Assuming PSSD and PFS are the same diesease, and follwong your model you made dr. As a PSSD sufferer Will TRT at physiological levels hinder my ability to recover? I’m just wondering as right now I’m still trying to recover? Overall I feel better on TRT (my levels were low before it) but I dont want to feel better in the moment now at the price of risking my future recovery. No one could answer this question so I’m asking u.
Dr will powers if you are free and can give advice I ask to you please help, I just dont know who else to go to. I’ve been following you for awhile and you have given me hope. I’ve been turned away by multiple drs and given more and more SSRIS. I don’t know what’s truly caused this for me. So some back story: I abused MDMA fairly heavily from ages 14-17, with a total lifetime dose estimate of 3 grams or so. I started to notice changes in my memory and sleep during this time so I stopped taking MDMA. Then I noticed just being more depressed with more mood swings, but I could still enjoy my life. Then I started fluoxetine, I ended up taking that for 8 months and coming off it to do one more dose of MD, I did do that and all was good except the comedown which I never normally felt was HEAVY, I was super depressed and anheondic for like 3 days I quit md for the last time then I went back into anti-depressants fluoxetine with inconsistent dosing, I stayed on for a month and decided to come off because strange, this time it fucked me up. I came off and about 2 weeks later I felt a crash come on, I felt extremely anheondia, and my sexual pleasure was very low, and my sleep was destroyed. Then I started having windows and waves I remember waking up one day and feeling good and thinking to myself “oh great I’m back to normal” but other days I’d feel extreme anheondia again. This cycle repeated for a month until I got Covid. This FUCKED ME, I went into the darkest whole I’ve ever been in my life. I was a zombie with no energy no ability to sleep, and no personality and my sexual function was destroyed (I could still feel but it was hardly pleasant). This was 6 years ago, I’m still crawling out of that hole to this day at 23 years old. I was always convinced it was the MD abuse, until last year I attempted to run a supplement program to help my lingering symptoms from this time. It was fine, until 1 day added lithium in, this caused me a massive crash? (Maybe). I felt depersonalised, again my sexual function went down, and I started getting new physical sexual symptoms. 8 months later these have subsided. But I’m just trying to put my finger on what did what? Because collectively this has massively decreased my quality of life but I don’t even know to start with treatment if I don’t know what I’m treating? And all the drs I speak to have just gave me SSRIs. Honestly I’m tempered to try them, but I’m so scared of PSSD (as I would be considered mild if it is that). I never want to go back to experiencing no emotions, it was terrifying.