You seem to be pretty resistant to SSRIs if you've been on them for 18 years (wow), so maybe try reinstating sertraline?

I got PSSD from only 30 days of using sertraline.

Well I know for me taking calcium supplements always makes my PSSD worse for some reason. It also messes with my sleep for some reason, even though its supposed to help with sleep.

I've been taking 5g of creating for a couple of years now. Great for energy, zero effect on libido.

Try to get your hands on some ritalin or aderal and you'll find a job.

I've been using Omega 3 for years now. Tried Licorice Root and Ginseng for a couple of weeks too. No recovery.

I have personally known depressed people who masturbate 5 times a day. It is totally possible and quite common that people are both horny and depressed. PSSD is something else entirely.

There is also a FB group

Well usually they give you Bromocriptin or Cabergoline to decrease prolactin. That didn't fix my pssd tho.

I see you've mentioned calcium a couple of times in the OP. Could you tell me why does calcium make my PSSD worse for 48 hours every time I take it? Half a gram is enough to make me crash to almost complete impotence. And I need calcium cause I'm deficient in my diet. This happens with a glass of mi...

Well, I know I have an overreactive immune system alongside having pssd