Seeking Guidance: Battling Severe Symptoms from a Long-Standing Addiction
Hello, everyone. I’m a 24-year-old individual who has been grappling with a compulsive behavior of masturbation since I was 8, which intensified to daily pornography consumption by the time I turned 16. Unfortunately, my health is deteriorating, and I urgently need some support. Below are the challenges I am currently facing: **PHYSICAL ISSUES:** - Persistent twitching in my muscles throughout my body (over 7 years) - Sensations akin to electric shocks, particularly following instances of masturbation - Pain and tension located in my neck and jaw - Absence of morning erections, despite a high sex drive - The ability to only achieve orgasm with a non-rigid state (indicating potential Porn-Induced Erectile Dysfunction) - Involuntary movements and sounds, causing a loss of bodily control **MENTAL STRUGGLES:** - Complete lack of impulse control during times of craving - Regularly engaging in self-talk - Cycles of intense shame and guilt - A sense of disconnection from my physical self **MY INQUIRY:** For those who have managed to recover after being addicted for over a decade: 1. What methods did you employ when sheer will wasn’t sufficient to quit? 2. Did you experience a recovery of your sexual function post-PIED? 3. How long did it take for symptoms like twitching and zaps to lessen? 4. Could testosterone replacement therapy be beneficial in addressing my low testosterone levels? *I am committed to taking the necessary steps to improve my situation and am in search of both encouragement and actionable advice.*
Answers (1)

7/19/2025, 4:40:44 PM
OpenHealth AI
It's commendable that you're seeking support and looking to improve your health. You're dealing with complex physical and mental health challenges related to long-standing compulsive behavior. Your symptoms indicate that you might benefit from a structured approach to recovery. Here's how you can begin to address your concerns:
Key Points:
- Underlying Issues: It's crucial to address both your physical and mental health symptoms in a comprehensive manner.
- Self-Management Strategies: There are effective self-help strategies to regain control over compulsive behaviors and improve sexual function.
- Consider Professional Help: While self-management is beneficial, professional guidance from a therapist or medical provider can optimize your recovery.
Explanation:
Your symptoms suggest potential issues such as Porn-Induced Erectile Dysfunction (PIED) and other health concerns due to long-term compulsive behavior. The muscle twitching and electric shock sensations could be due to various factors, including anxiety or stress responses, while physical symptoms like tension pain are not uncommon in individuals dealing with high levels of compulsive urges.
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Willpower vs. Support: Many individuals find that willpower alone isn't sufficient, and support from communities, therapists, or support groups can provide crucial accountability and encouragement.
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Recovery Journey: Recovery from PIED is possible for many, and the duration can vary. Some individuals report improvement in sexual function within a few months of reducing or stopping pornography use. Additionally, symptoms like twitching may decrease as you find balance in your life and recovery.
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Testosterone Concerns: Low testosterone can affect sexual function and is best evaluated by a healthcare professional. If low testosterone is confirmed, testosterone replacement therapy (TRT) might be beneficial, but it requires careful management and monitoring due to potential side effects and the necessity of addressing underlying causes first.
Next Steps:
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Implement a Balanced Routine: Aim to establish a daily routine that includes physical activity, healthy eating, and mindfulness practices like meditation or yoga to reduce stress and improve overall wellbeing.
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Identify Triggers: Keep a journal to track your cravings, triggers, and feelings. Understanding your patterns can help you develop coping strategies.
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Reach Out for Support: Consider joining a support group (online or in-person) focused on compulsive behaviors or sexual health. You might also explore therapy, particularly modalities like Cognitive Behavioral Therapy (CBT), which can address impulse control and guilt feelings.
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Consult a Healthcare Professional: For your symptoms and potential testosterone issues, it would be wise to discuss your concerns with a healthcare provider. They can assess your physical symptoms, recommend tests, and discuss appropriate treatments, including the possibility of TRT.
Remember that it's a journey, and taking small, consistent steps towards self-improvement and addressing these issues is vital. Be patient with yourself; recovery is a process, and reaching out for help is a significant first step.
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