This to me sounds like a hormonal issue, which are a known cause of POIS. Its possible that the POIS didn't cause your slow development; rather, something like low testosterone caused both problems. Demografx, one of the main moderators on this forum, has dramatically reduced his symptoms with TRT. I would recommend reading this thread: https://poiscenter.com/forums/index.php?topic=17.0
My testosterone and free testosterone levels are normal (and even rather in the high norm).
For me generally I became minimally functional in the 2-4 days period. As in, I won't make friends, but I also won't be painfully awkward and can deal with short interactions (though exercise can make this period much better). Around day 5 or 6, I typically get a pretty significant boost. From there on out, things are generally better, but can go pretty wild. Sometimes I can consistently have a couple weeks where I am feeling comfortable socially, but I also occasionally will find myself getting POIS symptoms, including social impairment, at random times during long periods of abstinence. I am trying to work out what triggers my orgasmless POIS symptoms.
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We definitely have the same issue. It's hard knowing who I'm capable of being, when only through great struggle can I manage to get a couple days a month at my best. I agree with the parsing issues as well. For me, this is not just auditory - it also applies to reading, or anything that requires information processing.
It's also interesting that you use social abilities to gauge POIS. For me, this is far and away the most reliable indicator, as I do not have physical symptoms. For a long time, I didn't know that I had any other symptoms!
I can countersign a lot of your sentences.
For my part I have no other trigger than orgasm, arousal and physical effort, but I'm very sensitive. To vacuum my room or think for a few seconds about a girl can induce a mild-to-intermediary POIS state, which might potentially generate different waves of symptoms as time passes.
Social abilities are indeed a very reliable indicator of POIS, but now this indicator is always 'on', so in order to monitor my condition I also use my heart rythm (POIS produces sinusal tachycardia for me), my digestion (constipation or not) and my nervosity (when I'm healed I feel much more relaxed, I guess that my sympathetic nervous system is constantly overstimulated in POIS).
I am curious what you have found most effective or reducing social POIS (or any POIS, if you find that your symptoms tend to correlate)?
As for me, I have good results since mid-August with a daily supplementation of Omega-3 (EPA 400 mg, DHA 200 mg) and vitamin D3 (800 UI, my tests showed that I had a deficiency), which significantly reduced my now-permanent physical symptoms (in particular sinusal tachycardia) as well as the duration of post-orgasmic 'hard-POIS' periods. I guess it's the anti-inflammatory effect.
I have also benefited from taking flaxseed oil (1000 mg) daily in July, which nuked all my POIS symptoms and my constipation, but after a week it ceased working and normal POIS returned.
Recently I have discovered that taking 500 mg of Paracetamol immediately after a nocturnal emission, and then sleeping for some time, was very efficient to prevent a POIS crisis. I'm still tired and a bit weakened the day after, but nothing comparable with what I suffer usually. I'll try to concoct a pre-pack taking this into account and see its effects on a deliberate orgasm.
BUT, the point I wanted to make is that all this
did not suppress the 'social impairment' problem (and the depressed mood/lack of psychological well-being that is coterminous to it). To be sure, it softened the 'hard' social impairment which comes with the first days of acute POIS, but it didn't bring back the state of complete remission, both physical and psychological/social, that I experienced in former years after a week of POIS or so. So even if I'm feeling better with my current supplementation, I know that POIS is still here.