Sorry for such a long story:
I know I have asked some questions above but I have tried to summarise them below:
1. Is this sexual exhaustion where my nervous systems are so battered from all the PMO?
2. How do I regain the ability to have no symptoms a day after ejaculation which last so long? In other words how to I go back to being normal? (Im sure if I did more O’s at once the symptoms would be much more severe)
3. Should I go to the doctor again? I have resisted as he will probably prescribe me SSRI’s or something which will not solve the problem.
4. Why is there no symptoms after a wet dream but only when I PMO?
5. Should I have my bloods done to see if there are any deficiencies?
6. Is my varicocele and low testosterone a possible cause?
7. Could I have adrenal fatigue, Addison’s disease adrenal insufficiency or some sort of thyroid problem? Perhaps the adrenals are being pushed to their limits and can’t work properly from so much stress caused to them over time? (thyroid problems run in my family)
8. If in the first reboot I noticed so much improvement what do you advise?
9. Are there any similar conditions to mine?
10. Have people recovered?

Please help
From an extremely exhausted person. You are the first person I am telling, I’m struggling

————-

MSG2
Hi,

Simple question.

SHORT STORY:
1. I kept masturbating daily, sometimes a few more times a day, max probably 3 times a day but that’s very rare.
2. Always to porn usually, sometimes no porn, death-grip, long edging sessions that went maybe a few hours sometimes, normally when Id wake up in the morning or before I went to sleep.
3. Did it for 5 years. Tastes started at plain vanilla stuff and over the years got more intense. Some videos stopped appealing to me towards the end of the 5 year period. I always looked for more arousing stuff.
4. Searching for videos and waking up and thinking lets have a porn session use to give me a massive adrenaline rush always.
5. Orgasm/Ejaculation never used to give me any issues 6. Symptoms gradually crept up on me without me noticing after each orgasm/ejaculation/porn session.
7. for about 2 months symptoms got worse and worse after each PMO.

8. Then one day I did as usual another PMO and this time got severe anxiety, extreme fatigue, headaches, brain-fog, changing moods, social anxiety, higher more trembly voice, insomnia, no appetite, weak muscles, little bits of depression, all symptoms of adrenal fatigue negative thoughts started entering my head which never used to like how will I get a job, how will I get a girl, how am I gonna live life etc etc I never used to think stuff like this but they just started all of a sudden.

9. Read YBOP so thought I need to reboot. so did cold turkey 90 days off PMO. FELT AMAZING, a lot of the symptoms gone in that time.

10. Thought I was cured, started edging for 10 days, 11th day PMO’d and bam all symptoms returned at full force the following day. (not during or after orgasm, the symptoms start the following day)

11. Now in second reboot (its now 65 days into second reboot have noticed much faster to start recovering and for the symptoms to go away compared with the first reboot about 25 days or so compared to some 70 days in the first reboot) in saying this the fatigue and headaches are still there and I notice I always seem to feel better during the evening for some reason. my headaches go away and I feel like normal at night time.

Questions:
What is cause of these symptoms?
Is this Sexual Exhaustion from too much orgasm ejaculation, overstimulation and inability for the body to cope with such high demands?

HOW DO I FIX MYSELF?

I am taking a supplements, Organic Greens Super Food that has lots of good stuff in it herbs etc in the morning. Amino Acid complex during mid day, sometimes fish oil. sometimes protein shakes, a multivitamin at night time. What are your thoughts on this? I have changed the lifestyle, eliminated porn forever and started being more positive.

please reply me, im struggling to cope with the thought that I will never be able to have an orgasm again without getting such severe symptoms.

please help me fix this, im so worried

ur thoughts are greatly appreciated

I already asked once but I received no reply from you

ANSWER
I apologize for the late reply. I have found the first email and will attach it to the case. So, let’s get to it straight away:

My normal frequency would be daily, to long edging sessions to release right at the end, I would waste hours going from video to video. Most days were once, occasionally 2 or 3 times in a day and sometimes none in a day but the last two were rare. During the first 4 years everything was fine. It’s just this last year of 2014 at which everything’s gone wrong.

Hour long edging sessions can be extremely taxing on one’s neuroendoctine balance and proper organism functioning. Edging, as a practice, is definitely a more harmful variation of conventional masturbation. I would say that it is not uncommon to experience similar severity of the symptoms after years of consistent edging.

At this time my life was hectic, I was working hard on my business from home. University, assignments, my diet was extremely poor now that I think of it. I skipped breakfast or simply had nothing nutritional in my breakfast most days just a cup of tea if I did decide to have anything. Im bombarded by pressure from my parents and brothers to get a job etc.

External pressure and stress can definitely be a contributing factor.

Early 2014 I had a flight to catch and that morning I did a PMO with again no breakfast or simply rubbish foods, the pressure of getting to the airport etc. gave me what I now realise looking back my first taste of an anxiety/panic attack which lasted a few hours. I got over it quickly and I was running back to normal with the constant lifestyle and PMO.

As you have noticed yourself then, increased sympathetic response to even minor triggers is quite common and usually very related to sexual exhaustion (in cases where similar lifestyle is observed).

Later that night I had to go to hospital for no apparent reason. I had headache, low mood, dry skin, fatigue, shaking, hot and cold flashes, abdominal discomfort, my heart beat and BP was all over the place.

Similar symptoms are almost definitely related to improper serotonin-GABA nervous modulation on excitatory and inflammatory response. Excessive sympathetic activity and inflammation will basically lead to all of the described symptoms and more. I will additionally expand on the phenomenon down my post.

That night I did another PMO and another one right after and no sperm came out I was dry. A few hours later and it literally sent me into severe anxiety, insomnia, crying at night, anorexia (unable to eat), and decreased appetite, sex drive and libido had gone. The majority of symptoms lasted about a week and a half.

It definitely sounds like a moderate to severe case of sexual exhaustion.

I ended up doing roughly 90 days free from PMO cold turkey on my first go. The first 2 weeks of it I experience massive withdrawal symptoms, all the ones you can think of. It was horrible. I was in a massive flatline, no penis response, no morning erections.

You definitely did well to endure 90 days and also avoided going over the “three month mark” I’ve mentioned in some of my previous answers as the safe limit for such. The flatline was to be expected and served to provide you with an accurate representation of the actual state of your condition.

The thing that triggered it was seeing news of a new pornstar on facebook.

The unfortunate fact is that addiction is not so easily removed from one’s brain. It can stay dormant for months or even years, waiting for a suitable trigger to reveal itself.

I was happily talking to a family member and then something in my brain flicked a switched and anxiety returned right there and then out of nowhere.

A bit uncommon I must say, not because of the suddenty of its appearance but because of the complete lack of any supporting symptoms.

What I have noticed over the last 150 days or so is that 95% of my anxiety always however tends to go away after 6pm and my energy levels drastically increase after that time. During the days it’s very tough and I feel fatigued and the energy levels are low, but after 6pm it’s like I get a second wind of energy and I feel fine.

This is actually very common with people who experience any form of anxiety disorder. It is most likely related to the way our bodies utilize certain neurostransmitters (in particular serotonin) during the natural circadian rhythm. During the evenings and at night the body becomes much more reliant on melatonin for its functioning, and serotonin abnormalities (such as low levels or certain receptor alterations) are less prone to be detected while under “lighter load”.

Do you think this could be adrenal fatigue or insufficiency? Maybe my adrenals can no longer produce cortisol properly?

Certain cortisol abnormalities are to be expected but they are usually a result of the excessive sympathetic functioning for increased anxiety, stress, and inflammation. Hypothalamic-pituitary-adrenal-testicular axis is usually severely affected with sexual exhaustion, so there’s the possibility of suffering from a mild manifestation of such. However, taking in account the time needed to develop and your age, I would not suspect any permanent or severe abnormalities as of yet.

I did read somewhere that a varicocele can cause the testicle to overheat which results in low testosterone and poor sperm production, thus resulting in symptoms similar to the ones I experienced. Could this be causing problems me anxiety after orgasm or ejaculation? Maybe testosterone drops too low?

It is true. Patients with varicocele will definitely experience not only lowered testosterone but lowered androgens as a whole. It’s still a controversial subject, as in theory those levels are balanced by a negative feedback mechanism, meaning that the body will produce until it reaches the required levels (even if one testicle is present it should work double for instance). Of course, this theory has severe cracks in its viability, as for instance, it won’t explain the evolutionary need of testicles being outside the body if that ultimately won’t have any impact on androgens levels.

There are some studies pointing out numerous abnormalities happening during testicular overheating, partially preventing the body from utilizing testicular potential regardless of its sheer load input.

The reality is that most of the patients with varicocele do suffer from lowered androgen levels.

Androgens levels in general are known to be related to feelings of courage and calmness. A pretty straightforward indicator is the severely increased predominance of anxiety disorders in females, rather than males.

And to answer your question in a more straightforward manner – yes, this is definitely contributing to your anxiety.

I also notice that when I last PMO’d and times before that towards the latter years I get a rush of adrenaline similar to when you get frightened rather than a pleasure feeling when I look at PMO. Do you think looking at porn and over masturbation can cause these issues because it’s different from normal sex?

You will get those with normal sex too, predominantly through dopamine-norepinephrine-epinephrine conversions and increased demands on your cardiovascular system. The difference is that it is much more aggressive in its occurrence in people who have weakened modulation on serotonin-GABA nervous modulation (masturbation or not). Artery constriction can make it even worse.

1. Is this sexual exhaustion where my nervous systems are so battered from all the PMO?

The symptoms are definitely indicative of a moderate to severe stage of sexual exhaustion. PMO Addiction combined with individual genetic makeup and lifestyle can definitely lead to it.

2. How do I regain the ability to have no symptoms a day after ejaculation which last so long? In other words how to I go back to being normal? (Im sure if I did more O’s at once the symptoms would be much more severe).

You were generally on the right track. The way to go is to transform the negative neuroplasticity you’ve developed over the years into a positive one. The interneuronal connections have been developed and ordered to process information in a specific manner and it usually takes much conscious effort into rewiring them to induce the desired response.

3. Should I go to the doctor again? I have resisted as he will probably prescribe me SSRI’s or something which will not solve the problem.

It depends on the individual specialist. However, based on the symptoms you’ve described you are very correct in your expectation. I would strongly advise against any SSRIs / SNRIs as they can worsen the condition even further. Be sure to check: https://cure-erectile-dysfunction.org/antidepressants-and-sexual-function .

4. Why is there no symptoms after a wet dream but only when I PMO?

Nocturnal emissions are both shorter and notably less intensive as far as neuroendocrine load goes. They are also well timed with hGH / androgen spikes.

That being said, some people would still observe negative side effects and experience slower recovery (not nearly as bad as from PMO, though), especially if the emissions are excitatory / inflammatory in nature.

5. Should I have my bloods done to see if there are any deficiencies?

Similar generalized tests are usually quite ineffective in detecting the imbalanced state through the inability to monitor neurotransmitter levels in the brain, the wide range of acceptable results, and the flat ratio of hormone-neurohormone-neurotransmitter interactions monitored.

6. Is my varicocele and low testosterone a possible cause?

It’s definitely a contributing factor.

7. Could I have adrenal fatigue, Addison’s disease adrenal insufficiency or some sort of thyroid problem? Perhaps the adrenals are being pushed to their limits and can’t work properly from so much stress caused to them over time? (thyroid problems run in my family).

It is possible. However, it is not likely. And even so – the root issue is probably not the thyroid or adrenals. Naturally, the statement would be true only if you’ve not reached a breaking point, which is still unlikely since you’ve managed to restore quite a bit of your proper organism functioning for 90 days.

8. If in the first reboot I noticed so much improvement what do you advise?

The obvious suggestion would be to continue with what has proven to be of assistance. I will mention a couple of suggestions at the end of the post, though.

9. Are there any similar conditions to mine?

Yes, I’ve seen quite a few very similar cases.

10. Have people recovered?

They have. There are some useful practices that have worked well for almost all of the similar cases, even if each has its own minor individual differences.

Questions:
What is cause of these symptoms?
Is this Sexual Exhaustion from too much orgasm ejaculation, overstimulation and inability for the body to cope with such high demands?

It’s usually caused by a combination of factors, most of them related to self-abusing pattern of activities, individual gene expression, and general lifestyle. Let me mention some of the causes for your symptoms:

* Excessive masturbation usually leads to imbalances in acetylcholine, serotonin, dopamine, GABA levels and their respective receptor count, which in turn leads to a wide set of symptoms. However, one of the most notable consequences is the impaired serotonin-GABA nervous control on neuronal activity and excitatory / inflammatory response. As a result, excessive cortisol, prostaglandin E2, and other inflammatory factors are observed in blood, tissues, and brain. This creates a negative neuroplasticity extremely fast since excitatory factors have always played a part and been important for behavioral modulation in times of acute external stressor exposure.

* Artery constriction for increased inflammation and lessened blood flow to tissues.

* Adrenal gland adjustments to chronically create more stress and inflammatory hormones, such as cortisol and epinephrine, at the expense of DHEA and other androgens. This is closely related to the negative neuroplasticity loop I mentioned.

* The lowered androgens as a result of the varicocele you mentioned.

* The increased levels of cortisol, prostaglandin E2, norepinephrine, epinephrine, and especially prolactin to negatively affect the levels of GnRH, LH and FSH, and together with the arterial inflammation and constriction kill testicular function as well as hypothalamic-pituitary-adrenal-testicular axis’ proper functioning. Matters only get worse by the possibility of your testicles not functioning at their full potential from the start due to the mentioned varicocele. Less androgens to modulate inflammatory response, testicular insulin resistance, energy levels, tissue and testicular health, hormonal conversions, and neurotransmitter homeostasis, will result in even more vicious cycle of inflammation to suppress them even further through low dopamine levels and chronically heightened prolactin.

HOW DO I FIX MYSELF?

I am taking a supplements, Organic Greens Super Food that has lots of good stuff in it herbs etc in the morning. Amino Acid complex during mid day, sometimes fish oil. sometimes protein shakes, a multivitamin at night time. What are your thoughts on this? I have changed the lifestyle, eliminated porn forever and started being more positive.”

You’re definitely on the right track there. However, you’ve missed addressing the mentioned serotonin-GABA nervous modulation, which is usually of extreme importance. Rewriting a negative neuroplasticity usually takes time and is a tricky thing to do if one is unaware of what he’s doing. It can support itself through feedback reactions so ideally you’d have to address each and every issue simultaneously. That’s why just a random set of supplements frequently prove ineffective.

There are some general things and practices you should consider. Such as:

* Exercise
Running is very beneficial for Nitric Oxide-hGH boosts, as well as for improved neurogenesis.

* Proper diet.
Much fiber, fruits, avoid milk with prostaglandin E2 analogs, avoid empty calories and much red meat.

* Negative ion exposure
The general rule is wherever there is water, there are negative ions: rivers, lakes, oceans and ponds, even your own shower.

* Massages
Similar practices definitely have a positive effect on local inflammatory processes and proper blood circulation restoration.

* PMO discontinuation
It’s definitely a good thing that you’re already on it. You’ll need to discontinue sexual activities for 1 to 2 months (several times if you have to) and then limit masturbation as well as other similar in nature activities to 1-3 times a week for 3 to 5 months.
Additionally, edging has to be completely discontinued.

* Healing visualization and meditation
Here particularly useful will be https://yourhealingmind.org , as guided imagery frequently produces results even beyond conventional medical expectations.

Also, a combination of Alpha-Amino, Multi-Alpha, 5HTP-Nettle (should be gradually discontinued 3rd to 4th month), GRB6-GABA (should be gradually discontinued 3rd to 4th month), Alpha-HGH, and Ultra-Purified-FishOil for the specific case, will improve nervous and endocrine functioning, stabilize acetylcholine, serotonin, dopamine, GABA levels, aid hypothalamic-pituitary-adrenal-testicular axis proper functioning, restore proper serotonin-GABA nervous modulation on excitatory and inflammatory response, increase androgens, increase elasticity prostaglandin E1 E3 and Nitric Oxide, alter numerous gene expressions, and eventually rewrite the negative neuroplasticity developed.

Of course, you did mention that you are taking a similar combination so if you have found that it works for you I will suggest just adding L-Tryptophan or 5HTP-Nettle and GRB6-GABA.

Note that the primary goal for the first 3 to 4 months is to restore the proper acetylcholine-dopamine-serotonin-GABA levels / ratio and modulation on inflammatory and excitatory response, as well as proper dopamine-norepinephrine-epinephrine conversions and dopamine-prolactin ratio. You would then need to monitor your overall stress levels (both physical and mental) for some months to make sure you’re keeping the neuroplasticity that has been developed.

Please, keep me updated on the case.

UPDATE
Hi Dr Richards,

thank you for the reply. just a quick note, im a little confused with the supplementation guide you suggest.

currently im taking the following supplements:

1. MORNING organic superfood which consists of the following ingredients:
(these are quite small in dosage)
Organic Spirulina, Organic Apple Powder, Organic Chlorella Powder, Organic Alfalfa Powder, Organic Wheatgrass Powder, Organic Barley Leaf Powder, Acerola Fruit Extract, Carica Papaya Powder, Broccoli Powder, Pineapple Fruit Juice Extract, Bilberry Fresh Fruit Extract, Rosehip Beet Powder, Red Beet Powder, Carrot Root Powder, Spinach Leaf Powder, Licorice Root Powder, Wolfberry (Goji) Fruit Extract, Hawthorne Fruit Extract, Kelp Whole Plant Powder, Citric Acid, RS Alpha Lipoic Acid, Astragalus Root Extract, Grape Seed Extract, Green Tea Extract, Cocoa Bean Polyphenol Extract, Rosemary Leaf Extract, Beta Glucans, Reishi Mushroom Powder, Shiitake Mushroom Powder, Resveratrol, Citrus Bioflavanoid Extract, Vitamin C, Calcium, Potassium, Vitamin E, Magnesium, Vitamin B3, Silica, Zinc, Co-Enzyme Q-10, Vitamin B5, Vitamin B6, Vitamin B1, Vitamin B2, Vitamin B3, Pro Vitamin A, Manganese, Vitamin B7, Vitamin B9, Copper, Selenium, Vitamin B12, Chromium, Vitamin D2, Rice Bran Powder, Milk Thistle Extract, Dandelion Whole Plant Extract, Burdock Root Extract, Globe Artichoke Extract, Inulin (FOS prebiotics), Ginger Rhizome Powder, Bromelain, Slippery Elm Bark Powder, Lactobacillus Acidophilus, Bifidobacterium Bifidum, Papain (from Carica , Papaya and Pineapple), Siberian Ginseng Extract, Lecithin (95% phosphatides), Organic Flaxseed Powder, Gotu Kola Extract, Withania Somnifera (Ashwaganda), 100% Vital Pea Protein Isolate, All Natural Base: Papaya, Broccoli, Carrot, Pineapple, Natural Vanilla Flavour, Natural Pineapple Flavour, Thaumatin, Stevia, Monk Fruit and Xanthan Gum.

2. PRE LUNCH – PURIFIED FISH OIL
Each 5ml Provides:
•EPA 825mg
•DHA 550mg
•Other Omega-3s 350mg
•Oleic Acid (Omega-9) 290mg
•Vitamin E (d-alpha tocopherol) 30IU

3. ANYTIME – Protein Shake –
contains:
—-11 grams of Essential Amino Acids (EAA’s):
Tryptophan, Valine, Threonine, Isoleucine, Leucine, Lysine, Phenylalanine, Methionine
—-7.7 grams of Conditionally Essential Amino Acids (CAA’s):
Arginine, Cystine, Tyrosine, Histidine, Proline, Glutamine and Glutamic Acid
—-5.5 grams of Non Essential Amino Acids (NAA’s):
Aspartic Acid, Serine, Glycine, Alanine

3. AFTERNOON – Amino Complex
Contains:
L-Lysine (as L-Lysine HCI) 75mg
L-Histidine 75mg
L-Isoleucine 75mg
L-Leucine 75mg
L-Methionine 75mg
L-Phenylalanine 75mg
L-Threonine 75mg
L-Valine 75mg
Hydroxypropylmethyl cellulose, microcrystalline cellulose, hydroxypropyl cellulose, magnesium stearate, cellulose gum.

4. Before Bed – Multi Vitamin containing:
Vitamin A (from retinol acetate) (300mcg)1000IU
Vitamin B1 (from thiamine hydrochloride)10mg
Vitamin B2 (riboflavin)10mg
Vitamin B3 (nicotinamide)50mg
Vitamin B5 (from calcium pantothenate)40mg
Vitamin B6 (from pyridoxine hydrochloride)20mg
Vitamin B12 (as cyanocobalamin)25mcg
Vitamin C (ascorbic acid) 250mg
Vitamin C (calcium ascorbate)250mg
Vitamin D3 (as cholecalciferol)10mcg
Vitamin E (from d-alpha-tocopherol acetate)100mg
Betaine (from betaine hydrochloride)50mg
Biotin50mcg
Boron (from boron pentahydrate)1mg
Calcium (from calcium lactate)100mg
Choline (from choline bitartrate)25mg
Chromium (from chromium amino acid chelate)100mcg
Citric Acid 200mg
Citrus Bioflavonoid Complex 200mg
Co-enzyme Q105mg
Copper (from copper gluconate) 500mcg
Folic Acid 150mcg
Inositol 25mg
Iodine (from potassium iodide)100mcg
Iron (from ferrous fumarate)1mg
L-Glutamine25mg
Magnesium (from magnesium carbonate)50mg
Manganese (from manganese amino acid chelate)2mg
Molybdenum (from molybdenum amino acid chelate)50mcg
PABA (para amino benzoic acid)15mg
Potassium (from potassium gluconate)20mg
Selenium (from selenium methionine)75mcg
Zinc (from zinc amino acid chelate) 7.5mg

I also have 5-HTP (5-Hydroxy-L-Tryptophan) 50mg available but im not too sure if I should use it because I have read that it can lower dopamine, is nettle a necessity with the 5-htp as mine doesn’t include nettle.

what do you suggest? also what other supplements do you recommend?

how much dosage of GABA do I require?

also is this order of taking the supplements okay. if you can advise when to take each supplement that would be great.

also I have improved the diet immensely to ensure im eating healthy foods.

Look forward to your reply.

UPDATE
Hi Mark,

quick update: its now about day 71 into my second reboot and im feeling a lot better. nearly 98% of my anxiety is gone. and a lot of the other symptoms are also gone.

few questions:
1. in my country GABA is illegal so what can I consume in stead of this??

2. also when should I consider trying a very quick masturbation again? is it too early or should I wait until day 120?

Thanks so much for all your help.. I have sent you a previous message with information in regards to what supplements I am taking but you haven’t replied that one yet. so if you could kindly answer them it would be much appreciated. I appreciate all your help your one person who keeps me going in this tough time in my life.

ANSWER
It’s a pleasure. I apologise for the late reply. Let’s get straight to it:

Thank you for being so thorough with the report. Let me say that your supplementation definitely seems very adequate and on point, with the exception I mentioned in my previous post. Additional and balanced 5HTP-Nettle and a “Picamilon” quality GABA supplementation (where the GABA has been combined with Niacin to pass the Blood–brain barrier) are essential to serotonin-GABA nervous modulation on inflammatory / excitatory response.

I also have 5-HTP (5-Hydroxy-L-Tryptophan) 50mg available but im not too sure if I should use it because I have read that it can lower dopamine

It is true, however, the effect is very mild at best and is basically required to diminish any excessive inflammatory / excitatory response, excessive dopamine-norepinephrine-epinephrine conversions, and to prevent “abstinence anxiety” caused by such on day 30 and above. Sexual activities discontinuation will actually increase dopamine above its usual range, even with heavy 5HTP supplementation.

is nettle a necessity with the 5-htp as mine doesn’t include nettle.

I won’t go as far as saying that it is absolutely necessary but it adds a very positive and thought out effect to the mix by addressing numerous inflammatory, anaemia, hair-loss, benign prostatic hyperplasia (BPH), osteoarthritis, and digestive related problems in a quite effective manner.

how much dosage of GABA do I require?

If it’s not combined with niacin, I won’t recommend taking any since you’d have to rely on particularly large numbers to be somewhat effective. Standard GRB6-7-GABA dosage applies otherwise.

also is this order of taking the supplements okay. if you can advise when to take each supplement that would be great.

It’s usually highly individual. You may want to experiment with those and just go for whatever you feel like works best.

1. in my country GABA is illegal so what can I consume instead of this??

That’s quite unfortunate. I guess you’d have to rely just on GABA promoting foods, which is usually not quite as effective.

Also when should I consider trying a very quick masturbation again? is it too early or should I wait until day 120?

I won’t recommend going over 90 days (as quite a few patients report related side effects), so it’s certainly not too soon. Anywhere in between days 60 to 90 would be ideal.

Please, keep me updated on the case.

Glad if I could help!

The post PMO Addiction, Sexual Exhaustion and Post-Orgasmic Symptoms appeared first on Cure ED.

So I’d like to get some advice on how to tackle this ongoing battle with my own body. I was unfortunately exposed to Masturbation at quite a young age (10-11~), and Now I am 17. Sometimes I’d do it daily, sometimes every 2-3 days.

I regret every single second, i spent on this filth.

This case is going to be a bit long, because I don’t want to miss out any detail.

Well, I decided to go cold turkey on Masturbation about 85 days ago. The thing is, I wasn’t totally aware of the Withdrawal symptoms & knowledge about SE / Masturbation addiction.

I first looked at yourbrainonporn.com and got a bit knowledge about it as a Chemical Addiction or so. However, About 60 days into the withdrawals, I found out this website and it has confused me.

YourBrainonporn claimed that, withdrawals will take about 3 months to about 1 year, depending on severity of the addiction. However, when I went through a lot of articles & cases on this website, I found out that I’m stuck in a permanent state of Fight or flight response. I hope you can clarify me on this.

Anyways, 3 days into the withdrawals, I got a full-fledge panic attack, out of no where. I had heart racing & fainted for 30 seconds, and it all ended suddenly.. but I did go to the Doctor immediately and he checked my electrolytes, which were fine.

After that, It all went down, I had Anxiety, partial insomnia, Restless legs syndrome, tremors, shaky feeling, inflammation, weight loss, migraines, fatigue, hair loss, Ear buzzing (not alot), Eye floaters, Mood swings, Heart palpitations (Only for sometime) etc.

I’ve had these tests done, some of them maybe, unrelated due to my lack of knowledge about the addiction at first, apparently.

-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=

Tests:-

Vitamin B12 – 176 [Ref range: 156-675] pmol/L

Vitamin D [Done twice] : 4 and 35 (After injection)

Serum Calcium [Done thrice] – Diagnosed with mild Hypercalcemia (This worries me ALOT)

A mistake here done is, S.Calcium wasn’t measured before giving Vit D injection.

After Vit D injection:- 2.6 [Ref range: 2.10-2.55] in mmol/L.

A week after last test:- 2.74 [Ref range: 2.20-2.65] in mmol/L.

Two weeks after last test of (2.74) | :- 11.0 [Ref range: 8.4-10.2] in mg/dl .. This is about 2.75 in mmol/L. (from different hospital.)

This worries me alot, but doctors said, at my age it’s completely fine and it rose a bit due to me being anxious all the time and breathing alot.

Should I be worried? Is there any neurological connection between calcium & neurotransmitters imbalance (which I’m facing currently)…?

PTH – 20 [Ref range: 9-65] in pg/mL… This was done when I had calcium 2.6 mmol/L.

Doctors said, no problems with PTH.

Multiple tests of T3, T4, TSH done –

The lastest one is:

TSH – 0.84 [Ref range: 0.35 – 4.94] uIU/ml

Free T4 – 18.92 [Ref Range: 9.01 – 19.05] pmol/l

Free T3 – 5.26 [Ref Range: 2.63-5.70] pmol/l

Dr’s said, Thyroid readings have been going up and down randomly, but not like completely out of range.

S.Magnesium – 0.76 [Ref range 0.70 – 1.00] in mmol/L

CPK – 174 U/l

ANSWER
Hello,
Yes, panic attacks and extreme anxiety are not uncommon in cases where abrupt and prolonged sexual activities discontinuation, combined with lack of any external support for serotonin – GABA nervous modulation, is observed. Statistically, I’d say it’s encountered in about 10 to 20 percent of the cases where the mentioned conditions are met.

You’re right to assume you’re stuck in an overactive sympathetic nervous functioning for increased fight or flight response. In fact, I think I’ve seen similar cases on the forum as I occasionally go through it. Regrettably, I still don’t have the time to answer to the numerous threads there.

Unfortunately, as you have noticed yourself, conventional tests are usually ineffective in detecting the imbalanced state through the inability to monitor neurotransmitter levels in the brain, the wide range of acceptable results, and the flat ratio of hormone-neurohormone-neurotransmitter interactions monitored.

Let me elaborate a bit more on the mentioned condition.

As you’re already well aware of, sexual activities of any kind are known to directly affect one’s dopaminergic system. During these activities, much dopamine is released into the synaptic cleft, where it’s either burned as a fuel for nervous transmission (meaning it’s metabolized through different neuroendocrine circuits during and after usage) or is upregulated. Much of the bioavailable dopamine is also used for dopamine – norepinephrine – epinephrine conversions, as norepinephrine is actually synthesized from dopamine by dopamine beta-hydroxylase (DBH). So, sexual activities are constantly lowering both its bioavailability and respective receptors.

Overactive sexual activities can definitely lead to imbalanced neurotransmitter levels, including dopamine. Same goes for sudden alterations in organism functioning (abstinence) without taking the necessary precautions. As sexual exhaustion sufferers frequently have their nervous modulation imbalanced, any severe increases of dopamine can result in extreme sympathetic functioning through its then constant direct conversion to norepinephrine – epinephrine. Normally, the process is carefully regulated by the serotonin – GABA nervous modulation on excitatory / inflammatory response, meaning that if excessive conversions are detected, the inhibitory GABA (and serotonin through different circuits) will balance organism functioning. However, this is frequently not possible in cases where sexual exhaustion is already present, as it has already drained much of the potential of this modulatory mechanism. That’s one of the reasons why healthy individuals that used to abstain from the beginning (certain religions, etc.), won’t usually have a problem with prolonged abstinence, while masturbation / sex addicts may experience various ill consequences.

Naturally, external activities, such as exercise, may also play their role in balancing dopamine – norepinephrine – epinephrine levels.

Note that excessive dopamine – norepinephrine – epinephrine conversions also happen during sexual activities themselves, with serotonin – GABA nervous modulation spending some of its potential on it. That’s why many individuals may notice anxiety – irritability related issues after. The difference is that the process is self-controlled through the already chronically lowered dopamine levels, the duration of the activity, and prolactin release.

Dopamine – norepinephrine – epinephrine conversions as a result of excessive abstinence is heavier and more drastic in nature. It won’t start to occur until a couple of months into abstinence, during which dopamine levels will go into an all-time high. The extreme conversions will become unavoidable at some point, and will start to show through symptoms of extreme sympathetic functioning. One may even be unable to then masturbate again as every attempt will lead to even excessive dopamine – norepinephrine – epinephrine conversions, which will be too much for his already imbalanced system to handle (given it’s already trying to suppress the increased sympathetic activity) and result in severe panic attacks.

“Should I be worried? Is there any neurological connection between calcium & neurotransmitters imbalance (which I’m facing currently)…?”

Calcium is known to participate in the sympathetic nervous system activation. As you can see here: https://www.ncbi.nlm.nih.gov/pubmed/9534092 (for example), various treatments designed to treat excessive sympathetic nervous functioning, hypertension, and the respective coronary artery disease (mentioned in the study to frequently occur as a result of such – “overactivation of the sympathetic nervous system may lead to hypertension and is involved in heart failure.”) include calcium antagonists.

It’s dangerous to prolong the condition as it’s well known that any kind of neuroplasticity occurs quickly in the presence of heightened excitatory / inflammatory hormone-neurotransmitter levels. It was once a positive evolutionary trait important for fast and proper organism behavioral modulation and adaptation through times of acute stressor exposure. However, similar archaic evolutionary traits can sometimes work against us in modern environments.

I’d suggest addressing the weakened serotonin – GABA nervous modulation first. Particularly useful for this purpose would be 5HTP-Nettle (or L-Tryptophan) and GRB6-GABA (or GRB7-GABA). Simultaneously, you may want to also use Multi-Alpha, Alpha-Amino, Balance-Essentials, and Ultra-Purified-FishOil to additionally improve nervous and endocrine functioning, stabilize acetylcholine, serotonin, dopamine, GABA levels, aid hypothalamic-pituitary-adrenal-testicular axis proper functioning, increase androgens, increase elasticity prostaglandin E1 E3 and Nitric Oxide, alter numerous gene expressions, and eventually rewrite the negative neuroplasticity developed.

This case is particularly severe in terms of proper serotonin – GABA nervous modulatory functioning, so I will advise to continue addressing it for at least 3 to 6 months after the complete resolution of your symptoms. It will then be crucial to keep the positive neuroplasticity you’ve created.

Naturally, the usual beneficial practices apply:

* Exercise
Running, in this case, will be beneficial in regards to epinephrine burning and proper parasympathetic functioning restoration. You should be careful not to overdo it, though, as it may result in excessive inflammatory response (especially in this condition).

* Proper diet
Much fiber, fruits, avoid milk with prostaglandin E2 analogs, avoid empty calories and much red meat.

* Negative ion exposure
The general rule is wherever there is water, there are negative ions: rivers, lakes, oceans and ponds, even your own shower.

* Massages
Similar practices definitely have positive effect on local inflammatory processes and help you deal with the excessive sympathetic functioning.

Exception here will be my recommendation of sexual activities discontinuation. I’d actually advise you to masturbate 1 to 3 times per week for the next couple of months.

Please, keep me updated on the case!

Glad if I could help!

UPDATE
Hello Doctor, This is an update for the “Masturbation withdrawal? Extreme anxiety and panic attacks.” Case.
Its been about 1 week into the supplements, I’m taking Multi-Alpha, Alpha Amino, Zeolite, GRB6-GABA, 5-HTP, Balanced Essentials, Fish Body Oil (local).
I’ve noticed quite a lot of improvements:-

Anxiety has decreased by 50%
Depression decreased by 50%
Fatigue/Tiredness has reduced by 75%. I feel a lot more energetic.
Erections are quite strong when laying down, and much better when standing up.
Overall, body fat has been decreasing and Muscle mass has been increasing.
Hair loss has definitely decreased.
Ear Buzzing/Ringing which used to happen sometimes, has diminished.
Urinary urgency has definitely improved by 50% at least.
Chest pains/discomfort have decreased considerably in frequency.
Libido is quite high.

No Improvements:-
Eye floaters & Eye Redness is still there. [This seems to annoy me the most]
Concentration is still kind of lacking, and it’s kind of hard due to Eye floaters.
Excessive Sweating, My Underarms get sweated, when i’m doing nothing at all.
My whole body especially, my head, eyes, spine, lower abdomen feels very heated and warm. What is the reason for this?
I still have broken/light sleep, (Not deep sleep).
Muscle twitches, Random twitches, specially in the legs, thighs, arms which last for 1-3 seconds.
I have a few questions:-

1) I had a wet dream today (7 days into the treatment), which I think is due to excitatory/increased sympathetic function.. as I had trouble sleeping / light sleep that day and once I ejaculated due to that dream (I couldn’t control it), I actually felt a lot sleepy after that and went straight to sleep.. Not sure why….?
2) I’m a college student (A Levels), however I took this year off, just so I could recover and come back strong, would you recommend me currently to study & memorize? I feel like, it could stress me more and slow my recovery? However, I do love enjoying studying, it’s just that I want to recover from this Exhaustion.

3) Eye floaters & Eye redness have been very annoying, what is the reason for this and how much time do you think it will take to resolve? Also, I have yellow color at the corners of my eye balls, however I did check my liver functions around a month ago which were completely fine.. I’m not sure what could be the cause of this?
I got my eyes checked by a vision doctor, when I went into abstinence, The doc said, she couldn’t find anything wrong apart from the redness, which she gave me an anti-histamine drops for, but those just made my eyes a lot dry and not much improvement. She had no clue why I had Alot of Eye floaters.
4) My whole body especially, my head, eyes, spine, lower abdomen feels very heated and warm. What is the reason for this?

5) I have Muscle twitches, which are Random twitches, specially in the legs, thighs, arms which last for 1-3 seconds. No clue about this why? It’s not painful or annoying, just that it’s weird.
6) I’m planning to order more supplements, I ordered only for 2 months at this time, and it takes a lot of time for me to get the supplements, so I’d like to ask how many months supplements should I order? I’ll probably order 6 months of Multi-Alpha, Alpha Amino, Fish Oil, however I’m not sure about GRB6-GABA, Balanced Essentials & 5-HTP.
How many months in total would I probably need to address the GABA-Serotonin modulation? (Around 3-4 months?) and Balanced Essentials, should I take it for 3-4 months? or discontinue it aswell and when?
Lastly I’d like to Thank you so much to you Dr Richards & your team, who made this website, for a very noble cause. You have helped me so much.
Best Regards.

ANSWER
Thank you for your detailed report. I’m certainly glad notable improvements are being observed. Of course, there is still much to be done in regards of proper organism functioning restoration. I’ve gone through the case once again just to make sure I won’t miss anything.

Let me expand really quickly on your initial report.

The reported improvements are usually expected and I must say you’re even going ahead of the curve with many of the symptoms. 50% decrease in major complaints during the first month is usually a very positive sign, although you may notice frequent symptom fluctuations as it is usually how it goes. This means that you may observe symptom improvement ranging anywhere, say, between 20% to 50% with respective “good” and “bad” days. So it might be useful to report the range itself, as it is a more accurate way to judge overall improvement.

Now, let’s get to the symptoms that are not improving and expand on the probable cause for it.

Eye floaters & Eye Redness is still there. [This seems to annoy me the most]

It is actually a very common complaint. The issue here is that the eye floaters, although frequently caused by a range of internal biochemical in nature imbalances, are usually very physical in nature and have protein structures. They will be dissolved eventually but it frequently takes more time.

Concentration is still kind of lacking, and it’s kind of hard due to Eye floaters.

It usually improves on par with symptoms like anxiety and depression. However, it may occasionally lag behind due to temporary fluctuations in dopamine and acetylcholine.

Excessive Sweating, My Underarms get sweated, when i’m doing nothing at all.

It is usually indicative of an ongoing excessive excitatory / inflammatory response so it freqeuntly improves on par with anxiety and depression as well. However, you have reported increased body heat, which may be directly responsible for the symptom and I’ll get back to in in a moment.

4.) My whole body especially, my head, eyes, spine, lower abdomen feels very heated and warm. What is the reason for this?

Similar symptoms are actually not uncommon. The heat is usually caused by a dilation in your blood vessels, which are finally adjusting to a proper way of functioning, getting rid of the previous excitatory / inflammatory narrowness. The increased blood flow to your internal organs and skin is probably creating the warm sensation. Similar responses are usually considered healthy.

I still have broken/light sleep, (Not deep sleep).

This may take a while and can definitely be improved with exercise.

5) Muscle twitches, Random twitches, specially in the legs, thighs, arms which last for 1-3 seconds.

Now, this may be caused by a number of things but is usually related to slight magnesium imbalances.

Now, let me get straight to the rest of your questions:

1) I had a wet dream today (7 days into the treatment), which I think is due to excitatory/increased sympathetic function.. as I had trouble sleeping / light sleep that day and once I ejaculated due to that dream (I couldn’t control it), I actually felt a lot sleepy after that and went straight to sleep.. Not sure why….?

You’re very correct in your assessment. The wet dream should definitely be considered inflammatory / excitatory in nature given it took only 7 days to occur. Even so, proper organism reactions to this orgasm might be expected (especially with improving neurochemical balance during treatment), causing you the natural sleepiness.

2) I’m a college student (A Levels), however I took this year off, just so I could recover and come back strong, would you recommend me currently to study & memorize? I feel like, it could stress me more and slow my recovery? However, I do love enjoying studying, it’s just that I want to recover from this Exhaustion.

Studying and memorizing information can be very demanding indeed. However, I do not believe similar practices can affect the recovery in a major way. It is usually the other way around – you will be unable to concentrate and study productively even if you wanted to.

3) Eye floaters & Eye redness have been very annoying, what is the reason for this and how much time do you think it will take to resolve? Also, I have yellow color at the corners of my eye balls, however I did check my liver functions around a month ago which were completely fine.. I’m not sure what could be the cause of this?

You may want to take a look at: https://cure-erectile-dysfunction.org/vision-problems-eye-floaters-sexual-activity for this. Generally speaking, it is inflammatory in nature.

As for the yellow color at the corners, it shouldn’t be alarming if it is not that noticeable. Even perfectly healthy individuals may develop such as a result of minor external irritants.

6) I’m planning to order more supplements, I ordered only for 2 months at this time, and it takes a lot of time for me to get the supplements, so I’d like to ask how many months supplements should I order? I’ll probably order 6 months of Multi-Alpha, Alpha Amino, Fish Oil, however I’m not sure about GRB6-GABA, Balanced Essentials & 5-HTP.
How many months in total would I probably need to address the GABA-Serotonin modulation? (Around 3-4 months?) and Balanced Essentials, should I take it for 3-4 months? or discontinue it aswell and when?

That seems about right. It usually takes 3 to 4 months to address serotonin-GABA nervous modulation in a lasting manner, and is when I usually recommend discontinuing GRB6-GABA and 5HTP-Nettle. Of course, you may want to keep probably a month’s supply on top just in case you need to use it in a supportive manner (if such need is to arise) further down the road.

There shouldn’t be any immediate need to discontinue Balance-Essentials. It’s a very nice formula addressing quite a few major neurotransmitters in the brain in a very balanced manner.

I’d like to thank you for your kind words and assure you it’s always a pleasure.

Be sure to keep me updated on the case.

Glad if I could help!

The post Masturbation withdrawal? Extreme anxiety and panic attacks. appeared first on Cure ED.

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’.

Thanks
Thomas

ANSWER
Thomas,
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!

The post Sexual Exhaustion Symptoms appeared first on Cure ED.

ANSWER
Yes, you’re suffering from symptoms of sexual exhaustion.

The symptoms listed are frequently observed. One may suffer from quite a few symptoms and still be able to perform well sexually if the hypothalamic-pituitary-adrenal-testicular axis is functioning properly – it is an individual feature. Some men will suffer from faulty working hypothalamic-pituitary-adrenal-testicular axis and low androgens in the beginning of the exhaustion, when the modulation of inflammatory and stress hormones release is weakened.

In your case the organism is still managing to keep reasonable amounts of androgens to be burned through sexual activities, but the inflammatory response is severe and damaging. The panic attacks, stress, nervousness, pain in the head, premature ejaculation, vision problems, low back pain, are all related to abnormal serotonin, dopamine, acetylcholine, and GABA levels, along with excessive cortisol, epinephrine and norepinephrine through the excessive dopamine-norepinephrine-epinephrine conversions, histamine, glutamate, and prostaglandin E2, along with the followed artery constriction for even increased inflammation. An eventual loss of erectile power and proper sexual functioning is quite probable.

A full recovery is usually very possible. Since the cycle of inflammation is self supporting, there are numerous problems that have to be addressed at once to avoid negative feedback mechanisms and rewrite the negative neuroplasticity developed.

A combination of Alpha-Amino, Multi-Alpha, GRB6-GABA, Zeolite-DA, 5HTP-Nettle, Ultra-Purified-FishOil to restore proper nervous and endocrine functioning, stabilize acetylcholine, serotonin, dopamine, GABA levels, aid the weakened modulation on inflammatory and stress response, detoxify the burdened liver (such a severe inflammation would not be possible with proper liver functioning) and restore its P450 system, increase prostaglandin E1 E3 and Nitric Oxide production, alter numerous gene expressions and eventually rewrite the negative neuroplasticity.

Negative ion exposure, massages, proper diet, sexual abstinence for 2 to 4 weeks, exercise, and possitive attitude will prove to be beneficial.

Glad if I could help!

UPDATE
thank you for that info, it is really helpful, I will try my best to restore my nervous system and endocrine, because i don’t want to lose erection power. I have one more question if you don’t mind, i really don’t get enough sleep and i read that the parasympathetic nervous system recharges itself by sleep and resting and that it controls erection and other organs, by not getting enough sleep will that slow down recovery time?

ANSWER
Yes, it is important that you sleep at least 6 to 8 hours per 24 hour cycle – 8 to 10 would be even better. Less than 6 hours will, indeed, slow down the recovery process.

The post Over masturbation / pain in the head appeared first on Cure ED.

Around 22 I started to experience more severe problems like – extremely fast ejaculation (I can cum for 30 seconds, seriously), noticeable bad memory, shaky-weak legs for hours after I’ve cummed, hair loss, and anxious feeling in my guts all day long. 4 months ago I suspected the over-masturbation to be the root of the problems and went to urologist, he told me that it is possible this to be the root of the problems, and I need to reduce the frequency of masturbation. He wasn’t interested even the slightest and did not prescript anything, it was more like – aha yes it is possible, bye-bye. So I started quitting masturbation for longer periods, now I’ve been off for 2 months but I’m not improving. Why is that?
J.H.

ANSWER
Ejaculation is not a simple process that just leads to minor symptoms like tiredness for a day, just to have them resolved upon discontinuation. It is much more serious and numerous neurochemical reactions are taking place during this activity.

The burning of excessive androgen hormones and neurochemicals during sexual activities will lead to increased pleasure – that is good for your health. However, in today’s societies the people are overburning them to the point where the chemistry of the cerebrospinal fluid is severely affected as a result. If the CS fluid contains insufficient androgen hormones and neurochemicals, your nervous system and internal organ functions will fail to function properly. One will experience unstable biochemical balance that will cause all kind of strange symptoms. Once the body reaches the sexual exhaustion state, it will be very difficult for your exhausted liver and parasympathetic nervous functions to produce healing power to reverse it.

1.Discontinue any sexual activity for 1 to 3 months.
2.Keep a balanced diet and start exercising.
3.Boost the rejuvenation time with Multi-Alpha, Alpha-Amino, 5HTP-Nettle, and Ultra-Purified-FishOil.
4.Make good use of devices to reliably increase your androgens by testicle temperature regulation.
5.Stay positive to avoid any additional stress hormones release.

This will jump start the healing process.

UPDATE
You’re a life saver DR. RICHARDS! Just 2 weeks after starting the old program I become full of energy so the sitting infront of video games became unacceptable options. Started going to the clubs and became more “pumped”, it is actually there where I found my new girlfriend and the recent I think that the ME of the past was not myself at all, so yea, thanks for bringing me back to life and I don’t plan on stopping taking them in the near future either!

The post I’m Not Improving After Quitting Masturbation appeared first on Cure ED.