Italian member, updates

Bit of an update.
This past month I really tried not to think about pfs much and I’d say that I was able to enjoy my holidays.
Anyway I’m kinda of managing my symptoms rn but it’s still really a rollercoaster. I’m still taking really low dose cialis sporadically and Ive tried nystatin for 2/3 weeks and quercetin for a few days, with mixed results.
My situation right now:
GOOD: libido it’s definitely there, I’d say 75% and the missing 25% it’s probably not even pfs related but mostly just fear/anxiety from what I’ve been going through. Spontaneous erection are pretty frequent and I can even maintain them quite easily. Sometimes I get precum like I used to. Ive got short glimpses of normality (2 days max), which makes me hopeful.
NOT GOOD: orgasm pleasure, semen volume/consistency and penis girth are still off but also it fluctuates a lot. I still have basically no idea on what path should I follow to recover.

nystatin probably wasn’t doing much but I’m not sure, I wasn’t taking high doses as the ones who I read benefited from it. Anyway prostate/penis pains, which were already decreasing since starting cialis, have definitely been better while on and even post nystatin.
What gave me a short apparent full resolution of every symptom is quercetin. I started taking it as I was running out of nystatin and after 2 days of taking 2 capsules each of the NOW brand, I woke up very horny and I was horny for like 2 days during which I masturbated like 5 times lol, with great sensibility, fuller penis, great orgasms and ok cum.
Then it seemed like this was fading away and also I started getting greenish cum (exact color of the powder in the capsules, I read others had the same issue lol), I went on for another couple days and stopped, as I also got scared about the similarity with the start of my saw palmetto experience, same initial libido boost which seemed to be faiding soon.

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guys I really don’t wanna say things that I might have to take back in some time but Ive honestly been feeling decent recently.
I don’t wanna write lot, but something that has helped me a lot is PROBIOTIC L REUTERI.
I’ve had zero pains in the last 3 weeks since I started taking it. I’m also risking it all by being in a new relationship rn but I’ve to say that sexually I’m good enough. I probably still miss some sensation which delays my orgasms a bit and they are sometimes not super intense too, but still I can say that I’m pretty much back living my old life for now!!!

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Which L.Reuteri product are you using? Or which strain?

Hi guys it’s been quite a long time, I’ve finally found the time and the will to come back here to bring some positive news and hope.
I suggest you to read my previous messages to have the whole picture as I will try not to make it too long here.
Anyway I had pretty much only sexual side effects but I’ve been back living my normal life at 100% for more than a year now!! In September 2021 I started dating my current gf and in the first weeks I was still using like 2.5 mg cialis which I was sure was enough to make me perform. My libido, especially when with her and once I proved to my self that I could have normal sex, was already restored I’d say.
The problem was that I was still having moments of random pain in my dick and around my prostate, and orgasms weren’t always normal, especially when off cialis.
I remember now that I read it that I was positive about that probiotic but in the end it didn’t really solve those issues and I also stopped shortly after probably after experiencing some stomach pain.
After a few weeks I noticed that I was probably doing better after going randomly a few days without any coffee but anyway the date for my varicocelectomy was getting closer and although I was uncertain if it was gonna be worth it I ended up having it done. I’d say tho it didn’t directly result in any positive change so I do not suggest it, also given the fact that the pain after was definitely worse than expected.
After that I went on without any supplements, maybe I only finished some cialis left overs, and almost zero coffee for a bit and then I tried Damiana, first liquid then in capsules, and I’m pretty sure this, in both forms, helped me getting rid of all the remaining symptoms that I mentioned above and since it’s cheap I still take it from time to time. Regarding coffee I still drink it less than before just for precaution as I’m convinced it was holding me back from full recovery in the beginning.

So I definitely consider myself back to normal but to be completely honest I cannot say if I ever recovered completely from the little shrinkage I experienced, if it’s still partially there I think I’d be the only noticing it anyway and it’s not affecting my sexual life, it’s tough to say tho bc if it effectively reversed completely it was very gradual.
And lastly in the very rare cases in which I jerk off just out of boredom lol, so while not being very horny, I still experience a bit of chunky semen remembering me the old pfs days.

I didn’t manage to make it short in the end but to sum up what I suggest to anyone experiencing my past symptoms is:
Cialis (even very low dose);
as soon as u feel capable (and hopefully u should right away with cialis) try to have sex;
Damiana;
No coffee for sometime.
First 2/3 points were for sure key ones for me, combined with time.

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I can back the thing on coffee. I don’t think it’s all the story but I added that too to my healthy/nodrug/hiit/standing routine(read all this thread in case Probably cured from HF. A few things that helped me out, and I'm quite sure will help you too ) and I improved a lot I can say without a doubt. It came out I had also some sort of adrenal insufficiency. As I have been a daily coffee drinker(not much but every day at least one or two espresso) for a lot of time I think this might have some sort of prevention effect in the healing process. As I stopped coffe totally I restarted having vivid dreams, which was a deep joy for me as I wasn’t having a dream since a lot of time. Possibly this is also a sign of deeper sleep and possibly better nighttime healing processes. Also I don’t think coffee is healthy, despite there being a lot of scientific articles stating the opposite; I honestly think these are mostly bullshits to sell the drink.
I’m glad you are doing well too.