I’ve been asked the same question yesterday. Here was my answer:
In the month an a half after I crashed but before I went on a very low carbs diet, I had a period of no morning erection, difficult and incomplete erections with stimulation, desensitization so that many time I masturbated or had sex with my wife and just gave up after a while because I couldn’t finish. It’s sad my wife had to experience that. Desensitization was the longest to get rid of.
I had a week with absolute zero sex drive, when a pretty girl, a tree or a car were just as unappealing. This really played with my innermost motivations in life. I’ve always been driven to do business and get rich with an afterthought I would get plenty of pretty girls to have sex with. Sex drive gone, my desire to make money vanished and I started thinking why not just live a minimalist life and work as little as possible.
Also my balls must have hurt for 8 months. I had almost forgotten about that. Now I don’t feel a think and it was constant at the time. I also had a weird thing: when I did come close to orgasm, I felt like a needle prick, always at the same spot, on my ball sack and it would throw me off. At first it would always happen but now It’s become infrequent and not as intense.
I must have had watery semen for years while taking fin, 4 or 5 months into the diet, when it became thick again, I had forgotten it was ever thick before. (I took fin 20 years)
During the first months of the diet, sex drive went up and down and was hard to stabilize. Desensitization was an issue until I tried 3 specific supplements, which I keep taking and now I can feel normally. Sex drive is still lower than usual, with need for sex 2-3 times a week (as compared to basically all the time, before fin. Lol), refraction time is lower than 3 hours compared to days when it was at it’s worst.
Altogether, I didn’t have the worst sexual symptoms. I didn’t have physical transformation or alteration of my genitals. Neurological symptoms were debilitating. I couldn’t work, drive or even stay with my family. I had de-motivation, insomnia, anxiety, depression, suicidal thoughts, anhedonia (lack of emotions). I couldn’t stand up or climb stairs at times. I had head splitting headache, stomach ache, gastric reflux (If I layed down, I would choke on my stomach fluids. I had to put some pillows and sleep at an angle). Gee those are bad memories now that I recall them.
Anyway. Most of the neurological symptoms took 3 days to disappear once I completely stopped eating carbs, and so did the headache and stomach problems. All sexual symptom got better but took months to improve and did so very slowly.
I stopped fin 1 year and 2 weeks ago, crashed a month later, suffered most of all I described above for a month and a half and finally got a break with the diet, which I’ve been doing 9 and a half months. Of course I had more symptoms at the beginning of the diet and it went decreasing from then on. Many people know I’ve been taking dozens of natural supplements during the diet. I’m not talking about them here, because except for diet and exercise, it’s a bad idea to go and take supplements in the first 3-4 months, until the body stabilizes.
But the good news is, a year latter, I’m basically symptom free, I forget to take the supplements half the time and nothing happens, but I’m still taking sleeping drugs. I’m not cured, I’m just having a normal life. Insomnia slowly appeared 4 years ago while on fin, was at it’s worst after the crash and is finally decreasing slowly. Oh so very slowly…
So there’s a way. If I had just found out I may have pfs and was having neurological symptoms, I would stop carbs as soon and as much as possible. It’s possible to eliminate them completely. Google carnivore or ketogenic diet.
I don’t know if this would work here, I’m just sharing my experience.
I wish you all the best and this is why I posted all I’ve done, in the hope it could help others.
Ozeph.