Thank you so much for bringing the awareness on such a terrible thing such as PSSD! 🙏 PSSD - something ENORMOUS is switched OFF in the brain, that's the conclusion from all people I checked all possible hormones and all is fine, which makes this problem just more confusing
Thank you dr. Pearlman and dr. Witt-Doerring for bringing attention to PFS and PSSD. Absolute life destroying horrible conditions. Keep up what you're doing! It brings much hope to the sufferers!
45 seconds is all it took to deliver the concise information for the patient to be fully informed and able to give informed consent....45 seconds (56:45 to 57:30). If a doctor considers he/she doesn't have the time to do this...just give out a printed version. So easy, so many lives not ruined.
00:02 There are multiple tools to treat PSSD, may require trying different treatments 02:15 Discovery of PSSD and PFS by young patients 06:38 Prescribing finasteride for enlarged prostate 08:52 Discussing differential diagnosis for sexual health issues in young and older individuals. 13:28 Stress signals can impact erectile function 15:35 Effects of substances on sexual function 19:20 Various medications can impact sexual functioning 21:12 Keeping track of symptoms and medication is helpful for PSSD. 25:10 Recommendation of vibrator products or alternative therapies for sexual dysfunction 27:19 Unique symptoms of PSSD include intense dissociation and blunting of emotions 31:09 Comprehensive approach to treating PSSD 33:01 Optimal levels of estrogen and testosterone play a crucial role in both men and women's overall health. 36:51 Treatment options and hope for PSSD 38:43 Various options for treating erectile dysfunction 42:42 Importance of finding a supportive healthcare provider 44:34 Various options for enhancing sexual pleasure and addressing sexual health concerns 48:26 Importance of consistent treatment for PSSD recovery 50:06 Shorter duration of treatment may still yield benefits. 53:53 Importance of informed consent for medications 55:50 SSRIs can have lasting sexual side effects Crafted by Merlin AI.
Dr. Pearlman, what's your take on the penile morphological changes and shrinkage that is often reported in PFS and PSSD. It's not mere ED. The tissue has actually changed (narrow, wrinkled, rubbery, curved, veiny...)...? Btw, I've tried tadalafil 5mg every day, vacuum devices, etc. and it does not change the tissue changes, nor the numbness. With respect, but massages and nipple play do not offset the complete destruction of your genitals and sexuality in the slightest. It's the reason why this condition results in so many suicides. It's very very bleak.
Ruining my 30s as we speak wake up everyday not myself used to be full of life funny always making jokes etc now I have a gf and daughter and it’s so hard each day to laugh with them or enjoy life because I’m constantly in a negative loop and feel dead on the inside so to speak hope someone finds a cure
I'll show this video to guys recently suffering from PSSD from long COVID, which iditiotic dotors are treating with Zoloft (and that seems to precipitate PSSD in these folks). There's a link between PSSD and long COVID, me/CFS. Now just note I'm surprized on how you're focusing on penile function for what concerns PSSD. PSSD is central, it's the central nervous system, it's not peripheral. It might envove the similar mechanisms as me/CFS/ long COVID : the microglya, auto-immune mechanisms, it is obviously a form of chemical imbalance in the brain and brain downright damage. People with long COVID don't get PSSD naturally (that I know of), but PSSD/ anhedonia seems to get triggered very easily in them with anti-depressants or particularly ashwagandha (a horror movie). The medical system is broken indeed, it's disheartening. PSSD is caused straight by medication, and so is the anhedonia that comes with it. If you could explore the long COVID links to it and get in touch with people from the polybio [dot] org consortium like Dr Amy PROAL or Dr David PUTRINO and so many others it'd be great. The next generation of doctors need to BUST this insanity... Where are we going...
I am also a sufferer of pssd since 2022 but with gradual. Recovery in many forms but the Contrast MRI ruined all healing... I am. Hoping to get well soon
Unfortunately this is a very poor superficial talk about PSSD. This lady should learn more about the mechanism of action of SSRI/SNRI and how they induce emotional numbness and PSSD in the nervous system. As she doesn´t fully understand the psych meds in deep regarding PSSD, she is mixing up a lot of other things which are not the root cause of PSSD.
did it ever occur to you that maybe the key is norepinephrien?? cause the SNRIs are causing less pssd than SSRIs and in my experience my pssd went away for about half an hour one time when I was stressed (maybe its because the stress increases norepinephrine and that decreases serotonin at the same time and I read that in the all three stages of sex norepinephrine increases )
Hello , I just took 25 mg of Sertraline just for 4 day and the I stopped cold turkey because the side effects, and I still feel like emotional blunting and sexual issues after 1 month without sertraline.
@@josefdez8258 just all the symptoms defined. So I feel extremely worried and wish I never let that stuff go in my mouth. Dr. Never warned and I was only a bit down. Not on any other meds
@@SimeonKirilovX well I just can’t express to you guys how serious this is when it happened to me I was basically brain dead so if an fda approved drug is doing this it’s so so serious
Well I'll be, this doc's as fine as cream gravy, bless their heart! Most docs nowadays, I tell ya, they're about as useful as a screen door on a submarine. They'll sit with ya for a hot minute in that there clinic, then skedaddle quicker'n a jackrabbit!
Thank you so much for bringing the awareness on such a terrible thing such as PSSD! 🙏
PSSD - something ENORMOUS is switched OFF in the brain, that's the conclusion from all people
I checked all possible hormones and all is fine, which makes this problem just more confusing
Thank you dr. Pearlman and dr. Witt-Doerring for bringing attention to PFS and PSSD. Absolute life destroying horrible conditions. Keep up what you're doing! It brings much hope to the sufferers!
45 seconds is all it took to deliver the concise information for the patient to be fully informed and able to give informed consent....45 seconds (56:45 to 57:30). If a doctor considers he/she doesn't have the time to do this...just give out a printed version. So easy, so many lives not ruined.
Just giving a brief discussion is sufficient and a printed document. If they don't have time for a discussion then DO NOT prescribe the drugs.
Thank you so much for having such a great doctor shedding light on this!
Praying they find a cure 🙏
I was not given informed consent. Sexual dysfunction is unfair. I’m hopeful to be healed some day.
00:02 There are multiple tools to treat PSSD, may require trying different treatments
02:15 Discovery of PSSD and PFS by young patients
06:38 Prescribing finasteride for enlarged prostate
08:52 Discussing differential diagnosis for sexual health issues in young and older individuals.
13:28 Stress signals can impact erectile function
15:35 Effects of substances on sexual function
19:20 Various medications can impact sexual functioning
21:12 Keeping track of symptoms and medication is helpful for PSSD.
25:10 Recommendation of vibrator products or alternative therapies for sexual dysfunction
27:19 Unique symptoms of PSSD include intense dissociation and blunting of emotions
31:09 Comprehensive approach to treating PSSD
33:01 Optimal levels of estrogen and testosterone play a crucial role in both men and women's overall health.
36:51 Treatment options and hope for PSSD
38:43 Various options for treating erectile dysfunction
42:42 Importance of finding a supportive healthcare provider
44:34 Various options for enhancing sexual pleasure and addressing sexual health concerns
48:26 Importance of consistent treatment for PSSD recovery
50:06 Shorter duration of treatment may still yield benefits.
53:53 Importance of informed consent for medications
55:50 SSRIs can have lasting sexual side effects
Crafted by Merlin AI.
Dr. Pearlman, what's your take on the penile morphological changes and shrinkage that is often reported in PFS and PSSD. It's not mere ED. The tissue has actually changed (narrow, wrinkled, rubbery, curved, veiny...)...? Btw, I've tried tadalafil 5mg every day, vacuum devices, etc. and it does not change the tissue changes, nor the numbness. With respect, but massages and nipple play do not offset the complete destruction of your genitals and sexuality in the slightest. It's the reason why this condition results in so many suicides. It's very very bleak.
I just want you to know I’m 29 I have pfs and I’ll never be able to have a family or even experience life so I hope you can please figure this out
Also in my 20’s and I’m screwed with PSSD. Can’t believe we still don’t have a way out of this.
Our lives are ruined 😢GOD help me ! 🙏 god help us all !!
@@exoticbipolarmysterydrummer111God doesn't exist
Post accutane here, also in my 20s, hopefully by the time we’re in 30s we will have a treatment
@@Qwertyy535you got it from accutame?
Ruining my 30s as we speak wake up everyday not myself used to be full of life funny always making jokes etc now I have a gf and daughter and it’s so hard each day to laugh with them or enjoy life because I’m constantly in a negative loop and feel dead on the inside so to speak hope someone finds a cure
I'll show this video to guys recently suffering from PSSD from long COVID, which iditiotic dotors are treating with Zoloft (and that seems to precipitate PSSD in these folks).
There's a link between PSSD and long COVID, me/CFS.
Now just note I'm surprized on how you're focusing on penile function for what concerns PSSD. PSSD is central, it's the central nervous system, it's not peripheral. It might envove the similar mechanisms as me/CFS/ long COVID : the microglya, auto-immune mechanisms, it is obviously a form of chemical imbalance in the brain and brain downright damage.
People with long COVID don't get PSSD naturally (that I know of), but PSSD/ anhedonia seems to get triggered very easily in them with anti-depressants or particularly ashwagandha (a horror movie).
The medical system is broken indeed, it's disheartening. PSSD is caused straight by medication, and so is the anhedonia that comes with it.
If you could explore the long COVID links to it and get in touch with people from the polybio [dot] org consortium like Dr Amy PROAL or Dr David PUTRINO and so many others it'd be great.
The next generation of doctors need to BUST this insanity... Where are we going...
I have PSSD AND PGAD! I haven't heard anyone else talk about this combo
I am also a sufferer of pssd since 2022 but with gradual. Recovery in many forms but the Contrast MRI ruined all healing... I am. Hoping to get well soon
Unfortunately this is a very poor superficial talk about PSSD. This lady should learn more about the mechanism of action of SSRI/SNRI and how they induce emotional numbness and PSSD in the nervous system. As she doesn´t fully understand the psych meds in deep regarding PSSD, she is mixing up a lot of other things which are not the root cause of PSSD.
Ok Doc. love the beautiful black QUEEN you have in the background :)
did it ever occur to you that maybe the key is norepinephrien?? cause the SNRIs are causing less pssd than SSRIs and in my experience my pssd went away for about half an hour one time when I was stressed (maybe its because the stress increases norepinephrine and that decreases serotonin at the same time and I read that in the all three stages of sex norepinephrine increases )
that make some sense to me, me myself have better libido if im stressed or anxoius
ive seen some post on reddit where people say supplements which pushing dopamin helping with pssd
Hello ,
I just took 25 mg of Sertraline just for 4 day and the I stopped cold turkey because the side effects, and I still feel like emotional blunting and sexual issues after 1 month without sertraline.
I took for 3 days at 50mg and stopped due to reaction. 1 wk later and I'm really scared I have changed my life. Praying.
@markfinn6345 Hello how do you feel?.
@@josefdez8258 just all the symptoms defined. So I feel extremely worried and wish I never let that stuff go in my mouth. Dr. Never warned and I was only a bit down. Not on any other meds
@markfinn6345 let's keep in touch.We have to wait .Do you have Facebook?
@@markfinn6345 please get in touch with me .
I wonder if there is an option available for premature ejaculation caused by pssd
Ghb .
Which vacuum pump did Dr Amy recommend?
ignore heinz beans comments.Amy is doing a good job tryning to make adent in it.
Am I the only one who started with memory loss
because of pssd?
Does dpdr cause libido issues
It does. Was it caused by trauma, drugs or medication for you? Because it's what determines it
No
@@SimeonKirilovX well I was on finasteride but also went through an extremely traumatic job change
@@sdkid294It's the acutane then. For sure, though trauma can make you lose sexual interest but not function.
@@SimeonKirilovX well I just can’t express to you guys how serious this is when it happened to me I was basically brain dead so if an fda approved drug is doing this it’s so so serious
🙏🙏
Well I'll be, this doc's as fine as cream gravy, bless their heart! Most docs nowadays, I tell ya, they're about as useful as a screen door on a submarine. They'll sit with ya for a hot minute in that there clinic, then skedaddle quicker'n a jackrabbit!
Hahahahaha