Hot, sweaty or chilled

Some people went a very long time without ejaculating, from 90 days up to 154 or 161 days, and one for over ten years. One said changes began around day 90 and by day 161 their sex drive was back, erectile trouble was gone and their brain felt like it was healing; another, abstinent for over ten years, said the physical results were good but the psychological ones rather bad. Someone at 154 days did not find it helped. Experiences were mixed.

Two people said a cold shower helps when they heat up, and one said it helps more with sweating than with the hot feeling. Some used it when overheated by hot showers or exercise, others after symptoms started. How long was not mentioned.

Two people mentioned cold exposure, and one said that exposing themselves to cold and taking cold showers daily paradoxically seemed to work. Two routines were described: a cold blast for the last minute of a hot shower followed by exercise, or a cold shower before bed with an ice pack on the genital area for a long stretch to cut down on wet dreams and POIS symptoms.

One person said that after climax they feel hot and irritated — not pain, but an unbearable irritation — that only goes away when they swim. No time in the water was given.

One person said magnesium and zinc supplements helped with POIS symptoms, without saying which symptoms improved, or the dose and timing. Personal report only — check with a doctor before taking supplements.

Someone reported taking 10–20 mg of propranolol 30 to 60 minutes before sex. One person said they skipped it the night before and felt pretty okay, apart from the chills. Personal report only — propranolol is a prescription drug, so talk to a doctor first.

One person said trying to get some sleep after feeling cold helped them. The post didn't say how long they slept or what brought the cold feeling on.

One person said antihistamines helped them most with symptoms like headache and a hot neck. They did not say which drug, how much or when. Personal report — talk to a doctor before using medication.

One person with hot flashes said they switched to cold showers, because hot showers also set off their hot flashes.

One person said that when they feel extremely chilled during POIS episodes, a heating pad helps. It is a simple warming measure with no further detail, and no one else reported on it.

One person said taking 2 ibuprofen and 2 Benadryl (diphenhydramine) before bed after orgasm, and the same again on waking, helps significantly. Tablet strength was not stated. A single personal report — talk to a doctor before combining medications.

Reports were mixed: one person said ibuprofen and fever reducers help a bit but not enough, while two others said paracetamol plus ibuprofen did not work for them. They were trying to bring down the hot, feverish feeling after orgasm; no doses or timing were given. Personal reports — talk to a doctor before using medication.

One person said that taking Noopept under the tongue and nasally soon after orgasm, with another dose the next morning, made them feel much better almost immediately, as if they had not ejaculated. A single personal report — talk to a doctor before using medication.

One person said taking propranolol 20 mg as needed after POIS onset physically helps with hot flashes and visible sweating, though they now sweat a lot from minimal exertion. A single personal report — propranolol is a prescription drug, so talk to a doctor first.

One person said wrapping a reusable ice pack around the testicles and sitting in front of a fan during episodes helps with the heat. It uses everyday household items; there are no further details and no one else reported on it.

Someone mentioned using a hot shower or hot water when their hands and feet turned cold and bluish during an episode. No one has reported how well it worked.

One post mentioned trying 5-HTP after orgasm for heat, but said the heat along the spine did not improve; no one else reported back. No dose or timing was given. Personal mention only — check with a doctor before taking supplements.

Someone posted that magnesium helped a little with heat after orgasm, but it is a lone mention and no one else reported back. The form and dose were not given. Personal mention only — check with a doctor before taking supplements.

One post said that eating only one meal a day, cutting sugar and processed food and focusing on protein, fiber and healthy fats made their POIS symptoms go away. No one else reported back, and no medical supervision was mentioned.

One post mentioned trying 5-HTP for heat after orgasm; no one else reported back, and no dose or timing was given. Personal mention only — check with a doctor before taking supplements.

One post described a diet that avoids many foods: gluten, dairy, sugar, high-histamine foods, high-oxalate foods and something called slimicide. It said this eases some POIS symptoms but not completely; no one else reported back.

One post mentioned that when hands and feet turn cold and bluish during an episode, a hot shower or hot water gives temporary relief. No one else reported back, and the post noted it is only temporary.

One post mentioned that a magnesium supplement helped a little with heat after orgasm; no one else reported back. The form, dose and timing were not given. Personal mention only — check with a doctor before taking supplements.

One post mentioned taking niacin after ejaculation to ease POIS symptoms; no one reported a result, and no dose or exact timing was given. Personal mention only — check with a doctor before taking supplements.