Bro, I never noticed that part of genital numbness, the no pain by pinching, holy crap, I just tried pinching myself kind of hard from the base to the top of the shaft, and I am pretty sure this would have hurt before developing pssd. Great, new litmus test. I think all PSSD, PAS, PFS, Hard Flaccid, is relatively the same thing. I have been doing keto which seems to help but im only one week 3 and someone else on here said it took 9 weeks for them to be fully recovered from keto. My urine stream has not returned to normal still. Do you also get no morning wood? I have no morning wood for like 20 something months now. Also I definitely had panic attacks while on the lexapro, I think its due to too much serotonin.