PSSD ?

[sovietxrobot]

They both started working very quickly for me. I have a friend (without PSSD) who gets same-day benefits from taking DM. I'm surprised you haven't seen any benefit. You may want to stop and trying some other things first, DM is not to be taken lightly. You can get prolactin levels tested as an imperfect proxy for dopamine levels. I would say switch to escitalopram first, then try adding buspar. If that doesnt help enough, you can add mirtazipine or trazodone. These two in particular target the serotonin receptors most associated with sexual dysfunction.

In fact my libido is a little bit higher those last days, I believed it was just a natural fluctuation, but it could be an effect from mucuna/maca. I continue the treatement for 2 weeks and I will see the results. No effect on erections for the moment.
I don't want to take new medicines for now, I prefer to try first some natural suplements. I will start a new inositol cure next month (the first cure was succesful but the effects decreased after a few weeks), and try yohimbine.
Maybe I will try buspar in a few months, because it seems to be a light medicine.
About switching to escitalopram : I am only followed by a general practionner, who I already talked to about switching to another antidepressant. He doesn't want to, he told me the switching was too difficult. If I want to switch I have to see a psychiatrist.

I 'll talk to my doctor about prolactin.

Escitalopram is a more modern version of citalopram so it should be an easy switch, I imagine a psychiatrist would be willing to prescribe that.

I think its dangerous to believe that 'natural' supplements are somehow more safe or less impactful than prescription medication. DM for example is as potent as levodopa- it should definitely not be sold over the counter. And supplements are essentially unregulated, so you have no idea what actual dosage you are getting. I would much rather take a standardized, prescribed medicine under supervision of a doctor.

Yohimbine is a good one to try, it will boost norepinephrine levels. It can be quite stimulating, so start with low dosages. You will acclimate to this effect over time.

When you stop the maca/DM, I think you should still do a slow taper off. No sense in risking it.

[Vercingétorix]

Ok, thank you sovietxrobot.
I'll do a slow tapper in 2 or 3 weeks if the treatement is not conclusive.

[Vercingétorix]

Last week I had one day my libido was very high, from the morning until the evening, it was surprising. I think it was due to maca more than mucuna, because I was on a high dose of maca, and the libido decreased after I lowered it. Unfortunately maca gives me headache and fatigue so I had to lower it. Maybe if I take it without mucuna i will handle the treatement better, i must try that.

The bad side is that even with a very high libido my erection is still weak, so i must find another product to improve my erection. Viagra/cialis give me headache and fatigue so it's not a good idea to associate them with maca. I'll try yohimbine when I receive it

[Vercingétorix]

Yohimbine is a good one to try, it will boost norepinephrine levels. It can be quite stimulating, so start with low dosages. You will acclimate to this effect over time.

Is it better to take yohimbine every day or only before a sexual intercourse ?

[sovietxrobot]

Yohimbine is a good one to try, it will boost norepinephrine levels. It can be quite stimulating, so start with low dosages. You will acclimate to this effect over time.

Is it better to take yohimbine every day or only before a sexual intercourse ?

good question, I dont know. its an alpha2 antagonist, and changes in receptors usually take time (~2 weeks) to stabilize. but thats my guess, I cant say for sure.

[Vercingétorix]

I tried yohimbe yesterday, 1 tab of 500 mg (the rate of yohimbine is not indicated). My erection was a little better. I will try it again, and if this improvement is confirmed I think yohimbe will be for me a better medicine than viagra/cialis, because I didn't feel any headache or physical discomfort that I have when I am on viagra/cialis. However I felt very stimulated so if I try a daily treatment I will lower the dose.

[kpavel]

I tried yohimbe yesterday, 1 tab of 500 mg (the rate of yohimbine is not indicated). My erection was a little better. I will try it again, and if this improvement is confirmed I think yohimbe will be for me a better medicine than viagra/cialis, because I didn't feel any headache or physical discomfort that I have when I am on viagra/cialis. However I felt very stimulated so if I try a daily treatment I will lower the dose.

If you feel too much adrenaline, you can actually have problems with erection, so could a half of this work too? I tried 10-15 mg long time ago and couldn't get it up for some time even with porn.
Better to take at night I think, it doesn't last long.

[Vercingétorix]

If you feel too much adrenaline, you can actually have problems with erection, so could a half of this work too? I tried 10-15 mg long time ago and couldn't get it up for some time even with porn.
Better to take at night I think, it doesn't last long.

You can sleep after taking yohimbine in the evening/night ? Yesterday I took it at 9 pm and I couldn't sleep before 3 am. I felt very stimulated.

What do you mean by "could a half of this work too?"
Half dose ?

[tonyareias]

Yohimbine is a good one to try, it will boost norepinephrine levels. It can be quite stimulating, so start with low dosages. You will acclimate to this effect over time.

Is it better to take yohimbine every day or only before a sexual intercourse ?

To take as need (1h before sex). Avoid regular (every day), Yohimbine can cause anxiety and high blood pressure.

[kpavel]

If you feel too much adrenaline, you can actually have problems with erection, so could a half of this work too? I tried 10-15 mg long time ago and couldn't get it up for some time even with porn.
Better to take at night I think, it doesn't last long.

You can sleep after taking yohimbine in the evening/night ? Yesterday I took it at 9 pm and I couldn't sleep before 3 am. I felt very stimulated.

What do you mean by "could a half of this work too?"
Half dose ?

Yes, half dose. In normal dose of 2.5 mg yohimbine isn't that stimulating for me. I go to sleep easily.