### Tags [[tags/Magnesium]], [[tags/Omega-3]], [[tags/POIS]], [[tags/Vitamin B Complex]], [[tags/Vitamin D]], [[tags/exercise]], [[tags/fatigue]], [[tags/hand tremors]], [[tags/muscle twitching]], [[tags/porn use]], [[tags/social anxiety]], [[tags/supplementation]], [[tags/voice loss]] ### POIS Case Study - maybechange #### Summary of POIS Experience and History maybechange has experienced POIS symptoms since puberty, with a consistent 7-day symptom duration following orgasm. The condition has significantly impacted their daily functioning and employment prospects. Abstinence for 200 days provided substantial relief, though wet dreams still caused milder symptoms. Relapses after masturbation led to severe symptom exacerbation. #### Key Symptoms and Patterns - **Primary Symptoms**: Severe fatigue, social anxiety, muscle twitching, hand tremors, and voice loss. - **Duration**: Symptoms last 7 days (168 hours) post-orgasm. - **Patterns**: Fatigue and headaches previously lasted 5 days, but now improve within 1-2 days with treatment. Social anxiety persists for 3-7 days, potentially linked to porn use. #### Attempted Treatments and Effectiveness - **Supplements**: Magnesium, Vitamin B Complex, Vitamin D, and Omega-3 have shown partial effectiveness, particularly in reducing fatigue. - **Exercise**: Cycling, which induces sweating and increased blood flow, has been beneficial in reducing symptoms. - **Lifestyle Changes**: Eliminating porn has helped reduce social anxiety and lack of motivation. #### Current Status maybechange reports significant improvement in symptoms, particularly fatigue, but social anxiety and other symptoms still persist. They are not cured but have found ways to manage symptoms more effectively. #### Relevant Medical Test Results or Biomarkers - **Blood Tests**: Vitamin D and B6 levels were at the low end of the normal range, suggesting potential suboptimal levels that may contribute to symptoms. #### Identified Triggers or Correlations - **Triggers**: Orgasm, particularly through masturbation, exacerbates symptoms. - **Correlations**: Porn use is linked to increased social anxiety and lack of motivation. #### Quality of Life Impact POIS has severely impacted maybechange's social and occupational functioning. While supplementation and exercise have improved their ability to engage in light physical activity, persistent symptoms like social anxiety continue to limit their quality of life. TAGS: POIS, fatigue, social anxiety, muscle twitching, hand tremors, voice loss, supplementation, exercise, porn use, Vitamin D, Vitamin B Complex, Magnesium, Omega-3 CURED: false RELEVANCE_SCORE: 9