Approaches not tied to a specific symptom

Seven people said a carnivore diet helped: one improved a lot after a month but couldn't keep it up, another did keto for six months before moving to grass-fed beef and some seafood, and another said that after a year and a half their symptoms were about 90% better, though not gone.

Quite a few people said life got better after dropping porn and masturbation: one felt so good while abstaining they would talk to everyone; another still had wet dreams during a 3-month break but found it a lot better; others said keeping both to once every two weeks or less was key. Two reports were less positive: one had abstained for 5 months, and another said masturbating makes their mind go crazy.

Several people said prescribed propranolol, a beta blocker, helped a lot, some noticing it from the start. Others combined it with diet changes or with Allegra, Sudafed and Pepcid, and one felt the diet did most of the work. It's a prescription drug — personal reports only, so talk to a doctor first.

A few people said drinking heated hemp (CBD) tea before orgasm worked well for them; some said it worked far better than other things they'd tried, and one said it cleared their symptoms and they plan to stick with it.

Four people said edging before sleep (stopping short of orgasm) kept wet dreams away, with one saying they had none the night after. One also noted that long stretches of masturbating without orgasm cut nightfall but can mess with your discipline, and another said it's better to avoid it.

A few people said that if they edge and stop short of orgasm, they get little to no symptoms; one said never going over the edge is the only way they avoid them.

A few people said squeezing their pelvic floor muscles (the ones used in Kegels) right before ejaculation, so that no semen came out, made symptoms much milder afterwards. One said symptoms dropped by about 80%; another said only very mild POIS was left.

Several people said taurine helped: one took about 2–3 g a day, another needed to take it several times a day for some days before it seemed to work, and a third had two ejaculations in one day and felt fine. Two others said it did nothing for them, one at a 2 g dose. Personal reports — check with a doctor before taking supplements.

Three people said abstinence helped: one found that 10 days of no sexual activity gave their body time to recover, so one ejaculation caused no severe symptoms; another said symptoms finally went away after a month; a third felt almost back to their pre-POIS self after a long stretch of full abstinence. A fourth said their breaks never lasted more than two months, the first ejaculation afterwards wasn't too bad but by the third they were fully back in POIS, and during the breaks they were irritable and unfocused.

Three people described ways of cutting nocturnal emissions. One needed a long-acting benzodiazepine on top of Prozac to really stop them, using the smallest dose possible because such drugs hurt sleep quality. Another said ashwagandha reduced wet dreams but brought vivid dreams and anxiety, and a third said nightly wet dreams stopped once they started bromocriptine. Personal reports — talk to a doctor before using medication.

Two people linked fasting to milder POIS symptoms, but detail is thin: no fasting window, length, water rules, or timing relative to ejaculation was given.

Two people said keeping ejaculation to about once a week helped. One tried to do it in the morning, which seemed to bring fewer symptoms; the other said going past 10 days brought symptoms back, so they stuck to weekly.

Accounts were mixed. One person said CBD has worked long-term, even with an orgasm every day, and another put a little CBD oil under the tongue right after and felt a bit calmer. A third said hemp tea does nothing if you drink it after the orgasm.

Two people described vaping CBD around or after orgasm. One felt CBD and POIS were fighting with no clear winner but noticed symptoms lasting a shorter time; the other said vaping CBD flower gets them close to 100%. Feedback is very limited.

Two people said cold showers or ice baths helped calm their mind and 'take the edge off'. One took a cold shower right after ejaculating and kept using them through the day. Neither said which symptoms eased.

Two people said deep breathing helped them: one breathed deeply for 5–10 minutes during an episode and felt it calmed their nervous system, and the other said deep breathing together with niacin worked for them.

Two people said DNRS helped them: one said that together with lifestyle changes, a positive mindset and supplements (such as Histaquel and vitamin D) their POIS went away, and the other said they were among the first to use DNRS for POIS and it put them in remission. These are personal reports, and one person was also taking supplements, so the training's own effect can't be separated out.

Two people mentioned edging, meaning masturbating but stopping before ejaculation. One said it's the only way they can get past POIS effects and the mental urges; the other said it kept them from having wet dreams but that it's still better avoided.

Two people said that after orgasm, calmly turning attention to the numb or uncomfortable spots in the body, without fighting them, worked well for them. One said it lets them largely control symptoms so they last half a day instead of a week; the other called the results ‘nothing short of a miracle’.

Two people said psychiatric medication eased things a little: one on sertraline (Zoloft) plus other drugs still had symptoms but milder, and no more wet dreams; another on citalopram with perphenazine found it helped a bit. But someone else tried two SSRIs with no luck — their anxiety shot up and they were shaking every day. Personal reports only — these are prescription drugs that need a doctor's guidance.

Two people said taking selenium, zinc and ZMA (a zinc, magnesium and vitamin B6 blend) after orgasm made a noticeable difference, though they didn't say what improved. One took 3 capsules of zinc (about 25 mg in total) and 1 capsule of selenium right after orgasm. Personal reports only — check with a doctor before taking supplements.

Two people's posts touched on this: one combined no lust, psoas stretching and an affirmation (“I won't have a wet dream”) to stop wet dreams, while the other was trying a drug called clonazolam that seemed to do the trick but can only be taken twice a week. Personal reports — talk to a doctor about any drug.

Two people did different things: one took an antihistamine before bed on nights they thought a wet dream might happen, while the other has mostly avoided them in recent years by staying up as long as needed, sometimes all night — at great cost, but worth it to avoid being debilitated by POIS. Personal reports — talk to a doctor before using medication.

Two people said SSRIs worked for them: one takes 20 mg of Prozac daily, which cut their wet dreams and made them far less anxious about POIS symptoms and life in general, and the other said SSRIs are the only thing that works for their nightfall. Personal reports — talk to a doctor before using medication.