Dear Dr Richard

The symptoms that you describe in your sexual exhaustion article are identical to many of the symptoms I have felt for the last 13 years, I am now 33. I have severe chronic pain in my joints and soft tissue, I have low libido and suffer from sexual exhaustion after sex, fatigue, frequent urination, brain fog, sometime difficulty with balance and even twitching or shaking. You mention in your article what needs to be fixed in order to repair these symptoms (see below) but I would like to know exactly what to do. No one has ever been able to help me and things just seem to get worse.

‘The solution is to help your neuro-endocrine function and stabilize your serotonin and GABA nervous modulation on the Fight or Flight responses. You must also recharge your parasympathetic nervous system and boost your prostaglandin E-1 , E-3, oxytocin and Nitric Oxide production for healing’.


Yes, the symptoms you describe are frequently associated with sexual exhaustion. The chronically abnormal acetylcholine, serotonin, dopamine, and GABA levels, as well as weakened modulation on inflammatory response for excessive epinephrine, norepinephrine, cortisol, histamine, glutamate, and prostaglandin E2 levels are in the root of every problem described. Chronically observed excessive inflammatory response is a self supporting condition that has to be broken by addressing every problem to avoid negative feedback reactions.

To answer your question:
It differs, there are numerous phases of sexual exhaustion. By the symptoms described I would say that you suffer from a moderate case of sexual exhaustion. The low libido and exhaustion after sex is a direct indication of heightened prolactin levels, as well as borderline androgens, which is frequently indicative of abnormal hypothalamic-pituitary-adrenal-testicular axis and mainly dopamine abnormalities. The brain fog, twitching, and shaking is indicative of severe abnormalities in acetylcholine, serotonin, dopamine, and GABA levels, as well as heightened inflammatory response. The frequent urination is most probably a case of inflamed of enlarged prostate as a result of excessive testosterone-DHT conversions, or/and poor blood flow and artery constriction in the area.

In the specific case, a combination of Alpha-Amino, GRB6-GABA, 5HTP-Nettle, Multi-Alpha, Alpha-AGH, and Ultra-Purified-FishOil will better nervous and endocrine functioning, stabilize acetylcholine, serotonin, dopamine, and GABA levels, aid serotonin-GABA modulation on inflammatory response for proper epinephrine, norepinephrine, histamine, glutamate, cortisol, and prostaglandin E2 levels, better hypothalamic-pituitary-adrenal-testicular axis functioning, increase androgens, lower prolactin and stabilize libido, jump start the CNS, increase prostaglandin E1 E3 and Nitric Oxide levels, alter numerous gene expressions, and rewrite the negative neuroplasticity developed with the years.

You may also consider solutions to additionally increase androgens.

There are also numerous activities and lifestyle changes that may aid the recovery process, such as: exercise, proper diet, positive attitude, negative ion exposure, massages, and sexual abstinence for 2 to 4 weeks.

Glad if I could help!