Hi all,
Years ago, I was a member of the POIS Centre Forum. I'm having a little trouble getting back online with that, but they helped me so much over the years and I want to give back.
I'll make it brief: I had POIS from age 17 or so until 35 or so (I'm over 40 now). Due to help from the forum, Niacin (the type the flushes the skin temporarily) helped a lot but didn't cure the condition completely for me (50% relief or so).
I've found that the cure for me was a combination of: Dutasteride + Occasional Cialis. Any time I "O", I just pop a 0.5mg Dutasteride and all is well. This is usually 2-3 times weekly. This leads me to believe that, at least for me, DHT was a major contributor to POIS. This makes sense for me, as DHT spikes as soon as a male has an "O". Dutasteride can give weaker erections for some people, so I supplement with Cialis 10mg, again twice weekly or so.
I consider myself fully cured in the long term (5+ years); I am in a healthy relationship and I no longer worry about having an "O", like I used to. I hope this helps some people. You are welcome to comment here and I would be happy to help further. As I say, I was helped a lot in the past. Sure, the condition is not life-threathening but it sure is a legitimate issue which can cause a lot of stress and like I said, I was helped in the past and would like to help anyone else who needs it. Take care.