Pois

Questions
1

I’m 23 and i’m falling to pieces, but hopeful. I have a complex case with ankylosing spondylitis, hashimotis and POIS which leads to a flare’s my joint pain and severe brain fog, amongst other cognitive symptoms. It got to the point where ice baths (usually at night) turned from helpful right after ejaculation to ice baths causing the most horrible stress response that lasts for months. My autoimmune AS came well before any PMO (95% sure from vaccines). I believe you are right about the early exposure to PMO and the consequences for susceptible individuals.

A few clarifications and questions about your well written articles

How exactly would you go about retraining the body to handle the effects of an POIS/orgasm and how long would you abstain completely?(i’m never going to watch P again)

You said abstinence is not enough, When recovering do you think it’s essential to have a partner to bond with to retrain the brain… how about doing karezza?

Would it be best to completely avoid the screens/devices used for PMO if possible?

Do you have any thoughts on HRT, specifically trt and hcg. (I have used before with some benefit)

Do you have any thoughts or experiences with supplemental thyroid usage?

2

If you have extensive experience with PMO, especially during adolescence, and your climaxes have been coupled to screens and fantasy, then your arousal cues need to be reprogrammed back to human partners before reintroducing orgasms; otherwise, the brain won’t assimilate properly.

Pair bonding with karezza is the best approach, as you mentioned, and it’s best to start asap its hard to estimate how long you should abstain for, but i think rewiring 4-6 months with a partner should be formidable provided that all withdrawal symptoms (if any) are not present.

If possible, yes it is best to avoid devices. I don’t have any experience with HRT, although a focus on thyroid health will lower LH and the pituitary. I also do not have much experience with thyroid supplements, i have made some purchases of T3 and T4 through idealabs previously.