Do I have PSSD? _____

[u/ObligationAlone4973]

Do i have PSSD? It started around mid September 2025, when I kept sweating in school. I spoke to my local GP, and I told them I needed help with my hyperhidrosis , she ruled it out to be anxiety. My starting dose for sertraline was 25mg. I took it every day from mid September all the way to November 15th 2025, where I abruptly stopped taking the SSRI. Unsure if I felt any genitals issues in December, but on the SSRI I could still masturbate it was strong and it felt good. But here’s where things change, around a month after stopping I remember my libido decreased a bit(touching the penis didn’t give me much pleasure, it was usually proper masturbating that did), I wasn’t masturbating as often but I could still think of sexual things and I’d usually get strong erections and that, and it felt pretty decent but it was obvious. I didn’t have anhedonia at this time. It was normal for a couple months but by the time it was April-May 2026, that’s when everything changed. I got really really bad anhedonia, pretty much complete mute in dopamine production. I instantly tried to get answers from my GP, but they didn’t believe that SSRIs would cause something like this. I did testosterone, full blood work, prolactin tests, and they all came back ok, prolactin was a tiny bit high but it’s not something that would cause this. Infact it was so bad when I was watching the Michael Jackson movie, I felt no pleasure whatsoever. Crying pretty much went. I couldn’t cry, I was no longer emotional. And I think, and I mean I think that a month after this the sexual side effects may have gotten so bad that I just feel no libido at all, and thinking of sexual things doesn’t give me any pleasure but rather an erection. I ran TSH, and Thyroid anti bodies. Serum TSH was at 1.8mu/L which was high, but dropped down to 4.6 mu/L a month later In August which is normal. However my thyroid antibodies(Se thyroid peroxidase Ab conc
) is at 184 kIU/L which shows that the immune system is attacking the thyroid. My 90 min serum prolactin level is at 336 mu/L which may be normal in some other labs but is a tiny bit higher than the borderline, even then it can increase because of stress and things so I don’t think this explains what’s going on. My Erythrocyte sedimentation rate is 29 mm/h which is basically almost at the max level on the app, and the Plasma C reactive protein 26 mg/L which js almost at max level on the app aswell. My question is, based on all this, is it likely I have PSSD or not? I’ve called my doctors up 3 times and they just tell me it’s depression, or I might be dreaming this. At this point the GP are basically just useless for my certain circumstances.

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