Post Orgasmic Illness Syndrome (POIS)

Discussion in 'Men's Health Forum' started by Michael Scally MD, Jan 17, 2011.

  1. Michael Scally MD

    Michael Scally MD Doctor of Medicine

    Post-Orgasmic Illness Syndrome: History and Current Perspectives

    Post-orgasmic illness syndrome is a rare disorder causing a debilitating cluster of flu-like and allergic type symptoms that occur within seconds, minutes or hours after ejaculation. Symptoms occur after intercourse, masturbation or spontaneous ejaculation and last from 2 to 7 days. The condition is chronic and follows a primary pattern occurring in adolescence and a secondary acquired pattern with onset later in life. The true incidence is unknown as the condition is likely under-reported and under-diagnosed. The pattern of symptoms suggests an allergic or auto-immune etiology; however, the exact pathophysiology is unknown and there is no effective treatment. Men suffering from post-orgasmic illness syndrome describe emotional trauma and significant impairment of their quality of life.

    Paulos MR, Avelliino GJ. Post-orgasmic illness syndrome: history and current perspectives. Fertil Steril. 2020;113(1):13-15. doi:10.1016/j.fertnstert.2019.11.021 https://www.fertstert.org/article/S0015-0282(19)32560-9/fulltext
     

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  2. Michael Scally MD

    Michael Scally MD Doctor of Medicine

    Case of Post-Orgasmic Illness Syndrome Associated with Hypogonadism

    Introduction: Post-orgasmic illness syndrome is a rare condition that occurs after ejaculation and persists for 2-7 days and is characterized by flu-like symptoms, which can significantly reduce quality of life.

    Case presentation: A 21-year-old unmarried man was referred to our hospital due to flu-like symptoms that developed after ejaculation by masturbation and persisted for about 2 days. The patient's free testosterone level was slightly lower than normal. Nonsteroidal anti-inflammatory drugs were initially administered and helped relieve headache and muscle pain. Thereafter, the patient was able to ejaculate three times a week. In addition, after administering testosterone enanthate once or twice a month, his general fatigue significantly improved, and he could ejaculate every day.

    Conclusion: The pathophysiology of post-orgasmic illness syndrome has not been fully elucidated. The treatments for this condition must be accurately selected according to pathophysiology.

    Takeshima T, Kuroda S, Yumura Y. Case of post-orgasmic illness syndrome associated with hypogonadism. IJU Case Rep. 2020;3(5):189-191. Published 2020 Jul 1. doi:10.1002/iju5.12184 Error - Cookies Turned Off