If you ever really got to the brink, why not consider psilocybin or ketamine? I think those are better options and lower risk then SSRI, both in terms of preventing suicide (ketamine) and possibly kick-starting some neural processes (psilocybin). Ayahuasca has also had profound impacts on people but is risky stuff.
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I tried Ayahusasca and it was like a sugar pill for me, only Psylocibin gave me an effect after first pill.
I know, but I do pelvic floor exercises since 2018 with only tempoary improvements and not explain all symptoms. So it must be a more complex thing with chemical/hormonal inbalance.
Normal pelvic exercises not enough you should look into DCT also the problem not only about pelvic muscles it’s also fascia and psoas muscle problem.
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I think the problem is a pudendal nerve.
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I have noted that if I relax my pelvic floor, I get a lot better erections. I am going to attend a pelvic floor therapist to improve the situation. It is not a cure but I think it can help. I think Accutane injured my pudendal nerve or caused nerve problems which did not go away.
I tried “kegels” years ago and noticed that it did not help. It is the opposite that helps me: relaxing the pelvic floor.
I don’t think it is pudendal nerve problem, if y’all check pelvic floor forums plenty of people’s symptoms same with us. Especially Hard Flaccid. It is about lower abs,psoas,pelvic and fascia tension. So clasic stretches doesen’t help at that point and its not short process. It takes 7-8 months to 1-1,5 year to remove tightness.
The nerval pudendal is a link to muscolar pelvic.
How does someone remove the tightness? I am interested in this and am exploring it. What do you mean by PSOAS and fascia tension? Am searching but which parts of the body are those?
I am not expecting a “cure” from this, but it is an interesting topic for anyone broadly interested in health.
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DCT - Dynamic Contraction Technique is a great place to start - but there is more to this probably. Its going to take lowering inflammation and maybe certain supplements. But if you have a tight pelvic floor then DCT is a great tool.
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yeah tight pelvic floor result ED.
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looked into this hard flaccid theory myself a lot over the past months. There are a couple of physios in the UK who specialise in this. Certainly not the answer to PFS but may be something that appears alongside it through the sheer stress of it all. I can actually remember willing my erections to happen so much and pushing through the pelvic muscles to get it to happen, could this have caused an issue? maybe. personally a lot of the symptoms sound familiar, a pulsating/retracting feeling i get in my penis when sat in certain positions can be unbearable at times.
Already tried DCT, not a cure at all.
Nobody is claiming that it is.
But some say so.
By the way, has anyone asked for an unnecessary comment?
I also think all this is related to the pelvic floor.
Please have a look at this article:
Actually I don’t understand why Dr. Goldstein (who is one of the authors of the article) usually doesn’t mention this to PFS patients.
So:
- Low allo
- Anxiety
- Pelvic floor spasms / high tone (often going unnoticed)
- Pudendal artery carrying less blood / pudendal nerve neuropathy
- ED / low sensation, more anxiety, etc.
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I haven’t seen any claims that DCT is a cure on this forum, just that it’s helpful. (It certainly has been for me).
I think comments about things “not being a cure” this might lead ppl to disregard interventions that could improve their health. Exercise has very low risks of side effects, so I’d encourage more ppl to look into these kinds of treatments rather than random supplements.
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Maybe not here, but in PSSD Forum or other ones.
I’m just saying my experience.
Pelvic floor could be a part of the puzzle for some of us but can not explain all the symptoms alone.
That’s it.
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My erection improves when I fill my lungs with air, and my diaphragm descends, blocking the venous leakage.
Maybe there is some kind of atrophy in the pelvic floor muscles, or something that can be improved by some kind of muscle exercise?
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DCT I guess, and increasing androgens.