START HERE: Porn-Induced Sexual Dysfunction

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YBOP suggests you see a competent medical professional to rule out psychological issues, dietary deficiencies, hormonal imbalances, or other organic causes.

  1. If you haven't already, watch this video by Gabe Deem: The Basics Of Rebooting
  2. Watch this 13 minute video blog: Porn-Induced ED Reboot Advice Vlog: Gabe Deem (9 months to have sex, 15 months to get an erection by my own touch alone)
  3. A 3-minute video - "Did Porn Cause My Erectile Dysfunction? TAKE THE TEST!" (by Gabe Deem)
  4. You should also read Rebooting Basics.
  5. Many experts are starting to recognize this recent phenomenon. See - Experts who recognize porn-induced sexual dysfunctions, including PIED which contains studies, articles, blog posts, and radio & TV interviews.
  6. Peer-reviewed review of the literature - Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports (2016)

 

MAIN ARTICLE

Are you a porn user who is developing erectile dysfunction? There may be a erectile dysfunction and pornography addictionconnection between the two. When we first started chronicling men recovering from porn-induced erectile dysfunction we witnessed two main patterns of recovery:

  1. A few men bounce back in a relatively short time: about 2-3 weeks. Perhaps their ED is due to mild sexual conditioning accompanied by increasing habituation to online porn. Perhaps high levels of masturbation (fueled by porn), played a role. 
  2. The vast majority of guys we encountered needed only 2-3 months to fully recover.

Around 2011 - 2012 things started to change. That's when men in their twenties, who grew up using internet porn, reported needing several months to fully recover. Some needed up to a year to regain normal erectile functioning. A few need even longer. We suspected that the invention of porn tube sites, circa 2006, may have been the game changer. Aligning with what young men were reporting on forums, studies assessing young male sexuality since 2010 have reported historic levels of erectile dysfunction, and startling rates of a new scourge: low libido.

Most "long-rebooters" experience a variety of withdrawal symptoms, including the dreaded flatline. It's likely that men in this group have experienced addiction-related changes that reduce stimulation of the brain's erection centers. Without a doubt, sexual conditioning is the second mechanism responsible for PIED, especially among young guys who started early on Internet porn

Many men cannot believe that Internet porn has caused their ED—until they stop using it and recover completely. Instead, men tend to assume their ED with a sexual partner is caused by anxiety, low testosterone, the fact the person is not their "type," or lifestyle factors such as smoking or poor diet. If you are under 40, and not on specific medications, and don't have a serious medical or psychological condition, your copulatory ED almost certainly arises from performance anxiety or Internet porn—or a combination of the two.

Note: We use the term porn-induced sexual dysfunction because porn-related performance problems encompass far more than just ED (see the list below). However, porn-induced erectile dysfunction has emerged as the most common term with PIED as the favored acronym.


 

Wondering if your problem is porn-related?

Forum member: How are people so unaware of PIED? There are ads for boner pills all over every page of every porn website. The porn company profits on every click you make along the way to breaking your dick (and they KNOW you are breaking your dick, thus all the boner pill ads everywhere) and then they profit off your boner pill clicks as well. It's rather like Philip Morris, while profiting off of your online cigarette orders, having ads for Chronic Obstructive Pulmonary Disease meds and lung transplants all over the same pages that are selling you the cigarettes, and then profiting again off the clicks you make on behalf of your ruined lungs.

The first bit of advice is to see a good doctor to rule out any medical abnormality. If you have done so, try this simple test. It will help to distinguish between porn-induced ED and performance anxiety-induced ED (the most common diagnosis):

  1. On one occasion masturbate to your favorite porn (or simply remember what it was like).
  2. On another masturbate with no porn/porn fantasy. Try masturbating to sensation only (no fantasy), with the same speed and pressure you would experience during intercourse.

Compare one and two: quality of your erection, the time it took to ejaculate (if you can). A healthy young man should have no trouble attaining a full erection and masturbating to orgasm without porn or porn fantasy.

  • If you have a strong erection on #1, but erectile dysfunction on #2, then you likely have porn-induced ED.
  • If #2 is strong and solid, but you have trouble with a real partner, then you likely have anxiety-induced ED
  • If you have problems during both 1 & 2, you may have severe porn-induced ED, or an organic problem. When in doubt, see a good doctor.

The above test is helpful to differentiate porn-induced ED from performance anxiety: You cannot have anxiety with your own hand. However, it cannot always differentiate between organic ED (hormonal, structural) and severe porn-induced ED - as many men with porn-induced ED cannot maintain an erection even with porn. This test cannot assess if your ED arises from severe psychological issues such as clinical depression. Nor is the above test meant to assess whether you have recovered from porn-induced ED or not. (See How do I know when I'm back to normal?).

Other symptoms may be associated with porn-induced brain changes:

  • Difficulty maintaining an erection when putting on a condom
  • Difficulty reaching orgasm with a partner (delayed ejaculation)
  • Experiencing greater sexual excitement using porn than with a partner
  • Decreasing sensitivity of penis
  • Ejaculating when you are only partly erect, or getting totally erect only as you climax
  • Needing to fantasize to maintain erection or interest in sexual partner
  • Earlier genres of porn are no longer "exciting"
  • Declining sexual arousal with a sexual partner(s)
  • Losing erection while attempting penetration
  • Can't maintain erection or ejaculate with oral sex

 

Internet porn use can cause chronic ED; "excessive masturbation" or "sexual exhaustion" do not.

Internet porn (or rather its constant novelty) is the cause of chronic porn-induced ED. Excessive ejaculation and "sexual exhaustion" are not. Urologists agree that masturbation cannot cause chronic ED in healthy young men, unless one employs a serious "death grip" or traumatic masturbation techniques. Another myth is that masturbation or orgasm depletes testosterone leading to what many call "sexual exhaustion." All evidence suggests that porn-induced ED has absolutely nothing to do with low blood testosterone levels. (See: Any connection between orgasm, masturbation, and testosterone levels?)  A few websites declare that "over-masturbation" leads to sexual exhaustion and fabricate convoluted physiology to convince the reader. I address these claims in Isn't my ED caused by 'sexual exhaustion?'

On the other hand, it's possible that masturbation and orgasm could play an indirect role in porn-induced ED. Frequent ejaculation in animals leads to several brain changes that inhibit dopamine, and thus libido, for several days. Under normal circumstances, sexual satiety (defined differently for each species) leads to males taking a time out from sexual activity. Sexually satiated porn users may override these inhibitory mechanisms by escalating to new genres of porn, or spending more time watching. Using porn to push past "I'm done" signals may lead to desensitization, or eventually the accumulation of DeltaFosB, and resulting epigenetic changes. Without the lure of Internet porn, how many guys would just give it a rest? For more see: Does Frequent Ejaculation Cause A Hangover?

Why now? How different is Internet porn of today from porn of the past? We know of a healthy young man who rarely masturbated, but developed ED by just watching Internet porn: his schedule was to watch porn every day, but to masturbate only once every ten days. Others have developed ED by edging to porn every day, yet only ejaculating every few months.

Internet porn, with or without penile stimulation, keeps dopamine surging. Continued highspeed porn use, not masturbation, is what causes tolerance and escalation to more stimulating genres. Porn is what allows you to override your natural sexual satiation mechanisms and continue to masturbate or edge.

One guy comparing himself to his buddy:

My friend masturbates like 10-15 times a day. Not even exaggerating. He seriously has an addiction, but he thinks its normal. He also doesn't have Internet access, so he never really gets to watch porn either. And he's never had a problem keeping it up in bed. On the other hand, I can't remember the last time I masturbated without looking at porn. But I might masturbate only 4-5 times a week on average. And I have tremendous issues staying hard. At first I thought it was nerves, but after getting more acclimated with sex, I actually found sex to be tiring and boring. Unless the girl was deepthroating me and telling me to choke her, I don't really find sex to be all that great. I'm very desensitized to the female anatomy.

Strictly speaking, you don't have to be watching porn to develop ED:

I know with me I think I got so used to being almost hypnotized by girls online and masturbation, that real girls that I had to interact with in bed just threw me off and I couldn't perform. I'm not even talking about porn, I don't use porn but still look at clothed pictures of women online. Like a lot of other people here, I have relapsed plenty of times. I personally think it DOES have to be all or nothing, no 'little bit here and there.' You may not relapse if you start looking at girls online again, but I'm sure it slows down your reboot. I thought the same thing, that if I look just a little bit every once in awhile it would cumulatively fix me, it didn't.

In the last 20 years, I used to masturbate an average of more than once a day. I was never into porn. And yet, I experience all the symptoms that you guys do.

The problem isn't in your penis, so Viagra won't stop the deterioration even if it can temporarily mask the problem. The solution for PIED is to reboot your brain. For a psychiatrist's explanation of what's going on, here's an excerpt from The Brain That Changes Itself by psychiatrist Norman Doidge.

During the mid- to late 1990s, when the Internet was growing rapidly and pornography was exploding on it, I treated or assessed a number of men who all had essentially the same story. ... They reported increasing difficulty in being turned on by their actual sexual partners, spouses or girlfriends, though they still considered them objectively attractive. When I asked if this phenomenon had any relationship to viewing pornography, they answered that it initially helped them get more excited during sex but over time had the opposite effect. Now, instead of using their senses to enjoy being in bed, in the present, with their partners, lovemaking increasingly required them to fantasize that they were part of a porn script.

Lately we have seen more females describing porn-induced sexual problems:

Porn causing ED in Men/Causing loss of sex drive in women

I am female and I used to watch porn all the time. Mainly because my boyfriend could not get turned on without watching porn first. So he had me watch it with him.For a long time I could not get turned on without watching porn first and then having sex or masturbating. After a while I could not get turned on at all without porn and I could get an orgasm only when I masturbated, but not from sex. I have talked to female friends and some of them can not orgasm from sex but they can when they watch porn. So this does not only affect guys it affect women also.


 

What's happening in the brain to cause chronic porn-induced ED?

If you prefer a video, watch the YBOP PIED presentation from here up to the 41:00 mark. Three mechanisms appeared to be involved in the development of PIED:

  1. Conditioning your sexual arousal template to everything associated with your porn use (this occurs with probably everyone)
  2. Desensitization of the reward system structures (i.e. nucleus accumbens, VTA)
  3. Alterations regions of the hypothalamus that control erections (i.e. medial preoptic area,paraventricular nucleus)

1) Sexual Conditioning: Chronic porn use conditions your arousal to everything associated with your porn use, such as: being in the position of a voyeur; constant searching and seeking; wanting a endless parade of novel "sexual partners"; clicking from video to video to maintain sexual arousal; or the never-ending list of porn-induced fetishes users report. Porn-induced sexual conditioning can manifest as escalation to genres that don't match your original sexual tastes.

With Internet porn you can control your sexual arousal with click of a mouse or a swipe of the finger. However, this doesn't match real sexual encounters. The discrepancy between masturbating to online porn and real sex plays a huge role in PIED. Real sex is touching, being touched, smells, connecting and interacting with a person, all without a voyeur's position. Internet porn is 2-D voyeurism, clicking a mouse, searching, multiple tabs, while only interacting with your hand. To use a sports analogy, which event has your brain been training for? Years of Internet porn use can create a mismatch between what your brain expects, and what you actually encounter during real sex. When expectations are not met, dopamine drops, and so do erections.

Both sexual conditioning and addiction share the same key brain change, occurring in the same structure, which is initiated by the same biological signal. The brain change is called ‘sensitization’ (but full blown addiction involves additional brain changes as well). Sensitization occurs when the brain wires together the sights, sounds, smells, sensations, emotions, and memories associated with a big reward, such as masturbating to porn - creating nerve pathways that can blast our reward center in the future. When activated by cues or triggers, this pathway creates powerful, hard to ignore, cravings. Our most complete article describing this - Why Do I Find Porn More Exciting Than A Partner? (Studies reporting sensitization in porn users: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)

One major job of the adolescent brain is to learn all about sex: to rewire itself to the sexual environment. If this sexual environment is primarily masturbating to internet porn, then that's what the brain expects to experience during sexual encounters. Wiring one's sexual response to Internet porn before wiring to real partners (starting early with porn) is a major factor in long reboots for young guys. It's likely that this unfortunate trend is the natural outcome of highly malleable adolescent brains colliding with highspeed (i.e., hyperstimulating) porn. Recent research, revealing both how scientists can condition mammalian sexuality and the unique vulnerability of adolescent brains, supports this hypothesis.

2) Reward circuitry desensitization. Both sexual desire and erections are powered by dopamine arising from the brain's reward circuitry. To produce an erection, the dopamine-producing nerve cells in the reward circuitry activate the sexual (libido) centers of the hypothalamus, which in turn activate the erection centers in the spinal cord, which send nerve impulses to the genitalia. With desensitization the reward circuitry becomes the weak link in the erection chain.

With desensitization dopamine and opioids decline, as do certain dopamine receptors and opioid receptors. This leaves the individual less sensitive to pleasure, and "hungry" for dopamine-raising activities/substances of all kinds. Desensitization often manifests as the need for greater and greater stimulation to achieve the same buzz (‘tolerance’). Some porn users spend more time online, prolonging sessions through edging, watching when not masturbating, or searching for the perfect video to end with. Desensitization can also take the form of escalating to new genres, sometimes harder and stranger, or even disturbing. Remember: shock, surprise or anxiety can jack up dopamine. Desensitization can occur without the presence of a full blown addiction - this Max Planck study reported desensitization even in moderate porn users.(Studies reporting desensitization in porn users: 1, 2, 3, 4, 5, 6.)

3) Alteration of the hypothalamus sexual centers, which doesn't appear to occur with other addictions. The loss of nocturnal erections (morning wood) suggests the hypothalamic erection centers may be altered in severe PIED, or chronically low libido.

Although all rewards intertwine into overlapping circuits, each natural reward (food, water, love and sex) has its own devoted micro-circuits. With porn-induced ED, I suspect that male sexual centers (hypothalamus) and limbic circuits devoted to sexuality are also affected. Erections require adequate dopamine in the reward circuit and the male sexual centers. Could it be that years of overstimulation down-regulate dopamine signaling and rewire innate sexual circuits? Porn-induced ED in healthy young men, which takes months to reverse, suggests this is likely.

Further support for the "hypothalamus hypothesis" can be extrapolated from a 2012 fMRI study on men "psychogenic ED". Those with psychogenic had atrophy of the reward center (nucleus accumbens) and the male sexual centers within the hypothalamus.


 

What do guys who successfully recover suggest?

Always keep in mind that about porn-induced ED is on a spectrum. You must judge what's right for you based on your history, symptoms and current situation. Be flexible in your approach. The two main suggestions

1) Eliminate porn, porn substitutes, and recalling the porn you watched. Or to put it another way, eliminate all artificial sexual stimulation.

By artificial I mean pixels, audio and literature. No porn substitutes allowed, such as: surfing pictures on Facebook or dating sites, cruising Craigslist, underwear ads, YouTube videos, "erotic literature", etc. If it's not real life, just say 'no.'  It's not so much content as whether you are mimicking the behaviors that wired your brain to need novel, artificial stimulation. See - What stimuli must I avoid during my reboot? 

2) Rewire your sexual arousal to real people. While this helps everyone recover, it may be a key component for young men with little or no sexual experience. This does not mean that you need to have sex to "rewire." In fact, slowly getting to know someone is probably the best path. Snuggling, smooching, hanging out, whatever you can do to connect sexual arousal and affection to a real person, may be essential to your recovery. Said one young guy who recoverd from PIED:

Rewiring is just as important as avoiding porn. While it appears that a certain amount of time away from orgasm is needed, this number is not as great as most people think it is.

You see, a common mistake is that people try and tackle the reboot as if it's two separate pieces: reboot, THEN rewire. It's not. You can start rewiring whenever you want. The more rewiring you do, the faster you'll be cured of ED. Some guys have successfully employed fantasizing about sex as a form of rewiring One guy even pretended that his pillow was his girlfriend. See the following:

Sex can be beneficial, although orgasm may cause cravings. Some guys suggest gentle intercourse with no ejaculation, while others mix in ejaculation. If you have ED and decide to orgasm regularly, do not compare yourself to rebooting accounts where guys abstained from orgasm. If you are trying to reboot and have sex with a partner see the following FAQs:

"To Masturbate, or Not to Masturbate, That is The Question"

Short answer - you need to figure this one out for yourself. Logic indicates that you need only eliminate porn to regain erectile health. However, most of the men who recovered from porn-induced ED - and posted rebooting accounts - temporarily eliminated masturbation and drastically reduced frequency of orgasms (even with a partner).

There's also an established history of temporary sexual abstinence by men with porn addiction and those in recovery from sex addiction. Some suggest 90 days, see - No Sex For 90 Days?? - The Sex Fast, Part 1, by Terry Crews. And many rebooters claim that a temporary timeout helps reset their sexual arousal template.

It's possible that men who continue to regularly masturbate and orgasm during their recovery become frustrated at their lack of progress and give up. Maybe ejaculation induces cravings sending them back into porn binges. Since we have very little data on those who continue their previous rate of ejaculation, we can only report the success stories we have.

  • Key point 1: Our information comes from those who have posted rebooting accounts. There may be many guys who easily recover while continuing to regularly orgasm
  • Key point 2: Longer is not necessarily better, when it comes to complete abstinence from ejaculation. You need to be flexible and monitor the effects of orgasm as you progress in your reboot.
  • Key point 3: Some guys with porn-induced ED eventually need to orgasm in order to jump-start their brains after a reboot or extended flatline.

The reality is that some men continue to masturbate or have orgasms with a partner and make decent progress. What makes these guys different? Nearly all started late on Internet porn and had a steady diet of sex or masturbation to fantasy for years before Internet porn. For example:

I'm married, like you. I gave up the P and the M...but not the O's with my lovely wife. We had regular sex throughout my reboot. I still healed just fine. I no longer suffer from ED or PE at all, and my sex life is getting better all the time.

I'd never say my way is the only way. I just know it worked for me. And I ALSO think that I might have healed faster if I had abstained from the O's with my woman for a while...though I will never be sure. In my mind, it was a tradeoff I was willing to make. And it worked out well.

Another way to view porn-induced ED: Sometimes healing involves more than just removing the original cause of the problem. If you break your leg in three places, it takes more to heal than simply avoiding further accidents. You need to cast, immobilize, and not put stress on that leg until the bone is strong. Sexual contact is great, but ejaculation can slow your progress, especially in the beginning.

Back to the analogy: when the leg starts to feel better you don't test it by playing tackle football. In other words, having several orgasms in a row, following months of rebooting, may set you back. Ease into ejaculation. Although you may be functioning OK, most guys report continued progress after erection return.

YBOP is NOT an anti-masturbation website. I need to shout this, because I've read this nonsense on many forums, where discussions over Internet porn causing ED quickly devolve into pro/con masturbation debates. The name of the site is "Your Brain On Porn." Confusion occurs because: 1) this generation sees masturbation and porn use as synonymous, 2) men who recover best from ED do so by also eliminating masturbation/orgasm (temporarily). It's real simple: few men heal porn-induced ED while continuing on a regular masturbation schedule. We do not advocate abstinence as a permanent lifestyle. Note: Those with obsessive compulsive disorder or OCD tendencies who abstain from masturbation may experience increased symptoms. Even temporary abstinence may not be for you.

The last thing you want to do is to become so "anal" that you never attempt to give up porn. Check out this thread on The Orgasm Reboot, and this thread on a cult being developed around masturbation being unhealthy. The take away from both threads is that guys quit trying because they believe that rebooting is all or none. This is complete nonsense. If you fall back into porn use, you have not lost all your gains. Simply begin the process again.

Additional note: Although rebooting and rewiring your brain seem to be the keys, it may also be helpful to keep blood and nitric oxide flowing in the penis. Here's what this man's urologist suggested:

It's part of the same protocol they give to patients who have had a prostectomy. This can also be achieved with the use of a  vacuum erection device and probably through kegels and reverse kegels as well. I don't know how important this is for someone with PIED vs vascular forms of ED but it's what my doctor recommended and it seems to be helping. Taking them at a low dose over a period of time also helps to establish a baseline level of nitric oxide to help make erections stronger but that can also be achieved through diet and exercise which I recommend strongly. [NOTE: The longer term effects of becoming reliant on ED meds may not yet be established.)

Bottom line:

  1. Eliminate all artificial sexual stimuli: porn, chat rooms, erotic stories, surfing for pictures, etc.
  2. Contact with a partner may be essential. It doesn't have to be sexual intercourse, but there is nothing wrong with that.
  3. Orgasms may slow the process in the beginning, but this depends on multiple variables.
  4. There comes a point in the process where you need to rewire to real partners or consider masturbation.
  5. Longer is not necessarily better when it comes to complete abstinence from ejaculation. You need to be flexible and monitor the effects of orgasm as you progress in your reboot.

 

The process

The return to full erectile health can take 2 - 6 months or longer, so be patient. For more, see How long will it take to recover from Porn-Induced Sexual Dysfunction? Be aware that men report continued improvement long after their initial reboot. Since 2010 a disturbing pattern has emerged: Young men who have been using Internet porn since they began masturbating are requiring a longer recovery period. See the following links:

In other words, older men who spent years climaxing before delving into highspeed Internet porn recover faster. The older men used their imaginations to wire to real girls, whereas, younger guys have spent years wiring to computer screens and whatever. When it comes to porn-induced ED, waiting and waiting may not be sufficient. As mentioned above, young guys may need to rewire their sexual circuits to flesh and blood humans. This FAQ has many suggestions for those who reboots are taking a long time - Started on Internet porn and my reboot (Erectile Dysfunction) is taking too long.

Some men who have experienced a decline in their sexual responsiveness (without realizing its true cause) are afraid that avoiding masturbation and porn will make their libido disappear completely. It may disappear at first. The process of returning to full erectile strength often involves a decline before it gets better. See HELP! I quit porn, but my potency, genital size, and/or libido are decreasing (Flat-Line)

However, as their brains come back into balance, people tend to become more sensitive and sexually responsive, not less. People also notice that little things turn them on, such as a mere smile from a real woman. Older blog posts which address this phenomenon:

What is understandably confusing is that guys can get an itch to masturbate while they are experiencing erectile problems. The urge to jerk off is similar as the urge to eat junk food when you are obese. It may be addiction response to 1) reduced dopamine signaling which leaves you unsatisfied, plus 2) sensitized addiction pathways bombarding the reward circuit with "do it" messages. In a guy with porn-induced ED, this buzzing of your reward circuit isn't true libido; it's a cue-induced, drug-like craving. For years,  have simply ignored their true libido (when it signaled, "Enough!"). The urge to use was an urge triggered by cues revving up sensitized porn pathways.

Is an obese person who finished a large meal 2 hours ago truly hungry? No. But they still have room for dessert. Would a severely overweight person eat as many calories if she had only a hunter-gather diet of wild game, nuts and occasional berries? Of course not. When porn users remove the superstimulus (Internet porn) and go through a full reboot, they eventually discover their true libido,

For first-hand accounts of erectile dysfunction recovery see the links here. See Rebooting Accounts Page 1 and Rebooting Accounts Page 2 many more longer recovery stories. The "Benefits" PDF document contains many mini-self-reports, and we update it periodically. Here's a pep talk from a guy who recovered to another guy who, 15 days into recovery, had "absolutely no sex drive or erections":

This is normal. Hang in there. You probably are getting night erections (and morning erections) you just don't realise. If you wake up to an alarm, try waking up naturally. This will make sure you wake up just after the REM cycle and you'll still have your nocturnal wood. This might restore some faith in your penis. Best thing you can do though is give it time. Your body is amazingly adaptable and will restore balance eventually.


 

What's normal?

Porn-related erectile dysfunction, copulatory impotence (can get erect with today's porn, but not with partner) and delayed ejaculation are becoming more and more common, probably due to the extreme stimulation of the brain inherent in Internet porn. (See: He’s Just Not That Into Anyone.) Yet these conditions are certainly not "normal" in young men.

Here are signs that you are coming back to normal. Said one guy,

I think a sign that your equipment will start to work right, is when you see sexual images or semi-sexual images of folks on TV, and you feel tinglings in your brain, that's a sign you are starting to re-sensitize yourself to normal.

Please note: People here often recover their erectile health and can have healthy sex with a partner. However, recovery does not mean you will be able to go back to using porn without desensitizing your brain anew. As one forum member said:

My story began with porn-related ED: going soft inside a woman or after changing positions. Once I hit 3-4 weeks, my morning and random erections became very hard and frequent. I thought I must "test" myself to make sure everything is working. Trust me when I say, "There is no need to test; it is indeed working." I tested myself and ended up relapsing. First it was MO, then PMO... then the vicious cycle began all over again.


 

ADDENDUM: My response to those who doubt the existence of PIED

Introduction

Studies assessing young male sexuality since 2010 report historic levels of sexual dysfunctions, and startling rates of a new scourge: low libido. Documented in this lay article and in this literature review by the US Navy. Erectile dysfunction rates in these recent studies range from 14 to 33%, while rates for low libido (hypo-sexuality) range from 16% to 37%. The lower ranges are taken from studies involving teens and men 25 and under, while the higher ranges are from studies involving men 40 and under.

Prior to the advent of free streaming porn, cross-sectional studies and meta-analysis consistently reported erectile dysfunction rates of 2-5% in men under 40. That's nearly a 1000% increase in youthful ED rates in the last 15 years. What variable has changed in the last 15 years that could account for this astronomical rise? Only internet porn. The extensive recent US Navy review "Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports" addresses all the other suggested causes for this tremendous rise in youthful ED. It also takes on the research that claims to "disprove" the existence of porn-induced sexual dysfunctions.

Its authors warned that that internet pornography’s unique properties (limitless novelty, potential for easy escalation to more extreme material, video format, etc.) may be potent enough to condition sexual arousal to aspects of porn use that do not readily transition to real-life partners, such that sex with desired partners may not register as meeting expectations and arousal drops.

In 2011, the head of the Italian Society of Andrology and Sexual Medicine (SIAMS) warned that porn-induced ED exists. SIAMS, the largest urology organization in Italy, was the first group of medical doctors to address this emerging phenomenon via a survey. Their president reported that the clinics had guys eliminate porn use for 2-3 months. At the time of Dr. Foresta's announcement we had been writing articles about porn-induced ED for about 4 years.

Since 2011 more than 100 other experts have jumped on the bandwagon. Urology professors, urologists, psychiatrists, psychologists, sexologists, MDs and others now acknowledge (and many have successfully treated) porn-induced ED and porn-induced loss of sexual desire. In 2016, Belgian researchers reported that problematic porn use was associated with more cravings, but lower overall sexual satisfaction, and lower erectile function.

One of the most interesting papers to come out since the above-mentioned US Navy review was by a French psychiatrist and president of the largest European sexology organization Robert Porto, MD. Doctor Porto noted that masturbation accompanied by cyber-pornography use, “has been seen to play a role in the etiology of certain types of erectile dysfunction or coital anejaculation.” And that, "masturbation in its excessive and pre-eminent form, generally associated today to pornographic addiction, is too often overlooked in the clinical assessment of sexual dysfunction it can induce."

He reported on 35 patients with these dysfunctions. 19 of them experienced improvements after treatment to “unlearn” their masturbatory habits. According to Dr. Porto, “The dysfunctions regressed and these patients were able to enjoy satisfactory sexual activity.” Interestingly, even porn users who are not addicted can be at risk for developing porn-related sexual dysfunctions. Only one quarter of his patients were assessed as addicts.

Urologists are also speaking up. In 2016 Dr. Tarek Pacha delivered a presentation to his fellow doctors at the American Urological Association’s annual conference, entitled “Pornography induced erectile dysfunction (PIED): Understanding the scope, science, and treatment.” And in 2017, Navy doctors presented at the American Urological Association's annual conference warning that young men who prefer pornography to real-world sexual encounters might find themselves caught in a trap, unable to perform sexually with other people when the opportunity presents itself.

An extensive list of relevant studies are briefly described below.

Naysayers suggest that we need more studies to confirm the existence of porn-related ED before we can say it exists. However, it's painfully obvious that no researcher can conduct the ideal study, in which one group of young healthy men use internet porn for 10 years, and a comparable control group does not, with erectile function assessed through masturbation to sensation only (no porn).

There's only one practical way to confirm whether erectile dysfunction is porn-induced (PIED) or not: Eliminate porn use for a extended period of time and see if the sufferer regains normal erectile functioning, as has been done in multiple case studies, as reported above. See this peer-reviwed paper by Gary Wilson: Eliminate Chronic Internet Pornography Use to Reveal Its Effects (2016).

This eliminate-porn-and-see experiment is the one that is being conducted informally by thousands of guys in internet recovery forums across the world - with thousands of results now reported.  Regardless of what you may read in some journalistic accounts, multiple studies reveal a link between porn use and sexual performance problems, relationship and sexual dissatisfaction, and reduced brain activation to sexual stimuli.


The experiment - "unexplained chronic erectile dysfunction in young men and the removal of a single variable"

This ongoing experiment examining porn-induced ED is valid, reproducible, and empirical.

The Subjects:

  1. Thousands of otherwise healthy young men (ages 16 -35), with only one variable in common: Years of masturbation to Internet porn.
  2. The subjects differ in backgrounds, ethnicity, diets, exercise regimens, religious beliefs, moral beliefs, country of origin, education, economic status, on & on.
  3. These young men cannot achieve an erection without porn use, and gradually, some can no longer achieve an erection with porn use.
  4. Many have seen multiple health-care practitioners and all have tried a number of approaches to cure their copulatory ED with no results.
  5. Most state that they cannot believe that porn use could have caused ED. Some are very skeptical prior to starting their experiment of giving up masturbation to porn.
  6. The cause of their ED was not performance anxiety as they failed to achieve full erections while attempting to masturbate without porn (How do I know if my ED is porn-related? (TEST)

The regimen:

  1. All eliminate porn use.
  2. Most (but not all) eliminate, or drastically reduce, the frequency of masturbation.

The results:

Nearly every subject reports a similar constellation of physical and psychological symptoms when they stop porn use/masturbation, and a similar time-frame for the appearance of symptoms such as agitation, cravings, complete loss of libido. Recovery times vary: Between 2006-2010 most only needed 2-3 months, but length of recoveries have steadily increased over the last few years. Some now need 6-12 months or longer. All this suggests a very specific set of physical brain changes, and not a psychological "issue." The usual pattern of recovery is as follows:

  1. Subjects experience varying withdrawal symptoms that parallel drug/alcohol withdrawal, such as cravings, anxiety, lethargy, depression, brain fog, sleeping abnormalities, restlessness, agitation, aches, pains, etc.
  2. Within 1-2 weeks, most subjects experience what is called "the flatline": low libido, perceived changes in genital sensation or size.
  3. The flatline slowly abates and libido gradually increases, morning erections and spontaneous erections often show up, attraction to real partners increases, etc. Bursts of hyper-arousal are not uncommon before their libido regains its balance.
  4. If the men stick to the regimen, nearly all regain erectile health.
  5. Lengths of full recovery vary from a few weeks to several months. Most are in the 2-9 months range for chronic, long-standing ED.

Summary:

Young healthy men, with unexplained ED and only one variable in common (Internet porn use), attempt multiple regimens and treatments with no success. The subjects remove the one variable they have in common and almost all experience the same results - remission of their medical condition.

That's an experiment with unequivocal results. This is empirical evidence, and probably the best empirical evidence available under the circumstances.

Bottom line:

I have yet to see one naysayer address the ACTUAL FACTS as described. In debating the existence of porn-induced ED, doubters go no further than this point:

  • Some guys who watch Internet porn develop ED - so - "correlation does not equal causation."

They refuse to venture into the rest of the facts, such as:

  1. All subjects had been using porn for years with no problems getting erections to porn.
  2. Few report any moral or religious misgivings, or guilt, surrounding their porn use.
  3. Subjects experienced a gradual decline in sexual function - often over the course of years.
  4. Subjects could not attain an erection without porn, but many could with porn.
  5. Many subjects had seen medical professionals, and had tried various therapies or regimens - with no success.
  6. When they abstained, nearly all subjects experienced similar psychological and physical symptoms - many of which mimic withdrawal from an addiction.
  7. The clincher: All had only one variable in common. When that single variable was removed (masturbation to porn) - nearly all regained erectile health.  (If they did not regain erectile health and libido, the cause of their ED was likely not porn use.)
  8. Subjects who recover and regain erectile health and then return to regular porn use eventually report a return of ED, once again demonstrating causation.

Studies linking porn use/porn addiction to sexual problems and lower arousal

The first 4 studies demonstrate causation as participants eliminated porn use and healed chronic sexual dysfunctions:

1) Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports (2016) - An extensive review of the literature related to porn-induced sexual problems. Involving US Navy doctors, the review provides the latest data revealing a tremendous rise in youthful sexual problems. It also reviews the neurological studies related to porn addiction and sexual conditioning via Internet porn. The doctors provide 3 clinical reports of men who developed porn-induced sexual dysfunctions. Two of the three men healed their sexual dysfunctions by eliminating porn use. The third man experienced little improvement as he was unable to abstain from porn use. Excerpt:

Traditional factors that once explained men’s sexual difficulties appear insufficient to account for the sharp rise in erectile dysfunction, delayed ejaculation, decreased sexual satisfaction, and diminished libido during partnered sex in men under 40. This review (1) considers data from multiple domains, e.g., clinical, biological (addiction/urology), psychological (sexual conditioning), sociological; and (2) presents a series of clinical reports, all with the aim of proposing a possible direction for future research of this phenomenon. Alterations to the brain's motivational system are explored as a possible etiology underlying pornography-related sexual dysfunctions. This review also considers evidence that Internet pornography’s unique properties (limitless novelty, potential for easy escalation to more extreme material, video format, etc.) may be potent enough to condition sexual arousal to aspects of Internet pornography use that do not readily transition to real-life partners, such that sex with desired partners may not register as meeting expectations and arousal declines. Clinical reports suggest that terminating Internet pornography use is sometimes sufficient to reverse negative effects, underscoring the need for extensive investigation using methodologies that have subjects remove the variable of Internet pornography use.

2) Male masturbation habits and sexual dysfunctions (2016) - It's by a French psychiatrist who is the current president of the European Federation of Sexology. While the abstract shifts back and forth between Internet pornography use and masturbation, it's clear that he's mostly referring to porn-induced sexual dysfunctions (erectile dysfunction and anorgasmia). The paper revolves around his clinical experience with 35 men who developed erectile dysfunction and/or anorgasmia, and his therapeutic approaches to help them. The author states that most of his patients used porn, with several being addicted to porn. The abstract points to internet porn as the primary cause of the problems (keep in mind that masturbation does not cause chronic ED, and it is never given as a cause of ED). Excerpts:

Intro: Harmless and even helpful in his usual form widely practiced, masturbation in its excessive and pre-eminent form, generally associated today to pornographic addiction, is too often overlooked in the clinical assessment of sexual dysfunction it can induce.

Results: Initial results for these patients, after treatment to “unlearn” their masturbatory habits and their often associated addiction to pornography, are encouraging and promising. A reduction in symptoms was obtained in 19 patients out of 35. The dysfunctions regressed and these patients were able to enjoy satisfactory sexual activity.

Conclusion: Addictive masturbation, often accompanied by a dependency on cyber-pornography, has been seen to play a role in the etiology of certain types of erectile dysfunction or coital anejaculation. It is important to systematically identify the presence of these habits rather than conduct a diagnosis by elimination, in order to include habit-breaking deconditioning techniques in managing these dysfunctions.

3) Unusual masturbatory practice as an etiological factor in the diagnosis and treatment of sexual dysfunction in young men (2014) – One of the 4 case studies in this paper reports on a man with porn-induced sexual problems (low libido, fetishes, anorgasmia). The sexual intervention called for a 6-week abstinence from porn and masturbation. After 8 months the man reported increased sexual desire, successful sex and orgasm, and enjoying “good sexual practices. This is the first peer-reviewed chronicling of a recovery from porn-induced sexual dysfunctions. Excerpts from the paper:

"When asked about masturbatory practices, he reported that in the past he had been masturbating vigorously and rapidly while watching pornography since adolescence. The pornography originally consisted mainly of zoophilia, and bondage, domination, sadism, and masochism, but he eventually got habituated to these materials and needed more hardcore pornography scenes, including transgender sex, orgies, and violent sex. He used to buy illegal pornographic movies on violent sex acts and rape and visualized those scenes in his imagination to function sexually with women. He gradually lost his desire and his ability to fantasize and decreased his masturbation frequency."

In conjunction with weekly sessions with a sex therapist, the patient was instructed to avoid any exposure to sexually explicit material, including videos, newspapers, books, and internet pornography.

After 8 months, the patient reported experiencing successful orgasm and ejaculation. He renewed his relationship with that woman, and they gradually succeeded in enjoying good sexual practices.

4) How difficult is it to treat delayed ejaculation within a short-term psychosexual model? A case study comparison (2017) - A report on two "composite cases" illustrating the causes and treatments for delayed ejaculation (anorgasmia). "Patient B" represented several young men treated by the therapist. Interestingly, the paper states that Patient B's "porn use had escalated into harder material", "as is often the case". The paper says that porn-related delayed ejaculation is not uncommon, and on the rise. The author calls for more research on porn's effects of sexual functioning. Patient B's delayed ejaculation was healed after 10 weeks of no porn. Excerpts:

The cases are composite cases taken from my work within the National Health Service in Croydon University Hospital, London. With the latter case (Patient B), it is important to note that the presentation reflects a number of young males who have been referred by their GPs with a similar diagnosis. Patient B is a 19-year-old who presented because he was unable to ejaculate via penetration. When he was 13, he was regularly accessing pornography sites either on his own through internet searches or via links that his friends sent him. He began masturbating every night while searching his phone for image…If he did not masturbate he was unable to sleep. The pornography he was using had escalated, as is often the case (see Hudson-Allez, 2010), into harder material (nothing illegal)…

Patient B was exposed to sexual imagery via pornography from the age of 12 and the pornography he was using had escalated to bondage and dominance by the age of 15.

We agreed that he would no longer use pornography to masturbate. This meant leaving his phone in a different room at night. We agreed that he would masturbate in a different way….

Patient B was able to achieve orgasm via penetration by the fifth session; the sessions are offered fortnightly in Croydon University Hospital so session five equates to approximately 10 weeks from consultation. He was happy and greatly relieved. In a three-month follow-up with Patient B, things were still going well.

Patient B is not an isolated case within the National Health Service (NHS) and in fact young men in general accessing psychosexual therapy, without their partners, speaks in itself to the stirrings of change.

This article therefore supports previous research that has linked masturbation style to sexual dysfunction and pornography to masturbation style. The article concludes by suggesting that the successes of psychosexual therapists in working with DE are rarely recorded in the academic literature, which has allowed the view of DE as a difficult disorder to treat remain largely unchallenged. The article calls for research into pornography usage and its effect on masturbation and genital desensitisation.

 

5) The Dual Control Model - The Role Of Sexual Inhibition & Excitation In Sexual Arousal And Behavior (2007) - Newly rediscovered and very convincing. In an experiment employing video porn, 50% of the young men couldn't become aroused or achieve erections with porn (average age was 29). The shocked researchers discovered that the men's erectile dysfunction was,

"related to high levels of exposure to and experience with sexually explicit materials."

The men experiencing erectile dysfunction had spent a considerable amount of time in bars and bathhouses where porn was "omnipresent," and "continuously playing". The researchers stated:

"Conversations with the subjects reinforced our idea that in some of them a high exposure to erotica seemed to have resulted in a lower responsivity to "vanilla sex" erotica and an increased need for novelty and variation, in some cases combined with a need for very specific types of stimuli in order to get aroused."

6) Neural Correlates of Sexual Cue Reactivity in Individuals with and without Compulsive Sexual Behaviours (2014) - This fMRI study by Cambridge University found sensitization in porn addicts which mirrored sensitization in drug addicts. It also found that porn addicts fit the accepted addiction model of wanting "it" more, but not liking "it" more. The researchers also reported that 60% of subjects (average age: 25) had difficulty achieving erections/arousal with real partners as a result of using porn, yet could achieve erections with porn. From the study (CSB is compulsive sexual behaviours):

"CSB subjects reported that as a result of excessive use of sexually explicit materials.....[they] experienced diminished libido or erectile function specifically in physical relationships with women (although not in relationship to the sexually explicit material)"

"Compared to healthy volunteers, CSB subjects had greater subjective sexual desire or wanting to explicit cues and had greater liking scores to erotic cues, thus demonstrating a dissociation between wanting and liking. CSB subjects also had greater impairments of sexual arousal and erectile difficulties in intimate relationships but not with sexually explicit materials highlighting that the enhanced desire scores were specific to the explicit cues and not generalized heightened sexual desire."

7) Online sexual activities: An exploratory study of problematic and non-problematic usage patterns in a sample of men (2016) - This Belgian study from a leading research university found problematic Internet porn use was associated with reduced erectile function and reduced overall sexual satisfaction. Yet problematic porn users experienced greater cravings. The study appears to report escalation, as 49% of the men viewed porn that "was not previously interesting to them or that they considered disgusting." (See studies reporting habituation/desensitization to porn and escalation of porn use) Excerpts:

"This study is the first to directly investigate the relationships between sexual dysfunctions and problematic involvement in OSAs. Results indicated that higher sexual desire, lower overall sexual satisfaction, and lower erectile function were associated with problematic OSAs (online sexual activities). These results can be linked to those of previous studies reporting a high level of arousability in association with sexual addiction symptoms (Bancroft & Vukadinovic, 2004; Laier et al., 2013; Muise et al., 2013)."

In addition, we finally have a study that asks porn users about possible escalation to new or disturbing porn genres. Guess what it found?

"Forty-nine percent mentioned at least sometimes searching for sexual content or being involved in OSAs that were not previously interesting to them or that they considered disgusting, and 61.7% reported that at least sometimes OSAs were associated with shame or guilty feelings."

Note - This is the first study to directly investigate the relationships between sexual dysfunctions and problematic porn use. Two other studies claiming to have investigated correlations between porn use and erectile functioning cobbled together data from earlier studies in an unsuccessful attempt to debunk porn-induced ED. Both were criticized in the peer-reviewed literature: paper 1 was not an authentic study, and has been thoroughly discredited; paper 2 actually found correlations that support porn-induced ED. Moreover, paper 2 was only a "brief communication" that did not report important data.

8) Adolescents and web porn: a new era of sexuality (2015) - This Italian study analyzed the effects of Internet porn on high school seniors, co-authored by urology professor Carlo Foresta, president of the Italian Society of Reproductive Pathophysiology. The most interesting finding is that 16% of those who consume porn more than once a week report abnormally low sexual desire compared with 0% in non-consumers (and 6% for those who consume less than once a week). From the study:

"21.9% define it as habitual, 10% report that it reduces sexual interest towards potential real-life partners, and the remaining, 9.1% report a kind of addiction. In addition, 19% of overall pornography consumers report an abnormal sexual response, while the percentage rose to 25.1% among regular consumers."

9) Patient Characteristics by Type of Hypersexuality Referral: A Quantitative Chart Review of 115 Consecutive Male Cases (2015) - Study on men (average age 41.5) with hypersexuality disorders, such as paraphilias and chronic masturbation or adultery. 27 were classified as "avoidant masturbators," meaning they masturbated (typically with porn use) one or more hours per day or more than 7 hours per week. 71% reported sexual functioning problems, with 33% reporting delayed ejaculation (a precursor to porn-induced ED). What sexual dysfunction do 38% of the remaining men have? The study doesn't say, and the authors have ignored requests for details. Two primary choices for male sexual dysfunction are ED and low libido. The men were not asked about their erectile functioning without porn. If all their sexual activity involved masturbating to porn, and not sex with a partner, they might never realize they had porn-induced ED.

10) The effects of sexually explicit material use on romantic relationship dynamics (2016) - As with many other studies, solitary porn users report poorer relationship and sexual satisfaction. Employing the Pornography Consumption Effect Scale (PCES), the study found that higher porn use was related to poorer sexual function, more sexual problems, and a "worse sex life". An excerpt describing the correlation between the PCES "Negative Effects" on "Sex Life" questions and frequency of porn use:

There were no significant differences for the Negative Effect Dimension PCES across the frequency of sexually explicit material use; however, there were significant differences on the Sex Life subscale where High Frequency Porn Users reported greater negative effects than Low Frequency Porn Users.

11) Altered Appetitive Conditioning and Neural Connectivity in Subjects With Compulsive Sexual Behavior (2016) - "Compulsive Sexual Behaviors" (CSB) means the men were porn addicts, because CSB subjects averaged nearly 20 hours of porn use per week. The controls averaged 29 minutes per week. Interestingly, 3 of the 20 CSB subjects mentioned to interviewers that they suffered from "orgasmic-erection disorder," while none of the control subjects reported sexual problems.

12) Men's Sexual Life and Repeated Exposure to Pornography. A New Issue? (2015) - Excerpts:

Mental health specialists should take in consideration the possible effects of pornography consumption on men sexual behaviors, men sexual difficulties and other attitudes related to sexuality. In the long term pornography seems to create sexual dysfunctions, especially the individual’s inability to reach an orgasm with his partner. Someone who spends most of his sexual life masturbating while watching porn engages his brain in rewiring its natural sexual sets (Doidge, 2007) so that it will soon need visual stimulation to achieve an orgasm.

Many different symptoms of porn consumption, such as the need to involve a partner in watching porn, the difficulty in reaching orgasm, the need for porn images in order to ejaculate turn into sexual problems. These sexual behaviors may go on for months or years and it may be mentally and bodily associated with the erectile dysfunction, although it is not an organic dysfunction. Because of this confusion, which generates embarrassment, shame and denial, lots of men refuse to encounter a specialist

Pornography offers a very simple alternative to obtain pleasure without implying other factors that were involved in human’s sexuality along the history of mankind. The brain develops an alternative path for sexuality which excludes “the other real person” from the equation. Furthermore, pornography consumption in a long term makes men more prone to difficulties in obtaining an erection in a presence of their partners.

13) Brain Structure and Functional Connectivity Associated With Pornography Consumption: The Brain on Porn (2014) - A Max Planck study which found 3 significant addiction-related brain changes correlating with the amount of porn consumed. It also found that the more porn consumed the less reward circuit activity in response to brief exposure (.530 second) to vanilla porn. In a 2014 article lead author Simone Kühn said:

"We assume that subjects with a high porn consumption need increasing stimulation to receive the same amount of reward. That could mean that regular consumption of pornography more or less wears out your reward system. That would fit perfectly the hypothesis that their reward systems need growing stimulation."

A more technical description of this study from a review of the literature by Kuhn & Gallinat - Neurobiological Basis of Hypersexuality (2016).

"The more hours participants reported consuming pornography, the smaller the BOLD response in left putamen in response to sexual images. Moreover, we found that more hours spent watching pornography was associated with smaller gray matter volume in the striatum, more precisely in the right caudate reaching into the ventral putamen. We speculate that the brain structural volume deficit may reflect the results of tolerance after desensitization to sexual stimuli."

14) Sexual Desire, not Hypersexuality, is Related to Neurophysiological Responses Elicited by Sexual Images (2013) - This EEG study was touted in the media as evidence against the existence of porn addiction. Not so. In line with the Cambridge University brain scan studies, this EEG study reported greater cue-reactivity to porn correlated with less desire for partnered sex. To put another way - individuals with more brain activation and cravings for porn would rather masturbate to porn than have sex with a real person. Shockingly, study spokesperson Nicole Prause claimed that porn users merely had "high libido", yet the results of the study say the exact opposite (their desire for partnered sex was dropping in relation to signs of addiction). Five peer-reviewed papers expose the truth: 1, 2, 3, 4, 5. Also see the extensive YBOP critique.

15) Modulation of Late Positive Potentials by Sexual Images in Problem Users and Controls Inconsistent with "Porn Addiction" (2015) - Another Nicole Prause EEG study. This time comparing the 2013 subjects from the above study to an actual control group. The results: compared to controls, "porn addicts" had less response to one-second exposure to photos of vanilla porn. The lead author, Nicole Prause, claimed these results debunk porn addiction (contrary to caims no studies falsify the porn addiction model). However, these findings align perfectly with Kühn & Gallinat (2014), which found that more porn use correlated with less brain activation in response to pictures of vanilla porn. Put simply, frequent porn users were desensitized to static images of vanilla porn. They were bored (habituated or desensitized). See this extensive YBOP critique. Six peer-reviewed papers agree that this study actually found desensitization/habituation in frequent porn users (a sign of addiction): 1, 2, 3, 4, 5, 6. By the way, another EEG study found that greater porn use in women correlated with less brain activation to porn.

16) Masturbation and Pornography Use Among Coupled Heterosexual Men With Decreased Sexual Desire: How Many Roles of Masturbation? (2015) - Masturbating to porn was related with decreased sexual desire and low relationship intimacy. Excerpts:

"Among men who masturbated frequently, 70% used pornography at least once a week. A multivariate assessment showed that sexual boredom, frequent pornography use, and low relationship intimacy significantly increased the odds of reporting frequent masturbation among coupled men with decreased sexual desire."

"Among men [with decreased sexual desire] who used pornography at least once a week [in 2011], 26.1% reported that they were unable to control their pornography use. In addition, 26.7% of men reported that their use of pornography negatively affected their partnered sex and 21.1% claimed to have attempted to stop using pornography."

17) Use of pornography in a random sample of Norwegian heterosexual couples (2009) - Porn use was correlated with more sexual dysfunctions in the man and negative self perception in the female. The couples who did not use porn had no sexual dysfunctions. A few excerpts from the study:

In couples where only one partner used pornography, we found more problems related to arousal (male) and negative (female) self-perception.

In those couples where one partner used pornography there was a permissive erotic climate. At the same time, these couples seemed to have more dysfunctions.

The couples who did not use pornography... may be considered more traditional in relation to the theory of sexual scripts. At the same time, they did not seem to have any dysfunctions.

Couples who both reported pornography use grouped to the positive pole on the ‘‘Erotic climate’’ function and somewhat to the negative pole on the ‘‘Dysfunctions’’ function.

18) Erectile Dysfunction, Boredom, and Hypersexuality among Coupled Men from Two European Countries (2015) - Survey reported a strong correlation between erectile dysfunction and measures of hypersexuality. The study omitted correlation data between erectile functioning and pornography use, but noted a significant correlation. An excerpt:

Among Croatian and German men, hypersexuality was significantly correlated with proneness to sexual boredom and more problems with erectile function.

19) An Online Assessment of Personality, Psychological, and Sexuality Trait Variables Associated with Self-Reported Hypersexual Behavior (2015) – Survey reported a common theme found in several other studies listed here: Porn/sex addicts report greater arousabilty (cravings related to their addiction) combined with poorer sexual function (fear of experiencing erectile dysfunction).

Hypersexual" behavior represents a perceived inability to control one's sexual behavior. To investigate hypersexual behavior, an international sample of 510 self-identified heterosexual, bisexual, and homosexual men and women completed an anonymous online self-report questionnaire battery.

Thus, the data indicated that hypersexual behavior is more common for males, and those who report being younger in age, more easily sexually excited, more sexually inhibited due to the threat of performance failure, less sexually inhibited due to the threat of performance consequences, and more impulsive, anxious, and depressed

20) Study sees link between porn and sexual dysfunction (2017) - The findings of an upcoming study presented at the American Urological Association's annual meeting. A few excerpts:

Young men who prefer pornography to real-world sexual encounters might find themselves caught in a trap, unable to perform sexually with other people when the opportunity presents itself, a new study reports. Porn-addicted men are more likely to suffer from erectile dysfunction and are less likely to be satisfied with sexual intercourse, according to survey findings presented Friday at the American Urological Association's annual meeting, in Boston.

"The rates of organic causes of erectile dysfunction in this age cohort are extremely low, so the increase in erectile dysfunction that we have seen over time for this group needs to be explained," Christman said. "We believe that pornography use may be one piece to that puzzle".

21) - Associative pathways between pornography consumption and reduced sexual satisfaction (2017) - This study is found in both lists. While it links porn use to lower sexual satisfaction, it also reported that frequency of porn use was related to a preference (or need?) for porn over people to achieve sexual arousal. An excerpt:

Finally, we found that frequency of pornography consumption was also directly related to a relative preference for pornographic rather than partnered sexual excitement. Participants in the present study primarily consumed pornography for masturbation. Thus, this finding could be indicative of a masturbatory conditioning effect (Cline, 1994; Malamuth, 1981; Wright, 2011). The more frequently pornography is used as an arousal tool for masturbation, the more an individual may become conditioned to pornographic as opposed to other sources of sexual arousal.

22) “I think it has been a negative influence in many ways but at the same time I can’t stop using it”: Self-identified problematic pornography use among a sample of young Australians (2017) - Online survey of Australians, aged 15-29.  Those who had ever viewed pornography (n=856) were asked in an open-ended question: ‘How has pornography influenced your life?’.

Among participants who responded to the open-ended question (n=718), problematic usage was self-identified by 88 respondents. Male participants who reported problematic usage of pornography highlighted effects in three areas: on sexual function, arousal and relationships. Responses included “I think it has been a negative influence in many ways but at the same time I can’t stop using it” (Male, Aged 18–19). Some female participants also reported problematic usage, with many of these reporting negative feelings like guilt and shame, impact on sexual desire and compulsions relating to their use of pornography. For example as one female participant suggested; “It makes me feel guilty, and I’m trying to stop. I don’t like how I feel that I need it to get myself going, it’s not healthy.” (Female, Aged 18–19)

23) Exploring the Relationship Between Erotic Disruption During the Latency Period and the Use of Sexually Explicit Material, Online Sexual Behaviors, and Sexual Dysfunctions in Young Adulthood (2009) - Study examined correlations between current porn use (sexually explicit material - SEM) and sexual dysfunctions, and porn use during "latency period" (ages 6-12) and sexual dysfunctions. The average age of participants was 22. While current porn use correlated with sexual dysfunctions, porn use during latency (ages 6-12) had an even stronger correlation with sexual dysfunctions. A few excerpts:

Findings suggested that latency erotic disruption by way of sexually explicit material (SEM) and/or child sexual abuse may be associated to adult online sexual behaviors.

Furthermore, results demonstrated that latency SEM exposure was a significant predictor of adult sexual dysfunctions.

We hypothesized that exposure to latency SEM exposure would predict adult use of SEM. Study findings supported our hypothesis, and demonstrated that latency SEM exposure was a statistically significant predictor of adult SEM use. This suggested that individuals who were exposed to SEM during latency, may continue this behavior into adulthood. Study findings also indicated that latency SEM exposure was a significant predictor of adult online sexual behaviors.

24) Lecture describing upcoming studies - by Urology professor Carlo Foresta, president of the Italian Society of Reproductive Pathophysiology - The lecture contains the results of longitudinal and cross-sectional studies. One study involved a survey of high school teens (pages 52-53). The study reported that sexual dysfunction doubled between 2005 and 2013, with low sexual desire increasing 600%.

  • The percentage of teens that experienced alterations of their sexuality: 2004/05: 7.2%, 2012/13: 14.5%
  • The percentage of teens with low sexual desire: 2004/05: 1.7%, 2012/13: 10.3% (that's a 600% increase in 8 years)

Foresta also describes his upcoming study, "Sexuality media and new forms of sexual pathology sample 125 young males, 19-25 years" (Italian name - "Sessualità mediatica e nuove forme di patologia sessuale Campione 125 giovani maschi"). The results from the study (pages 77-78), which used the International Index of Erectile Function Questionnaire, found that regular porn users scored 50% lower on sexual desire domain and 30% lower of the erectile functioning domain.

25) (not peer-reviewed) Here's an article about an extensive analysis of comments and questions posted on MedHelp concerning erectile dysfunction. What's shocking is that 58% of the men asking for help were 24 or younger. Many suspected that internet porn could be involved as described in the results from the study -

The most common phrase is “erectile dysfunction” – which is mentioned more than three times as often as any other phrase – followed by “internet porn,” “performance anxiety,” and “watching porn.”

Clearly, porn is a frequently discussed subject: “I have been viewing internet pornography frequently (4 to 5 times a week) for the past 6 years,” one man writes. “I am in my mid-20s and have had a problem getting and maintaining an erection with sexual partners since my late teens when I first started looking at internet porn.”

Article about the latest spin campaign: Sexologists Deny Porn-induced ED by Claiming Masturbation Is the Problem (2016)

Dubious studies find no such correlations between ED rates and recent hours/frequency of porn use, and make exaggerated claims that their authors have thus "disproven" the existence of porn-induced sexual dysfunctions. It remains to be seen which aspects of porn use are most predictive of sexual dysfunctions. Frequency of use may not be as predictive as some constellation of years of use, age use started, weekly hours of use over time, percentage of climaxes to internet porn, escalation to novel porn genres, development of porn-induced fetishes, gaps in partnered sex, genetics, etc.


 

Comments

This morning I dreamed I was actually having intercourse with someone. I've come close in my dreamstate but this is the first time in my life I've ever actually had intercourse in a dream. Regrettably the alarm went off just as this was getting interesting. I have been having morning wood on a pretty regular basis too.

Also, regrettably I acted out with PMO today. I have been trying not to feel ashamed of myself for the failing but it is hard not to.

I noticed as a result of this article that is sometimes difficult to get an erection when making love with my wife....I may well be suffering some ED myself.

I am recommitting myself to abstinence and healing.

with what you describe. It's really simple. If you can get better erections for porn, than you can for the real thing, then your brain has changed. As you know, shame is counterproductive, and relapse is the norm. Just start again. The dream probably activated your sensitized porn pathways. No big deal.

Hy, I'm a 25 years old male and i found this website 2 months a go, i watched the videos about how porn induced ED works an also read some articles and testimonials of recovered users on the site. Since then i have never watched porn or masturbated, I used to PMO from age 15 or less i think.
So now after 2 months i don't thing i made too much progres with the ED recovery I see girls and i find them atractive but i get no erection like i used to, I have some weak erections at night or in the morning but not strong erections and also, i feel my libido is still verry weak. I read here that it takes 2-3 moths to recover, but i'm in my 3rd month and i don't see much progress. any advice for me?

It's true that some men need longer - maybe 90-120 days - and still don't realize they have recovered until they attempt to masturbate or have sex with a partner. It's possible, you need more time - a lot of men do. Recovery can be quite sudden for some. Here's one example - http://yourbrainonporn.com/week-7-of-no-pmo

Or you may need a real life scenario to prompt your libido. In addition, at age 25, don't expect libido or spontaneous erections to be like a 15 year old. However, morning or night erections should be strong when they occur.

I would also ecourage you to see a urologist to rule out any medical condition, such as low testosterone.

Keep us updated, and feel free to ask more questions.

  • [90 days no PMO, severe long-term ED] This is the first time I've had intercourse without fantasizing about something else. Basically focusing on my wife is a turn on! I might have expected too much of myself in the past. I assumed that I should be up and ready to go at a second's notice, no matter what. I expected to get a boner every time I looked at a beautiful woman. Now my expectation is to eventually get erect if I'm relaxed in the presence of a woman I like (i.e. my wife).

    On the first night, it wasn't until I started cuddling with my wife that my erection emerged. I'm now starting to "feel" my libido a little bit throughout the day. I believe I'm cured, and I think my problem was a mixture of performance anxiety and too much masturbation. If 4 days of intercourse in a row with my wife don't convince me that my libido is okay, what will?

It has been two weeks since my ed started. I was on a one week trip with no access to internet and I masturbated once without fantasy and porn. I remember my penis not being as hard with just sensations. During the trip my libido was raging and I was horny all the time. When I returned I started experiencing low libido and ed. Even when I watched porn my libido didn't return. I started to experience things similar to the people who stopped porn: unstable libido, weak erections, depression, and HOCD. I am 15, I started porn two years ago, and have been masturbating for about 10 months. I used to watch porn daily, but I held the masturbation a little(5 times a week)

You say " If you are a heavy porn user " . well , I'm not sure if I'm a heavy porn user ! , I can spend nearly two weeks without porn , but then I have this unstoppable desire to watch porn and I do , I watch porn for like three to six times and then I " decide" to stop again , during the period that I spend without porn I masturbate by my self using fantasy , but when it comes to real sex with a real partner I have this strange low libido , although I'm horny before meeting , but just before sex sometimes I have Ed , and a fear of being cold and not able to get it up ....sometimes I feel that I'm attached to some porn scripts that I prefered !

I have the strength continue this journey of healing , but I want to be sure that my problem of ED is related to porn , and not just anxiety or over-thinking , or maybe something else!

please answer me soon

I can't thank you enough for this site !

I must add that it's true that recently I've reduced watching porn , but when I was a teenager I grew up on porn habit , I spent years on porn when I was a student , but now I'm 27 and it's been a year since I reduced porn in my life , I guess my ED is still related to porn , right ?

sorry for confusion !

I can't thank you enough for this site !

However, how's your erection when you masturbate with no porn and no fantasy - only sensation?

I fantasize myself having sex with someone , if what you mean by using only sensation is using only the effect of my hand and the movement ... Then I guess I rarely did that ! , to imagine myself in a sexual position ( not porn scenes ) is necessary ! , I'm gonna start rebooting for sure after finishing what I should read and watch

I can't thank you enough for this site !

ED + premature ejaculation? Anyone been in the same boat?

So, as the title states. I seem to suffer from both ED and premature ejaculation. When I would begin to get it on with a lady once I had an erection I would ejaculate very quickly (like 10-15 sec). I'm on the nofap wagon to hopefully eliminate the ED but I'm not so sure about the premature ejaculation. When I did masturbate it would be bedtime so I would try to finish as quickly as possible so I could go to sleep. I think this coupled with nervousness with a girl is what is ultimately responsible for the premature ejaculation. Has anyone been through this before? Any advice besides knowing that the nervousness will subside as I become more comfortable with a partner?

Forgive me if this isnt the right place to post. I would like to start to blog a bit, and I dont see the place to post or create new threads.

Anyways day 8! last time I tried this I went seven days, but my goal was 7 days. This time I don't know what my goal is. I mean personally I would like no fap ever again and just have a happy healthy sexual relationship. At this point I cant see any major benefits. At this point I am just looking for a release, and fighting urges. I have felt hungover for most the time. I want to post more but I want to start a thread to do it.

For now I was wondering how men have coped when trying to do this with a partner? I have recently reconciled with my ex-wife and I am sure a major reason for our split was my erectile dysfunction. We have had sex since our reconciliation, and it was successful. I have not had sex since my reboot. One of the reasons for my chronic fapping is that shes not there when I need her most. So I just do it and then leave her alone. But it builds resentment and as we know ED! So now here I am without fapping and I want to get off, But as of now she isn't responding. And I feel like her and I are back at square one. Should I continue to attempt to seduce her? She doesn't know about my reboot, I want to talk to her about everything but she seems unapproachable. And so now I feel resentful.

We don't have a forum, so only comments are allowed

We have an FAQ on this - Rebooting with a partner.

You can check out rebooting accounts for the men who did reboot with a partner. I strongly suggest visiting - http://www.yourbrainrebalanced.com/ - as the majority of the men there are rebooting because they have ED. You can start a journal there and get lots of support and advice.

Most guys drastically reduce or eliminate orgasm during their reboot - but you will get differing opinions on this.

Hello,

I am 21 years old and have been struggling with this on and off for the greater part of this year. I stopped for a while and have had a couple relapses. My confusion is, when i masturbate sometimes i only get about a 50-60% erection and can still come, and i tried experimenting by watching porn and i still only get that 50-60% erection and maybe a little harder when at the end when i come.

I've seen 2 different urologists, they ran blood samples for low T (im fine) and have ruled out any of those issues. So my questions is, is this normal to not get hard even when i experimented and watched porn? I used to always get hard when i did masturbate to porn and i do not know if its the flatline or a brain change?

Also noting: I did not start masturbating till the age of 19 (i know, strange) i actually had sex before i ever masturbated. Point being, i used to never ever have a problem getting an erection when with a female or even looking at erotic images, would get hard just thinking or looking at a girl, but my guess is that when i started the masturbation at 19 using porn videos, my brain slowly changed over a period of two years with few sexual encounters with real girls.

I am currently struggling with not watching porn, everyday feels like a year, and my confusion/worrying is that i cannot even achieve a full rock hard 100% erection even with or without pornographic material.

Thank you for any input.

So my questions is, is this normal to not get hard even when i experimented and watched porn? I used to always get hard when i did masturbate to porn and i do not know if its the flatline or a brain change?

Many guys cannot get hard with porn, but usually they had been using porn for a long time. Yes it could be the flatline.

Also noting: I did not start masturbating till the age of 19 (i know, strange) i actually had sex before i ever masturbated. Point being, i used to never ever have a problem getting an erection when with a female or even looking at erotic images, would get hard just thinking or looking at a girl, but my guess is that when i started the masturbation at 19 using porn videos, my brain slowly changed over a period of two years with few sexual encounters with real girls.

Are you saying that you did not use porn before age 19? Since you are 21 and have been dealing with this for 1 year, that means it only took one year to develop ED. This would be unusual for porn-induced ED. I'm not saying porn didn't cause this, but I would continue to explore medical causes. Did the blood tests cover other hormones, such as thyroid, prolactin, cortisol, etc.? Maybe nutritional imbalances?

 

 

No. I DID watch porn before I was 19 but never masturbated to it. For example, I would watch videos just to see hot girls, and would always be real hard, but never masturbated to those videos.

It wasn't until the age of 19 that I physically used my own hand to masturbate and orgasm (again i know, kinda strange). For example, I lost my virginity at 17 and never ever had an erectile issue. I went 4 or 5 times in a day with my first girlfriend and never thought porn could affect me. Another example, just earlier last year I had a friend with benefits and was having consistent sex and got pretty hard, but overtime matched with masturbation, slowly started to see a decline in my hardness and seemed to be developing premature ejaculation. Like I could barely go for a couple minutes without busting which was ridiculous cause i could always control it.

Overall, I think the porn matched with masturbation and orgasm has affected me but i want to be sure. I suppose i could see the urologist again and ask for every test possible to rule out everything, but otherwise, I exercise by lifting weights, i'm in very good shape, eat good, I'm 6'4'' 225 lbs. cut (just saying, not bragging at all) and had an injury to my lower back. 2 bulging discs to be exact. I asked the spinal doctor if it was affecting my impotence and he said that it would have to be SUPER compressed and tight for any ED to take place.

But inside, i'm struggling here and i don't want to lead a sexless bonerless life. Literally two years ago, two years, at 19 I was pitching tents in my college classes daydreaming and fantasizing without any material needed!! I pray it's just the porn that has caused this, but that's why i decided to post, to get any advice/input i could because it's something i cannot get off my mind and worry about daily.

I appreciate your reply and input.

Having read sufficient articles on this web-site to wish to delete all the porn videos from my phone - I decided to write a poem about it.

The vulgar girl has left my screen,
the one who with her two boyfriends could be quite obscene.
She used to tease me from within my phone,
now it is empty and I am alone.

Between them they never did what I'd want to do,
but I was obsessed and wanted to view.
She sucked away my inner life,
while with my hand I'd crafty swipe.

Real girls never matched her heights,
her unnatural blonde hair and fishnet tights.
She had a longing horny look in her eyes,
yet something within was wanting to die.

I ripped her off from Redtube,
selecting her because I liked the way she moved.
I had an app to view her,
but neither of us could care.

She's gone now, she was wiped yesterday,
her physical memory cleanly flushed away.
One day a real girl will excite me,
and from her grip I will be free.

I am so happy I found this site. I have been watching porn since I was 17-18 now 34, I gradually falled in to this category. One long distance relationship with cam 2 cam sex also made it worse as she was the best sex ever in real and I was yearning for it. So young people, this stuff is real. Just one question, I am in my no porn no masturbation life style, this is the 5th day. Sexting with this ex who is still far and exchanging some photos even without masturbation , do you think this is against the principles of rebooting?

no no no

Sexting with this ex who is still far and exchanging some photos even without masturbation , do you think this is against the principles of rebooting?

A common question, but I don't have an answer.

 

Hey guys,

I am 22 years old and 8 days into my reboot. My story is similar to most of the young guys on here. I discovered porn at an early age and started masturbating to it when I was about 15. Over the course of my high school years I had lost my erection at times and I accounted for it by having drank, being nervous, or just accepting that it happens to every guy sometimes. I previously had a girlfriend and I would always want to have sex and had no problem getting hard no matter what. This past year is what changed my perspective completely as I frequently had brought girls back to my room and simply couldn't get it up. It came to the point where I would do anything to have that ability back, especially as I am in my senior year of college and I fear my opportunities may significantly drop once I'm out.

I finally decided to reboot and so far I am fine without porn and masturbation. Currently I am in the flatlining stage and it is miserable! I am limp no matter what, even when I find myself with a girl and wanting to do stuff, I realize I can't. One of the characteristics of flatlining is having a lack of libido. This is true, however I am constantly wanting to have sex, only I really don't feel any physical desire to if that makes any sense to anyone who's been through this before.

I am studying abroad this semester in Australia and of course my first week here I met a girl I like. Insanely, I am finding myself terrified that she will want to have sex before my ED is gone. I am struggling to remain patient. I don't want the embarrassment of failing my first time with her because I am almost sure this will be more than a one-time thing. I think I can wait a month at least, but I am honestly contemplating getting a prescription to viagra to help me before I can be officially over this. Does anyone know how taking ed drugs while I have this condition works? Will it be a setback for my recovery? I'd greatly appreciate your advice.

Evening Boys,

I cannot say how relieved I am to have found this site, but also so angry and upset with myself that I have brought myself to this point where at 24 years old I am having performance issues/anxiety/worry in the sack.

My story: I was introduced to porn around 14-15 years old, I initially was terrified when i saw it bc I knew it was bad, but I had the hardest boner of my life; that was the first time I had ever seen an aroused man (I am gay). Prior to that, I would experience the normal body functions boys experience, random boners, wet dreams at night, etc. Growing up very religious, I was afraid to act on my gay inhibitions, so sex as a teenager and in college was out of the question, so you know where I resorted to…yep, Porn. I would watch it every night after practice, church, school, parties, for 2-3 hours, going over and over again…it didn't matter what I was doing…I made time. Then college cam, got a MacBook, I got into camming online with dudes all over the world on Skype and other sites. As I began to become sexual, I noticed that my erections and hard-on's were much more intense online than in person. Initially I thought it was my nervousness (i'm a little shy at times) or anxiety due to knowing that being gay was "wrong". [Coming out for me has not been easy, Im not your typical gay guy: I'm sporty and take pride in being a true guy so people don't assume.] At any rate, i was essentially using porn as a way for me to have "sex" without actually having "sex", if that makes sense. I figured that if I wasn't able to have sex in reality (due to my inhibitions from religion and nerves) I could at least get off every night with some guy online…well I have slowly not been able to keep a hard-on with a guy and it has me worried, annoyed and pissed off all at the same time.

I noticed this inability when I was with someone just recently and I had been online doing some "me time" for about a good 2 hours. I had been edging…I was camming in a room and was incredibly hard. I got a guy online to come to my house to hook-up and my dick got softer than a limp noodle faster than I could say "bend over"…I couldn't believe I was just brick hard minutes ago and all the sudden couldn't penetrate a cotton ball if I tried, it was incredibly embarrassing and I decided right then and there that I was done, D.O.N.E with Porn, online camming sites, nude pics, everything…everything you guys say here, I am going through…it makes so much sense and it all adds up.

I am going through a detox starting today. Bc everyone hear keeps it real, I will as well and be honest: I deleted all my online accounts (I had 4), my cam sites ( I had 4), every nude any guy sent and ones I had taken of myself (i had over 1000 images) and every online dating app for gay guys (i had 4). I slowly realized that i was living my sex/dating life from behind a damn screen for almost 5 years…no WONDER I can't enjoy the real thing when it is in front of me…I am committing to making a change now.

For those dudes that don't know, it is very difficult (especially for a gay guy like myself) to find someone their type…so i resorted to online sites, "thinking" they would give me the guy I want or the feeling I needed at the time. I have wasted so many hours, so much life fantasizing about guys I will never see in my lifetime.

I know this going to be hard process and I am expecting that. I am honestly terrified I will not lie, but I never want to be caught in a position like I was once before (multiple times might i add). I want to show my affection and NATURAL desires for the person I am with. I want to feel what it feels like to be naturally aroused again (I can't remember the last time I had a wet dream or frequent morning woods).

I am prayerful that this methodology will work for me…I have already found some hobbies on the side that I am going to pick up in place of the Porn/masturbation addiction.

Thanks for the support fellas. I support all of you as well…I will be dropping in frequently.

Stay strong boys.

"I vow to be a different man"

Hey anewme,
I just discovered this website last night and thank God I did. It was in an effort to confirm what I'd already supposed about porn being harmful. I knew it was bad for my self-esteem, but I was hoping to find physical. Effects to bolster my resistance. I sure fit all the criteria of someone with PIED. I've since made an action plan that involves everything discussed on this website, but also measures to raise my dopamine levels naturally (specific foods, sleep, exercise, turmeric, etc..) I just wanted to say that your post really hit home for me so i appreciate you. I am 27 years old which makes me a year older than you are now. I LOVE lifting weights and playin basketball like no ones business. Most people would never know I'm gay. I went to a very rural school in the countryside of Maine, where being gay wasn't exactly an advantage. I also had a very religious upbringing which made my coming out extremely delayed. I literally just cams out in March of this year and got my first boyfriend. He was really selfish,hypocritical, and mean but I tried my hardest to make it work. We just ended almost a month ago and its been rocky for me since. I've got a lot of friends and a good family, but it's been easy to slip back into porn because of the loneliness. I'm about to start school and am really hopeful about meeting new people. Before I forget, there's another thing that can help rebooting. Kegels for men, check it out, how it strengthens your bulbacavernosus muscle for better erections. I just started rebooting last night,and maybe it's placebo but I've already noticed a difference. I just wanted to say thanks for your post, and it's really nice to hear about someone in the same boat. Hopefully you get something from this, and we successfully become better men. Later bruh

Benjamin creznic

How is this test at all reasonable? It seems like even if someone had never watched a day of porn in their life, they'd probably getter harder watching it than not watching it... I think there may be something here, but this "test" doesn't really boost the credibility of this website.

However, you are spinning what the test actually says  and taking it completely out of context. This makes me doubt your sincerity.

It seems like even if someone had never watched a day of porn in their
life, they'd probably getter harder watching it than not watching it...

It's not harder. It's complete ED vs a good erection

In addition you have removed all context, which is:

  1. The man has chronic ED
  2. The man has seen a urologist who rules out organic causes and states the ED is performance anxiety

The "test" is for this man to rule out performance anxiety, nothing more. If you are of the belief that a young man needs porn to achieve an erection, you are sorely mistaken.

No more spin.