Hi,
I'm new to this group and found it while googling around about problems I can't really find and answer and a solution to...
I'm a 38 years old guy from Italy, my name is Andrea.
The specific problem is that after an orgasm I have the following symptoms aggravated for 2-3 days, the day after being the worst: muscular/joints/tendons weakness and pains (flu-like), fatigue, light headed, lack of initiative, apathy, lethargy, sense of void in the lower abdomen, sore throat (increased probability to catch viral infections), hard getting out of bed the morning after and dragging myself the entire day, feeling cold.
I say "aggravated" because most of this symptoms are already present to a smaller degree independently from sexual activity, as I'm currently dealing with problems of adrenal fatigue and hormone thyroid resistance at tissues level (hypothiroidism).
Hypoadrenia/Hypothyoridism give me CFS/Fybromyalgia like symptoms. An orgasm just seems to make this much worse for at least a couple of days, the day after being the worst. Sex is definitively the most powerful trigger for these symptoms, but they can somewhat increase after overexercising, excessive sun exposure or sauna, lack of sleep.
I've probably always thought that it was "normal" to feel exhausted to some degree after an O, but as I've been solving issues lately and feeling better in many ways I've realized that this isn't normal at all. It's probably been like this since my puberty, just gradually got worse in a way that couldn't be perceived, but I've taken consciousness of the specific POIS problem only recently.
I also have a history of depression, and I responded decently to SSRI (fluoxetine) which I used for 11 years with few breaks and relapses, until I was able to get rid of it 2 years ago.
I suffer of allergies (pollens, dut mites, molds), and also food sensitiveness (gluten, casein - not celiac).
I am currently following a protocol with T3 thyroid hormone called CT3M (T3 cyrcadian method), plus adrenal support (pregnenolone, adaptogenic herbs) and lots of supplements (vitamins, minerals, aminoes...), see end of post.
My sex hormones are OK (total/free testosterone, SHGB, estradiol, progesterone).
My prolactin is in range last labs (<20)
Currently the main hormonal lab issue is low salivar DHEA, cortisol is almost normal but could ideally be a little higher.
I believe my symtpoms are somehow related to a dopamine depletion, but neither DLPA nor L-Tyrosine seem to make a big difference. I'm going to try Mucuna Pruriens (L-DOPA) to see if that helps.
In Chinese Traditional Medicine post-sex fatigue is related to kidney weakness, so again adrenals. I get some acupuncture sessions to work on kidneys points with no big results for this particular problem.
I try not to have sex more often than once a week and the symptoms occur nonetheless, clearly this is not normal for a 38 years old guy, and this has been happening for years now.
When I am low energy obviously sex drive is not on top of my thoughts. But as soon as I have some energy libido increases and creates a kind of tension that calls for being released. This currently might happen once a week, but it changes depending on the general condition. Unfortunately that also causes the side effects I described in the post and brins me again to ground zero for awhile.
I've also tried semen retention techniques but stopped them, both because they actually didn't help much (it seems that orgasm and not ejaculation aggravate symptoms), and because I felt they were a bit unnatural and possibly unhealthy.
I've been practicing tai chi chuan and various meditation techniques for years, this all helped coping better with the many challenges life offers (health and more).
I've come across here now searching for some fresh ideas besides the adrenal fatigue paradigm I've become familiar with.
Glad to find some friendly and helpful people on NSF, and eventually here.
This is my current protocol, but it continuously change based on my needs;
- Thyroid Hormones (T3):
35mcgT3@4AM+20mcgT3@11AM+20mcgT3@6PM (total 75mcg per day)
- Adrenal support:
Pregnenolone 50mg
Ashwagandha/Phytisone complex (adaptogenics herbs) complex 3*2cps
Adrenergize (adrenal cortex extract) 2cps
- Aminos:
L-Tyrosine 2*3g (AM, noon)
5-HTP 100mg
MSM 3*3000mg
N-Acetyl-Cysteine 1000mg
L-Lysine 2*1g
L-Methionine 500mg
- Minerals:
Magnesium (citrate) 1000mg
Zinc (gluconate) 2*50mg
Copper (gluconate) 4mg
Chromium (picolinate) 500mcg
Selenium 200mcg
Humic & Fulvic Acids (liquid organic minerals)
- Vitamins:
B Complex - 2 cps, each one containing:
Thiamin (as Thiamin HCl) 110 mg.
Riboflavin (as Riboflavin 5'-Phosphate Sodium) 10 mg.
Niacin (130 mg as Niacinamide and 10 mg as Niacin) 140 mg.
Vitamin B6 (as Pyridoxal 5'-Phosphate) 10 mg.
Folate (as L-5-Methyltetrahydrofolate from L-5-Methyltetrahydrofolic Acid, Glucosamine Salt) 400 mcg.
Vitamin B12 (as Methylcobalamin) 400 mcg.
Biotin 400 mcg.
Pantothenic Acid (as Calcium Pantothenate) 110 mg.
Choline Citrate 80 mg.
Vit. B5 3*3000mg
P-5-P 3*50mg
Vit. A 10000UI
Vit. C 3*1000mg + Citrus bioflavonoids
Vit. D3 5000UI
Vit. E (mixed tocopherols) 400mg
Vit. K2 (MK-7) 2*100mcg
- Others:
Ubiquinol 2*50mg
Lipoic Acid 2*300mg
Fish Oil 2*1000mg
Krill Oil 2*1000mg
Curcumin+Bioperine 3*1000mg
Stinging Nettles root extract 2*500mg
Quercetine 2*1g
Probiotics (as needed)
Digestive enzymes (every meal)
Zeolite (for chelating heavy metals)
- Things I'm going to add soon:
Niacin (when needed)
TMG
Mucuna Pruriens
Fenugreek+Garlic?
- Things I used to take in the last couple of years and not using now or dropped for several different reasons:
DLPA (DL-Phenylalanine)
Isocort
7-Keto-DHEA
Seriphos (Phosphatidylserine)
Deer Antler Velvet
Melatonin
AKG-Arginine
Iodine (liquid)
Coral Calcium
Megafood Bloobuilder (iron+C+B12+folate+beetroot)
Kelp tablets
Cat's claw
Berberine
Bentonite clay
...
- Meds used when necessary:
fexofenadine (the least effective dose for calming seasonal allergy)
- Meds I used in the past (and hopefully won't need anymore):
fluoxetine (for 11 years with few breaks, up to a couple of years ago)
I hope we can exchange valuable information and help making our lives better.
Thank you!