I've read the 2 JAMA articles on POIS... real funny. That's exactly how I would think of it if this didn't happen to me (3 years ago). I like Rhythm Springs theory on candida and orgasm, because I pretty much feel the same symptoms after eating carbs and sugar and with POIS. My symptoms all started after I had gotten acne too, which indicates some kind of bacterial/hormonal/internal/digestive problem. But who knows, we all can have different things that cause POIS (I'm a freaking broken record). I really want this doctors study to come out.There are other diseases with a lot of symptoms like POIS. For example an underactive thyroid. And Candida. And fibromyalgia. And Chronic Fatigue Syndrome.
But the difference with POIS is that a lot of symptoms of POIS only appear after an orgasm or arousal.
I've got acne too. I could control it in the last 10 years. But in the last months the acne is back.