How's your diet? I know of some folks who got cured of all the symptoms you list by going on an anti-inflammatory diet and supporting gut with probiotics.
this just lowers lactic acid levels. We implemented this on POIS forums , this helps only people with very high lactic acid levels, and it never lasts
What we did was load on bifido only probiotics, which lowered lactic acid levels, pushed potassium back into the cell, and took a little pressure of progesterone
The problem with PFS POIS people is the actual crash after orgasm. People dont realize that it brings all the symptoms. And all the diets, or this or that, just little stilts to control it.
People can look at POISCENTER.com. this is s forum basically for PFS. and POIS. all the protocols not to have POIS are there. in PROTOCOL section.
Probiotics, gluten free diet, niacin , IDO inhibitors, testoserone cycling etc. None of this stuff cured it. but it helps to control POIS.