Vincent M POIS Treatment SummaryAge: 28 Height: 5'6" Weight: 130 to 145 lbs Ethnicity: 50% caucasian(German-English), ~40% Hawaiian, some japanese, bit of hispanic.
I learned how to ejaculate at the late age of 17 years old. Prior to this age I was in excellent physical condition and was a formidable athlete.
Ejaculation frequency: Once a night. Without using willpower I have about 3 or 4 ejacs a day.
I believe my POIS symptoms are most likely caused by inflammation due to an allergic/autoimmune reaction to some component of my semen triggered by ejaculation or from hormonal/neurotransmitter imbalances. Could also be an immune reaction to an infection of the prostate or something else in the seminal fluid.
POIS symptoms: My symptoms include burning eyes, back pain, extreme physical & mental exhaustion, joint pain, weaker skin(cut/bleed easier shaving), dry skin, bloating, fat/puffy face (feels like my face is falling off my skull sometimes and as if there's a film of plastic between my flesh and bone), itchy anus, pain during urination and bowel movements, general and social anxiety, weak blood circulation (limbs get cold fast and fall asleep easily), increased sensitivity to any pain or irritation including noise & temperature, decreased memory, decreased thought speed, and decreased ability to hold multiple thoughts in my mind simultaneously, thinning hair, premature ejaculation, unstable emotions, feels like not enough blood is getting to my head, and probly a few others I haven't noticed yet.
Symptom onset is immediate after ejaculation and lasts for approximately a week.
These symptoms caused me to drop out of college and become almost completely bed-ridden (before I found the following meds/treatments).
Wheat Intolerance: Cutting out wheat improved my symptoms more than any other remedy. When my symptoms first began I noticed some bloating. I now believe this was inflammation of my intestines, which lead to impaired digestion and malabsorption of nutrients. Since I cut out wheat(perhaps gluten) my symptoms improved greatly, but I developed a flatulence problem. Then I cut out most fiber and animal products, which helped decrease the gas. Now I eat mostly potatoes, white rice, oatmeal, beer, and most fruits and veggies.
Ginger Tea: I boil ginger in a tea pot for 20 minutes and then drink it. It is the second most beneficial thing for my POIS after cutting wheat out of my diet.
Fenugreek(crushed seeds)+Garlic/Tea: Also known as methi seeds. For fenugreek I've found two different brands to work for me so far: Solaray and Nature's Way. Those are the only two brands I've tried so far. I take three 620mg fenugreek capsules every morning with tea to further help me reduce the POIS inflammation from the orgasm I usually have every night. Taking the fenugreek with tea or garlic seems to be the only way fenugreek really works. Drinking green or black tea right after taking the herb works better than garlic for me. I take the fenugreek in the morning, because if I take it at night I won't be able to fall asleep due to the energy enhancement it gives me. This has been reliably improving my symptoms for over a year and has been my most effective treatment. I've recently ordered 1 pound of crushed fenugreek seeds to save money and have been taking about 1/4 of a teaspoon with green tea every morning. Seems to work just as well as the capsules.
Saw Palmetto: The saw palmetto (swansan brand) reduces POIS inflammation in a similar way to fenugreek, but I take one 540mg capsule about 15min before my orgasm since it doesn't affect my sleep. Saw Palmetto helps my lower body and joint/muscle inflammation mostly while fenugreek helps my facial and brain inflammation more. I believe saw palmetto helps stop the inflammation at the point of the initial allergic/autoimmune reaction since it is well known to reduce inflammation in the groin region. I also think this because after I started taking saw palmetto I no longer had any pain during urination or bowel movements. In this way it is best taken 30min to 15min before an ejac. This is my second most effective treatment.
Huperzine: Been taking two 100microgram tabs for the past weeks every morning with green tea, a bit of fenugreek powder, and green tea. I've noticed a steady improvement in my memory, cognitive function, and both cognitive and physical energy-The effect is small, but noticeable. While taking this I remember my dreams in more detail than I have since getting POIS and going by this measure I would say it improves my memory more than any other treatment I've tried except concerta and coffee.
If I take 200 micrograms a day of huperzine I'll notice the effect in 3 or 4 days in the form of more vivid dreams and improved memory. One odd thing that happened was a couple days after a week of somewhat heavy alcohol drinking I tried taking 200mcg of huperzine, but it caused nausea and a bad headache for a whole day.
Chocolate: After a few days of eating semi-sweet chocolate chips my energy levels skyrocketed. I know some of this was from the small amount of caffeine in chocolate, but I regularly drink tea and coffee so there is something else in chocolate that has a dramatic effect on my POIS symptoms. Under ingredients these are listed: Chocolate Liquor, Sugar, Soy Lecithin(as emulsifier), and Vanilla.
Cod liver oil capsules: Great source of vitamin D, which is why it's different than normal fish oil capsules. The vitamin D is probably more bioavailable than the tablets. Good if you don't get much sunlight and/or have darker skin.
Peppermint/ginger/fennel oil capsules: Aids digestion a lot and makes my burps and farts smell less.
Cannabis: For the past few months I've been smoking marijuana before my nightly orgasm and it seems to relieve a lot of my physical symptoms. It also aids digestion, but makes me more horny the next day.
Phosphatidylserine: One 500mg Source Naturals brand capsule relieves some cognitive impairment from POIS.
Nutmeg: Remember nutmeg can cause death in higher doses. Tried it for 3 days and it reduced my POIS significantly although it is not as effective as my other meds. I take 1/4 or 1/2 of a teaspoon of ground nutmeg in the morning with milk and that protects me from the worst of the physical and cognitive symptoms, but it also seems to make me sleepy and unmotivated. I find that it works well if I have nothing to do and if I have time to just sit around the house for a few days surfing the web.
Claritin: (An antihistamine). For about a month I took the generic version of Claritin (Loratadine) to reduce my POIS symptoms. One 10mg pill would protect me from a good amount of my physical symptoms and maybe some of my cognitive symptoms from an ejac for about 3 nights. Since I have an orgasm every night this meant I could take one pill and be protected for 3 nights. If I took another pill the second night I would get a headache the day after.
Benadryl: (An antihistamine). I take the generic version of benadryl (diphenhydramine) just cuz it's cheaper than the brand version. I picked some up at at my local pharmacy for like $5 for 20 pillls 25mg each just to try it out. I find taking a single 25mg benadryl pill about an hour before an orgasm prevents much of my physical POIS and some of the cognitive symptoms of POIS. I recently tried taking three 25mg benadryl pills and I believe I felt even better the day after the waking up from the nightly orgasm. However I now think that much of the benefit I get comes from better sleep quality after taking this.
Clonazepam: Warning-High potential for tolerance and addiction. Vaporizes social anxiety within 1 hour after taking a dose. I take 2 to 3mg about an hour before work and it makes going to work just about bearable. The only side effect I've had is that if I overwork my body while on it my pain will be worse after it wears off than previously. It actually gives me more energy and increases my cognitive and motor functions and reduces physical pain to a significant extent.
Niacin: I can get a flush with 200mg of plain nicotinic acid if I don't eat anything about 10hrs before. If I orgasm about an hour after taking the niacin as the flush is starting to die off then go to sleep I'll wake up the next day with vastly less physical symptoms than normal. It eliminates about 70 to 90% of my physical POIS symptoms. I'm still unsure of its affect on my cognitive symptoms. Capsules lose potency within weeks/months, perhaps not as quickly if stored extra carefully.
Concerta: This is extended release Ritalin. Took it for ADD, but I found it to enhance my cognitive energy and ability only if I took it about once a week.
Coffee: Improves energy and cognitive function, but makes me urinate too much to use if leaving the house and irritates my stomach lining.
Mucuna Pruriens: 350mg. Improves energy and cognition slightly and improved my eye burning moderately. Noticed stronger heart beats after about a week daily and taking that into account it's possible that the beneficial effects for me are from improved blood circulation. This increased heartbeat lasts for roughly another week and is annoying because when I lay down I can feel my heart beating in my chest without putting my hand to the area. Due to this I now think that tyrosine might be a better option to increase dopamine levels. If I took it again I'd take only 350mg daily for three days and monitor my heart for the following week before taking any more just to make sure. I've never had any problems with my heart before so it made me sort of concerned.
Cayenne pepper: Improves all symptoms to a similar extent to garlic.
Highly Bio-Available Vitamin B Complex: Seems to improve physical pois symptoms and muscle strength slightly. See this post for specifics about the B complex I took:
http://poiscenter.com/forums/index.php?topic=468.msg8715#msg8715Acetyl L-Carnitine: Helped a little less than the b complex. Starts working after several days at 500mg twice daily.
Carrots: Eating one carrot a day improves my cognitive function a barely noticeable amount. Doesn't work as well as the other supplements.
Boswellia Resin: Improves scalp itching and perhaps joint pain.
Fish Oil Capsules: Decreases eye burning slightly.
Salt Water: Relieves a tiny bit of my eye pain and may improve cognitive function. A small spoon of iodized salt mixed into a glass of water.
Ginkgo: Seemed to improve cognition slightly on a few occasions, but I need to test it more to be certain.
Vaseline, tiger balm, pain relieving creams, olive oil- Helps joint pain and eye burning (via moisturization)
Leave-in-Conditioner- Helps scalp irritation
Mid-day Nap/ Meditation- Helps fatigue later in day.
Avoiding electronic entertainment or any activities that cause high pleasure spikes: Helps balance my emotions. For example if I watch a movie early in the day I will be less motivated to perform chores or less pleasurable productive activities because those activities will seem much less enjoyable compared to the movie.
Avoiding any computer screen 2 hrs before bed: Helps induce sleep. Reading over boring material during these 2 hrs helps induce sleep.
Bread & butter: Right before bed, helps induce sleep.
Milk: Right before bed, helps induce sleep.
Walking/Light exercise: If done early or mid-day helps induce sleep later that night.
Brief Cold exposure: Walking outside in winter in a t-shirt for 10-15min or taking a cold shower can induce alertness and reduce libido. It might also reduce inflammation cuz alternating hot/cold is known to have that effect.
Method used to stop pulling hair out of head: Stretching my toes apart & massaging my feet is equally pleasurable to pulling hair out of my head and keeps my hands busy.
These meds/treatments have transformed me from a bed-ridden near-vegetable in constant pain into a fairly capable person with a high energy demanding convenience store job(which I've since quit after working there for 2 months). If you have any further questions I'd be more than happy to help out any fellow POIS sufferer.
Elevation?For the past 11 months I've been working at a place that is at an elevation of 10 meters, while I've been living at an elevation of 306 meters for the past 7 or 8 years. I work 8 hour shifts 5 days a week and over this time I've been working there I've noticed a steady improvement in my health. At my previous job located closer to home I only lasted 2 months due to developing unbearable back pain. My current job isn't any easier on my back except that we stand on cushioned mats, but I doubt that would make such an extreme difference.
Throughout highschool I was at 131 meters and an hour further north than where I now live. The first few years after I moved to a higher altitude my health worsened and then seemed to balance.
First college was 79 meters. I didn't live on campus there, but I noticed I felt a little healthier while I was attending classes there. At the time I thought the ~40 minute drive was somehow good for me.
College was 500 meters. While I lived on campus there my health noticeably worsened a lot. It was also a few hours further north though.
http://veloroutes.org/elevation/Unhelpful Treatments:Fluoxetine(Prozac): Just made me tired and lose hair. Increased all POIS symptoms slightly.
Venlafaxine(Effexor): Caused fatigue, bone pain, heart pain, and knee pain. The other side effects resolved, but my knees still hurt years later.
Neem: Took one capsule for almost 2 months with no effect.
SLIT: Lazy version in which I just held pure semen under tongue for 5 min and swallowed. About 3 months almost every night. No effect.
NSAIDS/Tylenol: Zero effect.
Valerian: Didn't decrease my anxiety or help me sleep. No effect.
L-theanine: No effect. ~10 separate occasions.
Sublingual Gaba: No effect, but only tried a few pills.
Zinc Gluconate: No effect. About ten separate occasions.
Kava: No effect. Only tried a few times.
Gotu kola: No effect. 16 day trial of 100mg-200mg daily.
Damiana leaf: No effect, but only tried a few caps.
N-acetylcysteine(NAC): No effect. 14 day trial of 600mg-1200mg daily.
Vitamin D3: No effect. ~1-2 month trial.
Methionine: 500mg once a morning for 6 days seemed to make symptoms slightly worse.
Look for further updates in the future.