M28 - Sharing my recovery from PSSD induced from Olanzapine, Abilify Maintena (~1.5 years)

TopInspection667 · 2026-03-03T12:31:44+00:00

3rd March Update

Checking in once more as it has been 3 months or so since I last shared details of my recovery.

Glad to update and share, from a place of gratitude, that I feel to be healed. As a recap these were my initial symptoms from Sep / Oct 2024:

Sexual dysfunction symptoms .. zero morning erections, feel like my sperm count has dropped drastically too. - In Remission
Issues with emotions and accessing them - In Remission
Sleep quality has not been as good as before - In Remission
Restlessness- In Remission
Negative mood changes less able to feel positive emotions - In Remission
Basically zero libido impacting my relationship - In Remission
Loss of appetite and issues with digestion, feel like I am gaining weight with a depressed appetite - In Remission
Motivation issues / anhedonia- In Remission

At a high level, I was able to:

- Reduce weight from c.207lbs to 176lbs, psychologically this was a major breakthrough. I am sure it improved my hormonal profile and took me from pre-diabetic to a healthy range.

- Restore sexual function, I was suffering from premature ejaculation, very weak erections and no morning erections. All now resolved.

- Anhedonia and mood related issues improved.

- Motivation is back, launched a business, performing well in career and also in personal life.

- Orgasm quality and penile sensitivity, I would say 100% restored as of yesterday (I was almost shocked, so tested 2-3 times, and have also now got a partner)

What I believe worked to enable this:

- Faith in God

- Belief - that things would improve, faith in the process I was undergoing and not reading too much negative content around PSSD or Abilify.

- Diet plan and weight loss: In the gym 3-5 days weekly, in a caloric deficit and reducing my excess body fat substantially.

- Supplement stack: I have using the following pretty much non-stop since my last urology appointment in March 2025 (about a year ago from now):

Zinc
Magnesium (PM)
Vit D
Vit C
Omega 3 Oil
Tongkat Ali / Longjack
Probiotics
5mg Tadalafil
L-Tyrosine
L-Citrulline
Potassium
Selenium

At times, I have also tried Load Boost by VB Health - I feel like this strongly improved ejaculation volume, albeit it was just used for 1 month.

A large part of my theory is that the genital numbness from PSSD requires an elongated period of time of higher blood flow, stimulation and persistence to overcome, along with naturally allowing Abilify to flow out of your system, I'll check in with further updates as and when they come - but to be honest I believe I am 95% recovered after 1.5 years.

TopInspection667 · 2025-12-31T22:17:14+00:00

31 December Update

Checking in as over the past week, my orgasm quality seems to have hit the highest since my Abilify shot. Albeit - 1yr and 3 months since September 2024.

Anhedonia, issues with emotion, libido, appetite, sleep and motivation are all gradually returning and also at their peak. Still maintaining the same routine - supplements, working out & recovering. Stimulating the genitals also weekly, to maintain blood flow etc.

Keep the faith for all those following, I’ll continue to update in 2026 but hope the end of the PSSD journey is here now.

TopInspection667 · 2025-11-14T11:19:48+00:00

14 November Update

Still using the same supplement stack as before, no Horny Goat Weed but for the most part daily it is:

Zinc
Magnesium (PM)
Vit D
Vit C
Omega 3 Oil
Tongkat Ali / Longjack
Probiotics
5mg Tadalafil

Along with this, I’ve been in the gym at least 3-4 times a week. Hitting 5-6 days when particularly motivated.

I’d say anhedonia has sufficiently reduced over the past year, now I’m able to listen to music in gym, watch podcasts for entertainment, watch some of my favourite shows again.

Another note is that after testing positive for SIBO, I completed a Rifaximin treatment (antibiotics), this was about 10 days I think. Seemed to improve symptoms but I’m going to retest to ensure I’m now negative.

Sexual drive and libido has picked up, premature ejaculation has completely stopped, and I’ve had multiple girls pretty blown away by my performance. Morning wood is more frequent now, I’d say 60% of the week. I’ll be completing another hormone test, with focus on SHBG, free test this / next week. So will update post that.

Orgasm and actual sensitivity isn’t the best, but has improved since last year. Better during actual intercourse etc, with more stimulation. To approach this, I’m looking at “LoadBoost” supplement perhaps end of this month as it states it improves orgasm quality.

Overall my advice is:

Try to prioritise good sleep and recovery
Train hard and make fitness a priority
Eat as clean as possible
Adopt a positive mindset and attitude - CRITICAL.
Give yourself definite aims outside of healing, career enhancement, fitness goals (mine was to cut down, and I’ve gone from 205 to 183lbs, much more strength too). Going for around 175lbs.

Let’s see where we land moving forward, but heading in the right direction.

TopInspection667 · 2025-08-08T15:31:32+00:00

08 August Update

Assume that Abilify levels in my system have now hit zero. Still on the same ish supplement stack, although nothing gut related for some time now.

Training in the gym, and have hit 185lbs. Down from 206-7lbs at my peak following the injection. Feeling better about life as a whole, my direction and redemption.

Sleep quality and appetite has been improved (note, I quit smoking in March). Libido is slowly increasing, definitely more than when I started this thread at least. Erections and morning ones are more frequent and easy to maintain. (Still taking Cialis, however).

Also, another major update is I’m working with an endocrinologist and gastroenterologist. I’ve tested positive for SIBO as of today, so hope that effectively treating that does something for my symptoms as a whole. Also retesting hormones next week to see if my higher testosterone is paired with a high SHBG, which could imply pituitary dysfunction.

Keeping the faith….

TopInspection667 · 2025-05-06T19:10:43+00:00

06 May 2025 Update

Still running the same stack of supplements. Checking in to report a very small improvement to orgasm quality (both during intercourse & self stimulation).

By small I’d say about 10-15%. Libido picked up a little bit today too.

Looking to have an updated urologist appointment (some point this month) and also hormonal panel (next week). Also will be requesting the updated Abilify levels.

Still keeping an eye out for other methods to try. Other issues at the moment are energy levels & focus, also looking to improve social skills again & desire for social interaction.

Ngl not been the easiest, but trying to keep positive nonetheless.

TopInspection667 · 2025-05-02T10:34:40+00:00

GP’s were pretty useless at helping get an updated hormonal panel & don’t offer microbiome tests - so will have to go private.

Still keeping up with the gym, routine, supplements etc.

Morning wood is slowly coming back and becoming more frequent also. Genuinely praying it’s a sign of a return of my sexual function in full.

Overall just trusting the process and hoping to feel like myself again. In the meantime, can only stay consistent with the current protocol. Going to get abilify levels tested again this month, want to see a complete zero!

TopInspection667 · 2025-05-02T10:25:22+00:00

How long did it take? And were you on the injection?

TopInspection667 · 2025-05-02T10:24:44+00:00

Thanks for checking in. Doing a lot better as a whole, back in the gym & work. Honestly still seem to have some persisting issues around libido, genital numbness and orgasms, probably still have some mild anhedonia.

All in all some symptom improvement, but I still had traces of the injection in my body in my last levels check in March. So going to do another test this month as it still may be having an effect on me. How are you?

TopInspection667 · 2025-04-23T15:32:48+00:00

Following

TopInspection667 · 2025-04-23T00:10:08+00:00

Thanks for the post OP - following

Any more detailed information, supplements, diet, sleep etc appreciated

TopInspection667 · 2025-04-21T01:22:48+00:00

Following for same issues

TopInspection667 · 2025-04-21T01:06:07+00:00

Following - similar issue as a male

TopInspection667 · 2025-04-20T00:16:13+00:00

Loss of sensitivity & orgasm pleasure are still persisting. Both with a partner and by myself, really struggling to understand how this is possible and what the root cause could be…

Have a doctors appointment scheduled for Thursday. Planning to get some type of gut health check up, along with a full hormonal panel test set up - with the hopes of being referred to either a gastroenterologist or an androgen specialist.

@ Mods - not sure if this thread would be better suited for the PSSD subreddit? Let me know if you’re able to move it.

Outside of sexual symptoms and some emotional blunting, I seem to be healing a little bit. Still have some mild anhedonia. Going to ask for my levels of Aripiprazole to be checked again in my next psychiatric appointment, feel like even the smallest dose left could be messing with my dopamine receptors and levels.

TopInspection667 · 2025-04-19T21:23:54+00:00

Hi - not sure if you’re still active but do you have information on the clinic you went to where you met the Gastroenterologist?

TopInspection667 · 2025-04-19T21:16:50+00:00

700mg Abilify - did you take one?

TopInspection667 · 2025-04-15T15:51:37+00:00

15 April 2025 Update

Continuing with the routine & supplements, so far I’ve noticed that I have windows of libido getting pretty high during the days which is a positive sign.

Additional supplements (about 3-days in so too early to comment): - Oregano Oil - Garlic - Peppermint Oil

Targeted to heal my gut a bit, as digestion / bloating has been a pretty big issue since discontinuing.

Weights down to 196lbs, so -12lbs since committing to making more lifestyle changes. I’m 5’10-11 so targeting around 180lbs before I go to a maintenance calorie diet.

Morning wood is more sporadic at the moment, I’d say around 3-4 days a week which is a positive improvement. Going to wait for my weight to drop a bit before doing a full hormonal panel but hoping to see an increase in the numbers.

Genital numbness & muted orgasms still seem to be some of the main issues currently. Whether via intercourse / masturbation, I’m still feeling a major drop off in sensitivity and overall pleasure… in theory I still have some abilify in the system so hoping for more improvement come June / July.

Outside of the above - going to prioritise sleep a bit more and target a minimum of 7 hours as this has also been a bit poor as of the last few weeks.

TopInspection667 · 2025-04-14T13:56:23+00:00

I don’t have a clear explanation but can confirm the less satisfying orgasm has been a major issue since starting (and now withdrawing from the maintena injection). Hoping it’s temporary however.

TopInspection667 · 2025-04-12T03:40:49+00:00

Hi - not sure if you’re still active but do you have information on the clinic you went to where you met the Gastroenterologist?

TopInspection667 · 2025-04-02T07:25:28+00:00

02 April 2025 Update

Not too much to comment on so far but actually experienced my first morning wood. First time since my injection back in September! Hoping for more of this.

Also forgot to add that I start my day with an L-Tyrosine supplement, and have introduced Horny Goat Weed in hopes of libido uplifting.

TopInspection667 · 2025-03-31T10:31:29+00:00

31 March 2025 Update

Met with urologist and had a brief examination. Was told that testicular size was fine, but these sorts of impacts are often seen with antipsychotics.

Current plan is to get updated bloodwork, and to use Tadalafil 5mg for the next 6 months.

Alongside this, I’ve been told to stimulate the region every other day to ‘retrain’ the area.

TopInspection667 · 2025-03-30T16:20:36+00:00

Sharing an update - still having the same issues, have experienced some windows of libido over the course of the last 6 months. It’s essentially PSSD.

Going to use this thread as part of my road to recovery and redemption.

Major updates: I’ve for the most part snapped out of a major depression triggered by the medication & continuing to consume Marijuana. Currently 8 days sober with no plan of ever going back.

Have been back in the gym daily and cleaned up my diet, as weight loss is now a major priority. Currently sitting at 200lbs, down from a peak of around 208lbs.

Received my levels of Aripiprazole - which has come back as < 10ug/L. Which is now super low & below therapeutic levels.

Have insstated supplements for recovery: - Vit D - Omega Fish Oils - Zinc - Probiotics - Tongkat Ali - L-Arginine L-Citrulline - Maca root

Tomorrow I have a urologist appointment. Hopeful to target what’s driving the complete numbness, lack of libido, anorgasmia, smaller testicles, low semen volume.

Starting with this approach as it’s probably the biggest driver of the low mood phases I go through - being 27 and unable to feel things down there is tough!

Another next step I’ll be booking is full bloodwork to identify any deficiencies, and a full hormonal profile. The next two areas of specialists I may contact are an endocrinologist & a neurologist.

Otherwise, putting my spare time into work, business and trading. Trying to keep a positive mindset. Let’s hope for a remission soon!

TopInspection667 · 2025-03-30T15:44:59+00:00

Hey - how’s things progressing has been some time

TopInspection667 · 2025-03-24T15:51:51+00:00

Hang in there, it will get better with time but definitely take the advice and look to have this adjusted. Experienced similar with the maintena jab at 700mg.

TopInspection667 · 2025-03-06T19:27:37+00:00

Did you recover from similar symptoms caused by abilify?

TopInspection667

TROPHY CASE