Hi CrazEpharmacist.
I’ve been waiting for someone like you to come along.
I tried tamoxifen 20mg around 3 months after crashing (2010/11). It cured me completely for 3 weeks, so longer than yourself. I’m talking minutes after the first the pill my sexual, physical and mental function was restored to pre fin levels. It actually seemed better than it ever was - so similar to how you describe it again. It was very easy to get ridiculously strong erections during those 3 weeks.
My second crash hasn’t left me in as bad as condition as the first one but i’m still fucked - how were you after your second crash relative to the first one? I’m assuming your first crash happened weeks after stopping the drug - a sudden shrinking of your genitals accompanied by a drawn out draining feeling leaving you feeling weak and like a zombie?
Did you also feel completely recovered soon after taking your first dose? Did you get an immediate and gradual strong erection together with a warm burning feeling in your genitals? This is what happened to me, after being completely impotent and having the classic shrivelled, tight and lifeless genitals. I felt completely energised and mentally sharp almost instantaneously as well.
I’ve written at length about my experience. Your recovery story sounds very similar to mine so it helps verify my experience for any doubters. More importantly, i’m hoping Awor and his team pick up on this in order to help inform on the possible mechanism of PFS and potential treatments.
One more important thing, how long after crashing did you try the SERM? A lot of people have tried tamoxifen for example with no success, but it seems they tried it long after crashing, say > 6 months. There has been a few reported recoveries of people who tried Clomid soon after crashing. But these recoveries were described as gradual improvements rather than an instantaneous one like myself, so i don’t know how much i trust them basically.
I’m not going to attempt to nail down exactly how SERMs work at the moment. Tamoxifen and Clomid both act on the estrogen receptor but Tamoxifen seems to have stronger anti-estrogenic effects. My Endo told me Tamoxifen wiped out all estrogenic action where as Clomid blocks some of the effects but increases testosterone production more strongly. There seems less info available on toremifene.
There is a drug i want to try at some point called Afimoxifene (4-hydroxytamoxifen). It’s a SERM which is the active metabolite of tamoxifen and is being developed as a transdermal gel formulation. It has up to 100 times more affinity with the estrogen receptor than tamoxifen and is worth a shot in my opinion.
It’s hard to get these drugs legally in the UK and i was lucky to get tamoxifen. Getting Afimoxifene i imagine will be difficult.