Hello everyone.
I am a 43 year old Male who in the last 2 years has developed something very strange and all of my research has led me here. I am not sure if this is POIS or something different entirely but it is putting massive strain on my wife and I's relationship and it truly causing me boughs of depression and anxiety.
Symptoms: Feeling of something being in my throat, and the constant need to cough / gag to remove it before and during orgasm. It literally feels like a lump of phlegm building in the right hand side of my throat and it increases as I get closer to orgasm to the point where I either gag or have an uncontrollable cough as I orgasm. I do suffer from minor premature ejaculation.
Myself: 43, Male, Smoker, Overweight (5'7" 250), Do not exercise due to physical limitations from previous accidents. Psoriasis covers 80% of my body.
I do not suffer from my thoughts being cloudy, the feeling of mental fatigue.
My main concern is this feeling of choking on something / lump of phlegm building in my throat during oral or sexual activity, but not when masturbating. Not sure what else to say ....