Hi, POISrival,
I sent your way the most empathy and the most support that can be sent through an internet message. Just know you are not alone in the world with this problem, and that research is going on, and every week, members share valuable input, new solutions for relief of POIS, and little by little, we make progress, and,as you already know, be sure that it has nothing to do with masturbating or not ( if that would be that case, near 100% of teenagers would have POIS !)
Considering you have POIS symptoms even if no recent ejaculation, I strongly suppose that you may have developed something else along the way, like a depressive mood secondary to POIS. POIS is a burden, and in itself have a depressive effect. However, after a week or so, by definition, symptoms subsides if there is no other release. If you had no release for 3 to 4 weeks, POIS symptoms are not likely to stick to a level that makes your life miserable, like if on day 2 of POIS acute phase. I, for one, very wel know that it is possible to develop secondary psychological problems like anxiety, not caused directly by POIS, but by the fear of POIS and the psychological pressure and, I can say, the inner rebellion about the fact of having POIS. I no longer have this, after to years of meditation, yoga and psychotherapy, and learning to lessen my symptoms, but I hear you when you say that POIS puts a lot of psychological pressure on yourself. So, I tell you, there is a way out of this, hang on, POISrival.
If you feel very bad even if no recent release,, I suggest you see your primary physician, to see if anything else could be at play in your case, on top of POIS. Maybe high anxiety, due to the rigidity of your cultural environment,
Anyway, just for the fact that you have suicidal thoughts, you should get professional help ( it does not have to be a psychiatrist, you know, as family physicians can at least diagnose and bring help for depressive states).
I don't know about availability of medical care in your place, but if any is available, look for help lines, where you can call and get help, as well as other services, like a nurse or concealing service at school, or other ( I have no idea of your age, that is why I say at school, but might me at work as well). If this is possible in your situation, psychotherapy could be of great help ( it has been, and still is, for me). Your psychotherapist can become the trusted person you need in your life to talk with. Psychotherapist are not doctors, but they help a lot with emotional issues like you have now.
You can talk with your parents about your suicidal thoughts, without having to say anything about POIS. Just refer directly to the symptoms that POIS causes you. Say you have fatigue, that you feel depressed, that you are anxious. In fact, that could quite be the case that it is not all related to POIS, if it persists without any E. Telling part of the truth, and protecting a part of your intimacy, is not lying, you know, it is just that, protecting your secret garden, your intimacy. If they ask you why you fell that way, just say that you do not know, and that is true, because we still have no idea why a normal physiologic relfex like ejaculation can cause those symptoms, so it is quite true that we do not know at all why we have those symptoms. This way, you respect yourself, without making up any fanciful story that could cause you further problems.
At the least, continue writing to us, here, where you can safely write about your POIS.
I am wishing you to get better, POISrival, as soon as possible!
Quantum