Postcoital Blue: Understanding Symptoms, Sources, and Remedies
Postcoital dysphoria (PCD), also known as postcoital tristesse (PCT), is a condition where one experiences feelings of sadness, anxiety, or irritability after sex or masturbation. This condition is not uncommon, as a survey of 1,208 male participants found that 41% have experienced PCD in their lifetime, with approximately 20% experiencing it in the previous four weeks, and between 3% and 4% reporting regular occurrences. Similarly, a survey of 233 female students found that 46% have experienced PCD at least once, and approximately 5% reported experiencing symptoms a few times within the previous four weeks.
PCD can occur after masturbation or sex with a partner, regardless of whether one orgasms. The causes of PCD are not fully understood, but they might include hormonal changes, past sexual trauma, or difficulties in one's relationship. Stress can also contribute to feelings of sadness, anxiety, or agitation after sex.
If PCD is causing distress or happening frequently, seeking treatment may be beneficial. Speaking with a therapist or doctor might be beneficial for managing symptoms and finding effective coping strategies. Therapy can help identify and address the underlying feelings that lead to PCD.
There are several methods for managing PCD. Journaling, grounding techniques, relaxation techniques, taking a warm shower, deep breathing exercises, doing something fun and distracting, communicating with a partner, individual counseling, and couples counseling can all be helpful. Trauma counseling can help manage triggers and cope after being sexually abused.
Couples counseling might be a good idea if PCD is affecting the relationship or if underlying relationship problems are contributing to it. It's not always necessary to get a diagnosis for PCD before seeking help. If you're experiencing symptoms of PCD, which include depression, crying, anxiety, irritation or aggression, regret or guilt, shame, numbness or emptiness, and panic attacks, it's important to prioritise your mental health and seek support.
The low frequency of reporting on PCD in German media is likely due to the topic's sensitive, private nature and limited public awareness or research presence in Germany. However, it's important to remember that seeking help for PCD is a sign of strength, not weakness. By understanding and addressing PCD, we can improve our overall sexual and mental health.
