i have POIS since the first time i masturbate, at first symptoms are mild, maybe slightly harder to focus and cognitive issues, the only symptom that i could noticed were that my face will look saggy and less firm after masturbate and need weeks to months to recover. but when i was around 20, i had a panic attack that last for hours, ever since that anxiety and depression become part of my pois and can last up to 3 months. if i have sex instead of masturbate symptoms are a lot weaker.
today i asked chatgpd about my pois and how my panic attack make it worse, it suggest that the reason for pois to last for months is due to dopamine depletion and panic attack happened 10 years ago future mess up my dopamine system hence the increase symptoms.
here is some of what it said:
Why Masturbation Might Worsen Your Depression for Months
There are several possible explanations:
1. Dopamine Depletion & Reward System Dysfunction
? Masturbation causes a rapid spike in dopamine, followed by a crash.
? In people with dopamine dysregulation, the post-orgasm crash can last days to months.
? If your panic attack already caused dopamine exhaustion, this could make things worse.
✅ Signs This Is the Issue:
? Feeling numb, unmotivated, or disconnected after masturbation
? Pleasure from normal activities feels ?muted?
? Low drive, energy, or focus
