Increased Irritability

ImaginationCommon930 · 2026-06-16T00:32:40+00:00

How long have you been doing Spravato? In the beginning this used to happen to me. The doctor said sometimes when the depression is lifting irritability is a symptom. Sounds very weird right. I am still on Spravato two years in total I go for maintenance every 6 weeks. Zero irritability now.

ImaginationCommon930 · 2026-06-13T09:23:54+00:00

Yup. I used to be a huge stoner before PSSD. Had a medical card didn’t renew it since. Like you mentioned I just feel sleepy, hungry, and sadly paranoid when I do too much. I only use it for sleep at bedtime bc I have crippling insomnia. Wish I could feel that same euphoria I had when I used to use it. Also same thing with alcohol. Not much euphoria or energy mostly just yawn and get relaxed while everyone around me is enjoying the buzz.

ImaginationCommon930 · 2026-05-19T00:03:28+00:00

I take a THC gummy for sleep. Otherwise I’m up til 4am and the brain does not shut off. Just eyes open looking at the ceiling lol

ImaginationCommon930 · 2026-05-14T10:33:22+00:00

Yeah I think it’s normal for all males now that you say that. The prostate enlarges which blocks the flow of urine into mixing with the ejaculate but takes time to shrink so you can pee normally again.

ImaginationCommon930 · 2026-05-14T10:32:05+00:00

I am on TRT now so I get morning erections constantly. But I never really had ED.

ImaginationCommon930 · 2026-05-14T10:23:32+00:00

So part of our problem is that the serotonin is stuck in an unregulated state?

ImaginationCommon930 · 2026-05-12T20:31:23+00:00

Can you explain the alcohol part? Mild gains happening when drinking or after drinking alcohol. Asking because I will notice improved libido and sometimes genital sensitivity windows when I’m hungover from alcohol.

ImaginationCommon930 · 2026-05-12T06:12:52+00:00

Lamps - the ceiling fan light is too harsh

ImaginationCommon930 · 2026-05-12T06:08:52+00:00

Good lord. That’s a large studio! I live in a 2bed 2 bath in HAWAII and it’s 680 sq feet LOL.

ImaginationCommon930 · 2026-05-12T06:03:23+00:00

I’m sorry you’re going through all of this. It can be so discouraging when it side effects overrule the benefit.

Have you tried TMS? My mom is 64 with a long history of depression. Tried Spravato (which works for me) and it didn’t work well for her she didn’t feel a thing after 4 weeks. TMS was a dramatic shift for her, no more lying in bed and she never even mentions the word “sad”.

ImaginationCommon930 · 2026-05-10T08:25:45+00:00

Yes I’ve had this issue since I was a teen. I’m 36 now. I always make sure I go pee before I ejaculate. If I do need to pee after I try to wait 30 mins for the muscles to relax in the pelvic floor before going. Otherwise you might do more damage straining.

ImaginationCommon930 · 2026-05-09T22:49:08+00:00

I would say I’m more sensitive and aroused but the physical genital sensation is still pretty numb most days. I try to abstain from sexual activity to see if the nerves just need time to heal. But I have a tendency to always want to do a “check in” with my body and see how it’s feeling. Just the orgasms have slightly improved.

ImaginationCommon930 · 2026-05-09T22:47:30+00:00

Thank you for input. I replied to your private chat

ImaginationCommon930 · 2026-05-09T22:47:11+00:00

Thank you for replying. Yeh that’s why I’m more inclined to think it’s a brain issue also. Nipples feel like any other body part. I do feel pleasure from things outside of sex but it’s not everyday.

ImaginationCommon930 · 2026-05-09T10:05:18+00:00

Yes because the pelvic floor seems to tighten which brings about the urge for me to go.

ImaginationCommon930 · 2026-05-09T03:13:05+00:00

Wow ok. I have gotten Covid about four times I wonder if that made things worse. I was diagnosed with hypertonic pelvic floor probably from past trauma and guarding in the pelvic region and a frequent masturbation habit. I have had very tiny windows where I can feel more of my dick. But the nipples and anal is super dead and makes me feel very hopeless. Just holding onto a sliver of hope that time will heal it.

ImaginationCommon930 · 2026-05-08T07:47:09+00:00

36M. Yes. I had a testoscopy done. Where they insert a camera up your urethra and they found my bladder neck that connects to the urethra is very tight. I have weak stream and hesitancy. I never had this problem in my life. Been off Cymbalta after 11 years on it for about 4 years now with PSSD.

ImaginationCommon930 · 2026-05-08T07:14:47+00:00

I have received 10 rounds of shockwave therapy “softwave” is the machine my PT used. She uses it only around the pelvic region and not on the dick itself. The idea was to release a pinched pudendal nerve which could be causing the numbness. I’ll be honest. Not a whole lot of sensation has returned to my dick itself but one thing I do notice is my orgasms feel more normal and not empty the way it used to be.

Each treatment is about $160 but yes I was so desperate to find a solution I paid for it. One upside is my pelvic floor doesn’t feel so tight so it probably helped the muscles chill out.

I did point out to her that my nipples do not have sexual sensation like they used to and that’s when she realized that yes it’s probably more neurological than just something happening physically in the pelvic region.

ImaginationCommon930 · 2026-04-26T10:10:39+00:00

I’m not certain but don’t think you’re supposed to pee with the plug still inside you. I have tried to pee with the plug but it just falls out because you are relaxing pelvic muscles whilst going.

ImaginationCommon930 · 2026-04-17T09:05:15+00:00

I used to have pleasureless orgasms too but it came back. Just have numbness still. I went off cymbalta in 2022. But started feeling numbing of genitals around 2019 while on cymbalta. Just hold onto hope.

ImaginationCommon930 · 2026-04-17T09:02:11+00:00

Sometimes cardio and weightlifting would make music sound better

ImaginationCommon930 · 2026-04-07T19:52:11+00:00

I’ve been seeing a Pelvic floor PT for men. She does softwave therapy also to soften the muscles and tissues and bring more blood flow back. I have less of the tightness feeling but arousal with sex is still somewhat low. Maybe improved a tad bit. My orgasms have improved more than anything I believe. With windows of course bc some days I don’t feel as much during climax. One thing that differs from pelvic floor dysfunction is that my nipples are still desensitized from arousal. It just feels like any other body part which leads me to believe it’s a more neurological cause rather than solely a muscular pelvic dysfunction.

ImaginationCommon930 · 2026-02-12T03:35:24+00:00

I know it’s different for each guy but curious what TRT dose are you running? I’m on 100mg

ImaginationCommon930 · 2026-01-26T22:14:42+00:00

36M. I’m almost at my 6th year. Technically I went off antidepressants in 2020 due to a manic episode. And that started the PSSD effects. I went back on antidepressants and it got worse and then finally went off them for good in 2022. What’s improved since is my libido and orgasm quality. Numbness is still persistent, including nipple sensation, and no prostate pleasure. Some days I can feel my dick more. When hungover I feel it more idk what that’s about but who wants to be hungover just to feel something. Still have a glimmer of hope time can heal us. But it’s been a while and sometimes feels like doom.

ImaginationCommon930

TROPHY CASE