It's known how POIS gives symptoms but what's debilitating aswell are the secondary negative outcomes of POIS which I'll list here:
If 1 never abstains long enough to shift between POIS nonPOIS states they are in POIS state all time and may do worse at work/school be socially awkward clumsier etc and they may not know they're not in max state of being which is what happened to me I probably had POIS since puberty and likely had some symptoms all the time but never abstained because my libido was very high and POIS probably wasn't as severe back then or I simply hadn't experienced how 0 symptom state is like thus I didn't know O makes brainfog etc. worse so I had no reason to abstain only at 2018/2019 I recall thinking of how I seem to feel shit days after pmo 1st I thought of it from NoFap lense that I need to quit "pmo addiction" even tho I didnt do it as much but just had POIS but finding NoFap before POIS made me think it's PMO itself anyways in 2018 I had first small NoFap runs I'd succeed for days or a week and repeat but only in 2019 I went on many months which is when I realized how big positive difference I had in mood, energy, mental clarity, mentality, creativity, discipline, ability to socialize fluently and in other areas of life of course even then I had not yet fully realized it might not be how 1 is supposed to feel even after a single orgasm and I was into SR/NoFap ideas as they matched my experience and I saw many otherson SR/NoFap subreddits saying they get symptoms many days postO too and thought everyone might get them but only few have noticed the correlation so due to it I didn't start considering POIS being something that 1 isn't supposed to feel naturally postO till I started getting nocturnal emissions often and despite abstinence I was in POIS state back again and observing people in gym I thought how they didn't display brainfog, clumsiness, awkwardness like I do in POIS state and thinking that it's unlikely that more than 0.01% of people that aren't limited by age/health issues thus don't need to abstain but decide to do so for some reason, abstain I realized it's possible these symptoms aren't meant to be experienced and I had already read about POIS at that point but still thought maybe it's how all feel so was like 50/50 between SR/POIS but that thought in bad POIS state after thinking about it in gym is what made me make 1st post on this subreddit and with time I realized that this is a disorder this is when I shifted away from the dogmatic obsession with SR/NoFap ideas and started looking at the manyday bad symptoms I get postorgasm from POIS lense however I think many on SR/NoFap that talk about "superpowers" they get got POIS and the benefits/superpowers are their POIS symptoms reducing it explains why many find SR/NoFap ridiculous and feel 0 difference while others preach it as life saving and due to not knowing about POIS and that not all get so bad symptoms after sexual activity they spread it around thinking everyone else has these bad symptoms too and are in such state and by getting them to try SR/NoFap they'd notice the "benefits" too except unfortunately they don't know they got POIS and others don't share same experience of such big difference in state of being if abstinent or not so that's how it makes SR/NoFap look cultlike and creates even more division and perception of SR/NoFap preachers as quacky due to those not getting bad symptoms after sexual activities seeing SR/NoFap as complete bs while those for whom it's been same experience of bad symptoms after orgasm/sexual activities for many years it seems as they've discovered some secret that others don't know of and that they think gives them strong benefits and superpowers which is SR/NoFap/Celibacy/Abstinence but they aren't aware that they potentially got POIS causing the massive difference in wellbeing based on if they abstain or not. Therefore the next point is about this issue:
Development of idea of sexuality being bad/orgasm causing bad symptoms for everyone/other beliefs that occur due to 1 not knowing they got a physical imbalance (POIS) that makes them feel such symptoms after sexual activities as I explained in the end of the previous point how POISers unaware of having it get into SR/NoFap ideas thinking it's PMO itself.
Being viewed as quacky or viewed as religious/illogical/otherwise having social perception impaired due to talking about SR/NoFap ideas due to 1 having POIS but them not knowing they got a physical disorder causing these bad symptoms after O so they instead start thinking how PMO/sexuality itself is bad and may start talking online/in real life about how PMO/ejaculation is bad but they don't know others don't get bad symptoms after sexual activities while in the POISers view they're right cuz that's obviously how they always felt after sexual activities in view of others they're odd/crazy/quacky/religious/incels/mysognistic etc. but what others don't know unless the POISer is aware it's a physical disorder causing these bad symptoms and has told them, what they don't know is exactly that-that the person probably has POIS or some other physical imbalance making them feel fatigued or in any other way feel bad after sexual activties so it creates a gap between SRers/NoFappers/POISers (especially unaware ones) and nonPOISers where the 1st wonder why others don't try the practice that for them (POISers) gives so much benefits so they think everyone else is "addicted" but the 2nd (nonPOISers) view the 1st (SRers/NoFappers/POISers) as odd/incels/quacky/rightwing/religious etc. as for them the people who don't got disorder giving negative symptoms after sexual activities there's nothing wrong with it and if someone starts talking about how bad they feel after something that you don't feel bad after it's likely you'd think they hate that thing for some odd ideological reason when in fact they got disorder causing the thing for them to have different effect that is negative than for others.
Now those are secondary negative outcomes for a POISer who has not yet discovered it and only notices that pmo gives symptoms and might've preached about SR/NoFap to others but how about POISers who know:
Obvious impairment in work/social/school ability due to fatigue, brainfog, clumsiness, akwardness in case of 1 knowing they got POIS it can be less or more stress they get from POIS-less if awareness of POIS actually makes the person stress less about it cuz they know it's a disorder causing it but more if the awareness of having POIS but not knowing how to get out of it and being able to perform effectively but being aware of how much potential they hold but not being able to show it to others and others not seeing it and getting an altered perception of the person that isn't accurate and different of the real potential the person has in state of 0 brainfog that causes more stress.
Feelings of being misunderstood-despite having others online with the same experience or maybe even knowing few POISers irl proportionally there are way more people without POIS unable to fully relate to POISers thus 1 might feel as an outcast having an odd condition that others don't even worse if others say it's mental or made up etc.
Negative reactions from others due to social anxiety or slowness/brainfog/awkwardness that POIS gives-1 may give off face expression unrelated to how they feel which for some is a POIS symptom combined with lower voice volume possibility of brainfog making it hard to understand what others are talking about and impairing ability to think up what to say in conversation all combined can make one look like jerk/autist/psychopath or any other mislabelations when in reality one has brainfog etc. long term people may start avoiding/bullying/reacting bad to POISer thinking he does it consciously rather than that due to whatever underlaying physical imbalance brain simply doesn't work as sharp in the moment of POIS.
Possibility of 1 not inventing something good (Butterfly effect)-think of 2 alternate universes-1 with same person not getting POIS thus not getting brainfog other symptoms and being at 100% potential and 2nd universe where one more or less has brainfog etc. due to POIS (this scenario can apply for brainfog other disorders in general) both universes the person has the same potential and can invent something which has good effect for humanity but in scenario of brainfog something else preventing the person from being in environment needed to achieve it that thing will never be made by them and if someone else doesn't invent it then the potential positives it might've had would never appear in the world.
As you can see POIS has big buttefly effect like secondary negative outcomes and all of it can be stopped and best potential outcome reached by discovering root cause/-s and treating everyone with this or any other disorder that impacts one's potential in a similar fashion will have good effects and prevent big amounts of suffering and overall will make everything better for everyone this is why funding/research/awareness must be grown how fast/much possible if that means better/faster odd of finding more POISers unaware of it+getting closer to discovering what causes POIS+getting closer to a cure.
