What is the cause of postcoital dysphoria (postcoital blues)?

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From the Research

Postcoital dysphoria (PCD) is a condition where individuals experience negative emotions such as sadness, anxiety, irritability, or tearfulness after sexual activity, despite the sex being consensual and even pleasurable, and it is recommended to manage it through open communication, psychological support, and stress reduction techniques, rather than pharmacological intervention, as suggested by the most recent study 1.

Definition and Prevalence

Postcoital dysphoria is characterized by feelings of tearfulness, sadness, and/or irritability after sexual activity, with a prevalence of 46% of people experiencing it at least once, and 3-4% of the population experiencing it regularly 1, 2.

Symptoms and Expression

The symptoms of postcoital dysphoria can vary, with the most common symptoms in women being mood swings and sadness, and in men being unhappiness and low energy 1. The symptoms can occur after consensual sexual intercourse, general sexual activity, or masturbation, and can be present after orgasm 1.

Management and Treatment

The management of postcoital dysphoria focuses on open communication between partners, psychological support, and stress reduction techniques, rather than pharmacological intervention 1, 2. If postcoital dysphoria causes significant distress or relationship problems, consulting with a mental health professional specializing in sexual health may be beneficial.

Causes and Theories

The exact cause of postcoital dysphoria remains unclear, but theories include hormonal fluctuations after orgasm, past trauma resurfacing, relationship issues, or psychological factors like guilt or shame around sexuality 1, 2.

Key Points

  • Postcoital dysphoria is a recognized phenomenon affecting a significant portion of the population 1, 2.
  • Management focuses on open communication, psychological support, and stress reduction techniques, rather than pharmacological intervention 1, 2.
  • The exact cause remains unclear, but theories include hormonal fluctuations, past trauma, relationship issues, or psychological factors 1, 2.

References

Research

Postcoital Symptoms in a Convenience Sample of Men and Women.

The journal of sexual medicine, 2020

Research

Postcoital Dysphoria: Prevalence and Correlates Among Males.

Journal of sex & marital therapy, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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