the energy?
Can you recommend any diet to speed up this process?
I'm a male!
This happens only if ejaculation occured, whether is sex, wet dream or smth else.
________
"the 2nd day" : evidence is we have the same problem...

21/ http://www.yinyanghouse.com/node/1766

Hello. I'm a 22 year old male. I have noticed that whenever I masturbate, I seem to be more anxious and tired the next day than normal. I feel like lacking in energy and just tend to be easily frustrated. What could cause this? I've been to acupunture several times because of restlessness&tiredness and general depressiveness. It has helped somewhat, but not that much that sometimes I don't feel very frustrated and hopeless about the way I am. Anybody want to offer insight? Oh, and I excercise regularly (lately astanga yoga and sometimes hiking)

22/ http://ehealthforum.com/health/topic116973.html

What could be causing extreme fatigue and muscle weakness after orgasm?

I understand that men are always tired after sex, but it is more than being tired... It is not a feeling of wanting to go to sleep but feeling physically weak, continuing into the next day or longer. It impairs other cherished activities such as going for a run or working out the next day. This occurs after masturbation and sexual activities with a partner.

Is this abnormal and what could be causing it?

Any answers would be great... this has been very bothersome.

23/ http://tperkins.com/board/viewtopic.php?p=1520&sid=19452c0c56d3aa44f65012567bfa87fe

Recently, I have gotten a problem after ejaculation. It seems I loose too much energy after ejaculation that I feel too weak even to do a simple job. I have to take multivitamins and food supplement pills to feel better. This feeling continues till one or two days and then I become normal again. I have ejaculation once a week and that seems to be too much for me. I don’t know what to do. I do sports and feel healthy during the normal days and I have had ejaculations since I was 11. It is a terrible thing for a 26 year old guy. It’s really affecting my normal life I am very worried. Do you have any idea what I should do? Besides I have examined to take food supplement pills for some continuous time but it didn’t cure it.
Exactly, I had depression and anxiety problems three years ago and it took me a lot of time to get over it. As a matter of fact, it’s not finished yet but I am feeling very much better but I didn’t have such problems until 2 or 3 months ago. I thought maybe it’s good for me to use your male energy work to feel better. I don’t have any sex partners or even a girlfriend at this moment. My life is like, working a lot, study to get my masters at the same time, doing a little sport. I am a successful guy outer side but inner side, I don’t seem to enjoy life very much Crying or Very sad .

24/  http://ca.answers.yahoo.com/question/index;_ylt=Av9wbbzp1NUICmJ6Fwm2o07pFQx.;_ylv=3?qid=20070420151943AAcpYhX

Guys - do you lose a lot of energy from ejaculation?
I know we all feel wiped temporarily right afterward. But I have personally found that for the next day at least I am a lot more tired, sleepy at work, and have much less energy to work with. Also, if I am sick, and I ejaculate, I always get significantly sicker. I would like to hear from other guys. Do you lose significant energy for a more extended time than the next hour or so? If so, for how long before you feel "normal," and how much energy would you say you lose (%) ? Thanks.

25/ http://www.whfhhc.com/Depression/21062.htm

Ejaculation frequency and depression?
It seems like my mood is connected to the frequency at which I ejaculate. I know ejaculation takes away lot of energy from a man. I'm 26 male and single, and it I go two weeks or so without ejaculating I'm pretty upbeat and my moods are generally good. But, if I ejaculate once or twice a day, everyday for a week or two I feel low on energy, irritable, and feel very depressed about myself and things in my life.
Anyone else dealt with something similar? Any ideas on how to respond to this? I'm very concerned about how frequent sexual activity causes me to feel depressed.

26/ (Rare : a woman)
http://answers.yahoo.com/question/index;_ylt=AgS6NjTmJUcE3VHCz5dGJhAjzKIX;_ylv=3?qid=20070920060204AAPn2nO

After I do masturbation, I feel myself very tired. If I do it twice in a day, a day later I feel myself?
very tired too. As a result, I am scared to have sex because if I do it with a male, I think I wll become more tired. So I dont want to get married.
Do people who have sex feel tired after sex during the day?
I am 35/female
I am virgin. I believe sex after marriage. Moreover, I have a very busy job.

27/  http://answers.yahoo.com/question/index;_ylt=AlPP988oeapWvWY0AXCUBgYjzKIX;_ylv=3?qid=20080129152024AAJ6ZNi

Does ejaculation actually have any negative effects?
I'm in an on-going debate with someone so I'm trying to find some proof that ejaculation (specifically losing sperm) doesn't lower your life span or make you less intelligent or able to focus. I already know that after men ejaculate that they get tired, but I have serious doubts about it shortening their life or making them unable to focus for days after (as this person is implying). I really believe that it's due to other reasons and an unhealthy life style, not losing sperm.

I haven't found any articles supporting the idea yet. If anyone can find one that proves this as a myth or not that'd be a great way to answer my question.

28/ http://www.youqa.com/mens-health-5/737-mens-health-6.html

everytime I have sex with gf I feel a little sick afterwards for a few days then I feel fine again. I had myself tested and her tested for STD's and she has none. Maybe I just am getting use to her germs? How sick I get aftewards seems less and less each time.
The first time we had sex her STD status was unknown and I got scared when I had slight symptoms of the flu. So I got her tested and she was clean. I got myself tested and no pressence of STD's either. I had myself tested 3 months later and still clean.
The first couple sexual encounters I experienced slight stomach pains within 1 hour hour afterwards, a slight fever I think, tired, and just not myself. Now with many sexual encounters this feeling has gone away and I no longer get that anymore, but I still feel a very slight illness everytime I have sex with her or even when I masturbate.

29/ http://www.steadyhealth.com/Feeling_weak_and_dizzy_after_sex_t77221.html

For the past 6 months or so my boyfriend has been feeling very weak, dizzy and faint after he ejaculates from having sex, he complains of an almost out of body experience. It seems to be more of a problem if he does all the "work" and gets exhausted. He doesnt have any other sexual problems, altho he was preliminary diagnosed with pre-cordial catch (i think thats the correct term). I dont think this problem occurs if he maturbates.

Once again : "out of body experience" refers to me to "DEPERSONNALISATION"
when my "i feel like sleeping" refers to "DEREALISATION" (most advanced state)

30/ http://www.thetaobums.com/index.php?showtopic=3631

I also was dating, and had normal regular sex with my girlfriend, as well as "self stimulation". Well I was doing this for about four years out of high school, then I noticed I was feeling tired alot. Then one evening, I was out a a local beach party, I had a couple of beers, when I went home that night I "self stimulated" twice finishing off both times. The second time something very weird happened, I felt something like a mental energy drain, like some kind of vitality exited my body and/or mind. I immediately felt exhausted and felt strange bodily/nerve pain sensations. To make a long story short these continued for years after this, resulting in problems sleeping, fatigue on and off all the time, and pains in what felt like the nerves on and off.
The one I am most concerned about is that after I ejaculate, be it with a girl, "self stimulation", or a wet dream i am physically drained for days, and I experience aching under the ribs on the sides-alleviated most of the time when I urinate.

31/ http://www.bodybuilding-tips.net/s20/t9005.html

I tend to believe that ejeculating will lead to less test as I've nnotcied after ejaculation I feel tired amd lazy and lack energy.

32/ http://answers.yahoo.com/question/index?qid=20080220023808AAVslYH

Weak after sex...help?
my and my boyfriend had sex 2 days ago..he is feeling very weak and also very hungry...i know that men feel weak a few hours after sex...but 2 days straight is too much...btw we have had sex for the first time..what is the cause?

More cases

[John21]

Guthrie,
Your symptoms sound similar to mine except you recover quicker and I don't have the physical symptoms, only mental (although it's hard to find ambition to get physical in that state). I understand your hesitancy to post, it's a very private subject.

John21

[Guthrie]

My responses to B_Jim's survey:

1)- Number of days after orgasm you have problems : 1,2,3,4...: 1 day
-How many hours after orgasm start symptoms ? The symptoms do not start in their full severity right away—I would say, about 2-3 hours.
- In the first hours after orgasm, how do you feel ?
(well, happy, cold, nervous, headaches ,agitated ....  ?)  After orgasm, I feel strange, and somewhat disconnected from things, but not 'bad' per se—-the 'bad' parts (painful brain fog, fatigue) start a little later.

2) Symptoms :
Give a mark for each symptom :
0=No   1=Very Low   2=Low    3=Average   4=Severe   5=Very Severe

-Physical tiredness
-Mental tiredness:4
-Lethargy/Derealisation (I cant wake up!):4
-Lack of concentration/Brain fog:4
-Sweatings and heat feelings:0
-Cold feelings/cold hands/cold body:0
-Myalgias:0
-Anxiety:4
-Depression:3
-Agoraphobia/Social phobia:3
-Not motived:3
-Memory problems:4
-Difficult to speak/communication:4
-Insomnias/sleep problems:1
-Headaches:1
-Stomachaches:0
-Restless/agitation:3
-Blurred vision:0
-Buzzing ears:0
-Dizziness:0
-Muscle tremors:0
-Diarrhea day1:2
-Hair problems:0
-Mouth problems:0
-Skin problems:0
-Eyes problems:0
-Short breathing Day1:3
-Premature Ejaculation:5
-Sexual pain after sex :0
-Erection problems:0
-Libido problems:0
Others Symptoms ?  My eyes are 'drawn' towards women, but almost as a visual rather than a normal sexual attraction.  Also, I find I can get sucked into surfing the web and find it harder to break away.

3) What medical test you made ? In the days following orgasm ?
-Thyroid ?
-Prolactine ?
-Testosterone?
-Blood pression?
-Others..
I have had my prolactin and testosterone tested, but only during a non-POIS period.  My prolactin was 7.6 ng/mL and my testosterone was 555 ng/dL, both of which were within the normal range, according to the doctor.


4)What meds did you test ? What effect on POIS ?
-Ssri ?
-Stimulants? Dopaminergic ?
-Benzodiazepine ?
-Piracetam ?

I have not taken any prescribed medications so far.  Only Vitex, whose effects I described in my most recent post.


5)Others
-What about you diet ?  I don't eat meat, dairy, or eggs (vegan).
-Sport ? Some aerobic activity; I walk a lot.
-Heavy Computer user ?  I use the computer a fair amount, but not excessively.
-Coffee user ? No.

[Bizzy]

DRY FINGERTIPS

Does anyone else experience extremely "dried up" (hard to describe) _fingertips_ during POIS period? Thank you.

I have an extremely dry flakey scalp during POIS period.

[demografx]

...I've also noticed that, in a typical post-orgasm day, the symptoms are lessened throughout most of the day, but they increase sharply in the evening, starting around 6 to 8 p.m.

I find the same pattern of increased POIS symptoms late afternoon to early evening.

[Tate]

I'm glad to have found this post. I have a condition that definately involves the orgasm. Every since I started masturbating as a teenager I've been depressed and been a shy introvert. Before that I was an A student and very active in sports and had alot of friends. I just all of a sudden changed. As I've gotten older (I'm 32 now) I've developed alot of other problems like insomnia, social phobia, nervous ticks around people (like eye burning sensations or light sensitivity sensations in my eyes), nervous talking, neck muscle pain and stiffness, etc. The thing is I find that when I haven't had an orgasm for a while I seem to snap out of it and become happy again and socialable and most of those symptoms just vanish. When I mean for a while like not having an orgasm for about four of five days usually. I'll feel good and confident around people and usually sleep good. I also workout daily and jog so to keep me feeling good and improve my health and physique. However after a few days of no orgasms I become horny (naturally) and eventually start to play with myself until I come and the whole cycle starts over again. The good thing is I can usually have a single orgasm in about a four or five day stretch without much of the symptoms coming back. But often when I give in to masturbate once the horniness lingers on later in the day or night and I masturbate again a couple more times and until all the need is gone. I then develop all these symptons again and it takes days for me to recoup. I definately think that the orgasm combined with my brain chemistry can be proven detrimental in excess or even what is considered the norm in todays world and I really wish there were doctors that could diagnose and treat these problems. SSRI's have again and again proven unsuccesful with me. Seems like serotonin has nothing to do with my problem and only seem to make some of my symptons like insomnia and anxiety even worse.

[neilep]

Welcome Tate. I send you the questionnaire. If everyone is ok, maybe should i post our results in a jpeg file ? Clearly some case seems to have no benefits with serotonin rebalance. Which ssri did you test ? Look at agjchs post (page8). Wellbutrin (blocked depression after 4 or 5 ssri failiure ) and DHEA blocked pois symptoms. Compared to ISSM article :
"Dr. Moser suggested success with Buproprion having anti-anxiety properties with no negative effects on sexual functioning."
(Bupropion = Wellbutrin).

Can the moderation send a private message to agjchs ? We really need to know how his recovery is progressing and the role of DHEA on his symptoms.

Hi B_Jim...

No problem at all about posting as a jpeg.

Though there may be an issue if it's a large file depending on how you post it. If you upload it directly then your limited to 128k....if you do it via a photo hosting site then there should be no problem with larger files. We do have cases though where some people access the site from work...in some of these cases the pictures posted as links from photo host sites do not display properly.

Just thought I'd let you know.

[demografx]

Much has been said here about serotonin and dopamine, and it makes sense. Does anyone have a theory why Levitra works for me? Is there any relationship? As far as I know, Levitra simply improves blood flow. Thank you!

I think levitra may work by exerting an effect on the pituitary via the hypothalamus. Levitra tells the hypothalamus to send intructions for the manufacture of oxytocin at the pituitary. If the pituitary is busy making oxytocin then it may make less prolactin soon after orgasm. Reduced prolactin means more dopamine and serotonin and so a better brain chemistry.
The so called prolactin inhibitors such as bromocriptine are useless. These medications are of the dopamine agonist class. They keep dopamine receptors switched on with the affect of stopping prolactin. Keeping dopamine receptors switched on can eventually cause serious mental illness such as depression and psychosis.
In my mind theres little doubt that the POIS problem originates at the hypothalamus. A medication that helps better regulate the hypothalamus may provide excellent treatment.
What I have written here needs more research.

FASCINATING, BIZZY! THANK YOU VERY MUCH FOR THAT.

[Bizzy]

I was never in denial about any POIS. It was more a matter of not knowing that the symptoms were linked and caused by the orgasm. Sure I felt very weak, depressed, psychotic, OCD went through the roof, awarness dropped and muscular weakness. All after an orgasm. But for a large part of my life I didnt know that the orgasm was causing it. The symptoms of POIS, for me, take anything from a few hours to a day to emerge. Over a period of two decades I came to the slow realization that I had a post orgasmic illness. If I not had this illness my life would have been very different. This is a very bad illness and has taken so much away from me. In particular because it affects your mood and changes your personality. You change from a normal person into something else. The simplest way to put it is that you become mentally ill.

[John21]

Interested, of course, ask away!

Bizzy I agree, mentally ill is a good description.

Denial: I'm sure that accepting that you are mentally ill is difficult for anyone to accept, so denial can be present at times especially when the doctors you are complaining to don't accept that it is real. Much of my life I didn't have a clue what was wrong with me, but when I was in the intensity of the illness there was no denying it, I KNEW. At those (many) times denial would be like cutting your hand off and pretending it is still there. Yet later on when I had "healed" I would once again entertain the idea that it was all in my head somehow, after all how could something so unique and horrible be unheard of? How could there be no tests that would demonstrate what was so obvious to me? So over the years I would flip back and forth, always returning to the firm resolve that there was something seriously wrong with me.

John

[interested]

hi john21, b-jim...

thanks! it isn't actually about me, I do not suffer from this. it is about a friend of mine (male),

not sure how to put this since i am interpreting something that i haven't actually experienced. please bear with me, here goes...

the symptoms seem to be similar to many of the ones described in the various posts. it comes on immediately following orgasm - within a matter of minutes. and lasts for anything up to two weeks, in which time he is really down, and any thoughts about sex fill him with disgust... self-disgust. so he doesn't think about it. avoids any mention of it. he feels really depressed during this time, and has really negative thoughts. over this time it gradually "improves" and he is back to "normal", then the cycle starts again... the only way he has been able to describe it / explain it is like a release of hormones... which seems to correspond to the dompamine, etc. theory.

he has had this for ever, each time, to a greater or less degree. his this self-disgust something others experience? any tips about avoiding it?

thanks a lot!