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Monday, April 11, 2011

Ask Sexpertesse: Is my Post-Orgasm Depression Normal?

Dear Sexpertesse,

I am a nineteen-year-old male, and am a healthy person. However, I have this problem: I feel really sad and lonely after masturbating. This problem is so big that it prevents me from even trying most of the time, although I have no problems feeling horny or getting hard or anything like that. Is this normal? Can I do anything to prevent it?

Dear reader,

Take a deep breath, for what you are experiencing is a real thing and you can overcome it!

What you describe is called Post-Coital Tristesse, or PCT. Post-Coital Tristesse means “after-sex” (from Latin) “sadness” (from French), and it is characterized by intense sadness, depression, melancholy, and/or anxiety after orgasm. PCT usually lasts between thirty minutes and two hours. Additionally, PCT supposedly affects more men than women.

Post-Coital Tristesse is caused by a very-predictable flux in hormones that occurs in all humans after orgasm. After orgasm, levels of dopamine – a hormone heavily associated with sexual pleasure – plummet in the brain. At the same time, dopamine is also responsible for regulating the hormone prolactin, which is secreted continuously by the lactotrope cells in the absence of dopamine. With the lack of dopamine, prolactin levels rise, which retards the sexual arousal cycle (causing the refractory period) and, more importantly to the topic, induces the unwanted feelings of negativity. In other words, once a person orgasms, their levels of prolactin increase, which causes the depressive feelings of PCT. PCT, then, is a condition in which a person’s body does not reach hormonal equilibrium quickly enough after orgasm. Fortunately, there is some evidence that suggests that a person can overcome this imbalance in a refreshingly-simple way!

Interesting, some clinical studies have found that as many as 86% of people experiencing PCT are able to overcome it by simply reminding themselves that PCT is nothing more than a chemical imbalance that will soon right itself. Thus, what I recommend to you, dear reader, is this: when next you experience these negative feelings after orgasm, say aloud, “These feelings are not my fault. They are PCT, they will go away as my hormones regularize, and I will feel normal and content again soon!” This method isn’t quirky or unscientific; after all, thinking itself is a neurochemical and –electrical process, just like the unconscious thoughts through which the brain regulates hormone levels. Talk about the power of positive thinking, huh?!

Supposedly, most people will experience Post-Coital Tristesse a few times during their lifetime, but only a few will experience it serially or regularly. For this latter, smaller group, 86% of them will rid of these feelings through education about PCT and the way it works within two years. For those other 14%, though, they may want to consult with an endocrinologist and/or a therapist or sex therapist in their area for different help.

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