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I just signed up and have read a whole bunch on this thread and I figured I would simply relate my own experience with POIS.I first began to notice a tiredness after orgasm in my late teens. This was a few years after having been diagnosed with Crohn's disease (IBD), and at about the same time that I began taking 20mg Prozac daily for depression and an anxiety disorder.As the years have passed (I'm now 30 years old) it has grown from a mild condition to and extremely sensitive one.Typically, my POIS manifests itself thus:After orgasm (either sex or masturbation) I feel lethargic, and suffer derealisation. Overall, I feel like my internal energy has disappeared. Hours later the IBD suddenly becomes worse. I cannpt properly digest the food I ingest, and food ingested before orgasm often slows down or stops its passage through the intestines. Upon waking the next day I feel shattered, bereft of any energy, and simply getting up is quite difficult. It will often take several days before I feel my energy return fully.In severe cases, sometimes after several orgasms over a short period, or when low energy levels preceed one orgasm, digestion shuts down completely resulting in massive pain from bloating in the abdomen, fever, and sometimes the pain is so intense I become delerious.TO summarise: The main effect of orgasm is to induce a state of low or very low body energy. The intestinal condition which I suffer is the main site where the effects of this lack of energy is felt most keenly.Interestingly, my Crohn's disease has always been closely related to energy levels. I go through periods of very good cardiovascular fitness, and at these times, food intolerances drop in intensity and the robustness of my digestion / intestines increases. Also, when cardiovascularly fit and feeling 'great', I can have the occasional orgasm without inducing POIS.Lifestyle: It's often only oral sex on the menu for my wife, whom I love dearly and am very attracted to, and it kills me that I can't have sex with her all the time! Often I have sex with her but avoid orgasm, which we both find frustrating. She understands the problem I have, but we are both at a loss of how to fix it. Like I say, the best I can do is try to remain as fit as possible, but that is not a cure, and it's still only has a mild positive effect.Do most people who suffer POIS have other medical / psychological conditions? I'm off the Prozac but I've been on 40mg of Cipramil / Citalopram (a similar SSRI that is licensed for panic attacks and anxiety) for about 5 years now.Thanks for listening!Chris
CHRISVery interesting to read about the difference between spectacular sex vs. ho-hum orgasm and how it can affect POIS! I wish I had kept a diary.
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Quote from: Karen W. on 24/10/2007 07:37:55Hi Chris.. You mentioned Citalopram, I am not a man , but have followed this thread for a long time. I have met many men with these problems and I sympathize. I was just drawn in by this med. I have been on it for quite awhile and just went off. It was making me extremely sick.. vomiting intense nausea more shortness of breath and the shakes.. it was not like that at first.. It was something that built up after long time usage,, I feel way better off them They were treating my Depression and anxiety also. I did notice a huge lack of interest in sex although I wasn't having any anyway, but...That was what was unusual.. it seemed to make me less interested altogether! Has it decreased your desire to have sex??