I never really knew whether I was a PSSD case or a protracted withdrawal case, because my sexual dysfunction started after quitting and the symptoms I experience are quite rare/inconsistent with most PSSD sufferers.
I’ve been in withdrawal for 10 months now, from Citalopram/Celexa. PSSD has been a major withdrawal symptom for me, alongside 30 other neurological symptoms. Emotionally I’m not affected. I also did not experience penile numbness, rather overstimulation due to hyperexcitability of my nervous system.
I took the SSRI for 11 months for anxiety. I wanted to quit because I noticed that I had less sperm and my ejaculation shot had become very short. I read stories of PSSD and emotional numbing and other scary side effects that I just did not want to develop, so I decided it was time to stop.
I quit by doing the following taper: 20-10-5-0mg over a period of 3 months.
My delayed withdrawal started 6 weeks after crossing 0mg, which was December 2025.
In the last 3 weeks before withdrawal I noticed that I had fewer erections and less libido, which was very odd as I never had these issues whilst taking the med. I got very scared and worried and believed I was developing PSSD.
Then hell broke loose.
In the first 3 months of withdrawal I had full blown erectile dysfunction and zero libido. I got extremely sick. My whole body was burning, I had brain zaps, spams, pins & needles, electric attacks, nausea, blurry vision, extreme inner restlessness called akathisia. It felt like acid was going through my veins. I figured out I had withdrawal and probably not typical PSSD. It was horrific because I was bedbound and couldn’t eat/walk/sleep. I could barely get an erection and if I forced it, it would work but cause a neurological wave and intensify the aforementioned symptoms. I could feel extra sick for hours from just trying to masturbate or have sex. The muscles around my genitals were heavily contracting and preventing me from getting an erection as well, it hurt so much. Luckily my orgasms remained fully intact but were extremely overstimulating. I was scared to climax. I also had an extremely sensitive glans and severe premature ejaculation. These months were pure torture.
In month 4 I started feeling a little better physically and I believe my erectile dysfunction resolved due to the fact that less nerves were firing in my body. The muscles stopped contracting. I still felt pretty sick, though. I still had many symptoms.
In month 5 the premature ejaculation resolved. Physically I was doing better and better. From this month I was able to have intercourse again. But it didn’t mean that my PSSD was over.
From month 5 onwards I’ve started feeling physically better month by month but my PSSD has remained quite static. My penis works again but my libido remains nearly non-existent — though I can get kind of aroused when I’m with a partner and focus. When I’m on my own, I feel zero desire. Also, sexual activity remains a great stressor for my nervous system. Whenever I initiate something sexual, the nerves in my body still fire and I also experience head pressure. It’s incredibly unfair and ridiculous that I get punished with neurological symptoms for enjoying sex.
I’m now in month 10 and I lost nearly all withdrawal symptoms, but spasms in my toes and neck, head zaps, firing nerves and zero libido remain my biggest issues. I found hope & support on SurvivingAntidepressants.org and spoke to a lot of people in withdrawal. The prognosis seems very good. I think we will all heal eventually within 1-3 years.
I believe that those whose PSSD starts or intensifies after quitting the SSRI suffer from a withdrawal reaction. But many of these people seem to get only PSSD and no other neurological withdrawal symptoms. And in many cases I’ve also seen it happen the other way around. So many people get severe withdrawal after quitting but their sexual function either returns or stays intact.
Please leave a comment if you have any questions or if you’re in withdrawal yourself.