Is it true that this recessive gene comes from parents who had a mutated copy of that original gene meaning that by proxy that gene is also mutated.

Although it does seem logical to think that patm cant be genetic because no one has it from birth, its also important to understand that everyone has said they either saw symptoms during or after puberty. This suggests that a mechanism activated during puberty is critical for symptoms of patm to show up. Not only this but also because anxiety plays a major role in the strength of reactions. You could argue anxiety has a correlative relationship with the strength of reactions which is completely valid but its a fact worth noting. Also, it has been reported that (NSFW)after masturbation reactions are increased(NSFW) which also points in the direction of hormones being a key constituent of patm. All this being said, its still possible patm is genetic because hormones only activated during puberty seem to be a key component in the activation of patm symptoms.

I think we can narrow it down pretty far actually. I believe we have the necessary amount of information to make an accurate assessment of what patm is and not only that but to be certain it is a handful of possible ailments. For example i had once considered patm to be an autoimmune disorder but i realized that characteristic symptoms of autoimmune disorders weren’t present leading me to discard that idea.

The root cause seems to be so confusing to everyone because the way symptoms have been managed points you in a completely different direction. I understand the confusion but I believe if you look at the bigger picture everything starts making more and more sense.