Dr. Goldstein’s current theory?

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vkn1
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Dr. Goldstein’s current theory?

Unread post by vkn1 »

Hi I was wondering if anyone knew what Dr. Goldstein currently favors as the explanation for our sexual dysfunction. I know he does a lot of nerve testing. I was wondering if he measured reduced nerve function in most people taking SSRIs with sexual dysfunction, or if rather it was just people with PSSD, or if in fact it was even only a subset of people with PSSD.

Any info on what Goldstein’s current hypothesis on what’s going on with us might be, especially perhaps with regard to our lack of sexual sensitivity, would be greatly appreciated. I suppose in addition to generally being very knowledgable, he also has seen more PSSD patients than probably anyone else.

I have already seen him myself, by the way, just was curious if anyone hear had heard anything more recently.
lookingforacure
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Re: Dr. Goldstein’s current theory?

Unread post by lookingforacure »

Did he help you at all? Was it worth seeing him? I ask because I’m thinking of going after the coronavirus concerns die down, maybe in 6 months or so.
Glitch
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Re: Dr. Goldstein’s current theory?

Unread post by Glitch »

Goldstein has a lot of theories but non of them are scientifically very sound. I've seen several posts on these boards claiming that there is enough data to come to some kind of conclusion but from what I've seen, that's very dubious. I'll talk about my experience now:

I went to see Dr. Goldstein this past October (Oct. 2019). I came into the office and he immediately diagnosed me with PSSD and I'm still not even sure if PSSD is real so I wanted more testing to make sure to check every box. He ran a battery of invasive nerve and reflex tests. According to him, I failed them miserably so he "knew" that I had something wrong with my spine.

I had a lumbar MRI done which showed very minor stenosis and the Kaiser doctors sent me a report that said that my stenosis should in no way contribute to my sexual issues, so it wasn't a concern. I forwarded it to Goldstein and he said that their claim was outrageous and that I definitely needed to get an epidural steroid injection to see if it relieved my symptoms.

Long story short, I got the injection and it didn't do jack shit. I called Goldstein's spine specialist, Dr. Choll Kim and they were supposed to send me an email with a result form that I was supposed to fill out so they could assess my results(or lack thereof) but they never did. I guess I could call them again and remind them but I'm pretty burned out on the whole thing so I couldn't care less.

Besides him believing me when I say that it's not all mental, I didn't feel great about the whole process. I always found it strange how confident he was in saying that it was my spine and I can't find a single success story online or testimonial on his or Dr. Kim's sites when it comes to this spine theory they have going on. I imagine the surgery is extremely expensive and considered alternative medicine by insurance companies too.
GIXXER
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Re: Dr. Goldstein’s current theory?

Unread post by GIXXER »

I dont believe in his theory that its spine related. There's only one person on one of the PSSD FB pages that claims hes been cured by Dr Goldstein, and hes on a cocktail of drugs.
vkn1
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Re: Dr. Goldstein’s current theory?

Unread post by vkn1 »

Yeah I’m not sure what to make of that really. I don’t think he is trying to get people who don’t need it to do surgery. It sounds like he genuinely believes that is a credible cause. It’s not as if he had you do an epidural and it didn’t work but he told you to do surgery anyway. It would be good to know he has some other ideas, though.

Is it really the case that no one in the world has any idea why SSRIs make peoples’ genitals numb? How could it be that something as cut and dried as that people have lost sensation remains a total mystery to everyone in neuroscience, the science of nerves? I would think that someone would have tried to get to the bottom of that 40 years ago or whatever when people,first started testing SSRIs and the majority of people acquired temporarily numb genitals.
vkn1
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Re: Dr. Goldstein’s current theory?

Unread post by vkn1 »

Anyone heard any other ideas from Goldstein other than back injury?

People who take SSRIs but don’t have PSSD (I.e., eventually recover) also have genital numbness, even the majority of them. I am really surprised no one (a) has a theory as to why and (b) has a theory as to why some of them never recover.

I would think Goldstein would at least have a best guess if not a definitive answer at this juncture.
R3m3dy
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Re: Dr. Goldstein’s current theory?

Unread post by R3m3dy »

I do recall seeing a case of somebody who improved from the steroid injection and subsequent surgery. I don’t know if they were “cured” though because they were still taking medication.

Dr. G doesn’t believe that the cause of PSSD is from spine issues - Rather, spinal issues are something he has discovered with people who have come in believing they have strictly PSSD, but who have seen improvements when spinal issues they weren’t aware of are discovered and corrected. I think that if the injection didn’t help, Dr. G would probably just cross off spinal issues as the cause and pursue other options.
Glitch
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Re: Dr. Goldstein’s current theory?

Unread post by Glitch »

Yeah, I don't think that he's trying to scam people, but I'm not at all impressed with his and Dr. Choll's theories. And yes, he diagnosed me with two separate causes: both PSSD and spinal issues.

I forgot to mention that besides the unsuccessful spine protocol stuff, he had me take Addyi for a few months along with Cialis, which also did absolutely nothing. Man, I really wish I knew what was wrong with me. It's been 12 years of this shit. ) :
R3m3dy
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Re: Dr. Goldstein’s current theory?

Unread post by R3m3dy »

Glitch wrote: Mon Mar 30, 2020 1:05 am Yeah, I don't think that he's trying to scam people, but I'm not at all impressed with his and Dr. Choll's theories. And yes, he diagnosed me with two separate causes: both PSSD and spinal issues.

I forgot to mention that besides the unsuccessful spine protocol stuff, he had me take Addyi for a few months along with Cialis, which also did absolutely nothing. Man, I really wish I knew what was wrong with me. It's been 12 years of this shit. ) :
Cialis didn’t do anything, so you don’t respond to PDE5 inhibitors? Is that correct?

If that’s the case see the berberine/Icariin thread. That combination has given non-responders a response and improved response for people who already did. Would highly recommend giving it a shot if you suffer from ED with no way to address it.
Amisrableguy
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Re: Dr. Goldstein’s current theory?

Unread post by Amisrableguy »

Bro u gotta reply faster vkn1!
People need to know ur trt protocol cause of pssd!
U do yourself or no one favors by taking a million years to reply back! If ur really serious about changing your life u should be checking in every couple hours!
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