Improvement in PSSD Symptoms After St. John’s Wort (SJW) – My Experience So Far
Improvement in PSSD Symptoms After St. John’s Wort (SJW) – My Experience So Far
Hi, 32M here.
I developed what appears to be PSSD after taking Escitalopram for around 8 months in 2024. After withdrawal, I experienced:
Complete loss of libido
Erectile dysfunction
Weak orgasm
Reduced semen volume
Emotional blunting
My labs at that time showed:
LH and FSH at the lower edge of normal
Testosterone below normal range
I tried many supplements and eventually Clomiphene citrate. Testosterone increased, but symptoms barely changed. Some supplements gave mild improvement, but nothing major.
Later I tried inositol, which completely crashed me again.
Then used, bupropion but its effects diminished, I used only 75mg.
Recently I decided to carefully try St. John's wort because I had read mixed experiences online and was honestly scared to use it. I started slowly and have now been taking 1000 mg daily (morning and night) for about two weeks.
So far I’ve noticed:
General physical health improvement
Skin tone returning closer to normal
Full morning erections returning
Better erections during sex
Stronger orgasm sensation
Slight increase in libido
Increased semen volume
More enjoyment and emotional response during intimacy
This is the first thing since withdrawal that has produced noticeable changes beyond just testosterone numbers.
I know two weeks is still early, and I understand SJW can also affect serotonin systems, so I’m being cautious. My plan right now is:
avoid adding multiple supplements
continue stable dosing
focus on sleep, exercise, and recovery
monitor for any crash or emotional changes
Has anyone else with SSRI-induced sexual dysfunction or PSSD experienced improvement from SJW? Especially regarding:
libido
genital sensitivity
orgasm quality
emotional connection
erectile function
Would appreciate hearing long-term experiences, positive or negative.