Yes if i am only sure about one thing that causes pois , is wet ejaculation after puberty , because before puberty when i masturbated i didnt suffer any pois symptoms , i was playing wrestling and always got straight A?s in all my subjects with alot of ease
After puberty on the other-hand the correlation between ejaculation and pois symptoms were quite obvious to me , specially brain fog , i couldnt even count change if i am buying something from the store, you can imagine how school and exams and socializing were , physical symptoms such as muscle weakness and aches were present too , but the most traumatic experience for me was and still is the brain fog