COMMENTS: This 2011 article is a bit dated, for more up to date info see the Porn & ED section, and begin with START HERE: Porn-Induced Sexual Dysfunction.
Since 2011, all studies assessing young male sexuality report a tremendous rise in erectile dysfunction and low libido. See – Research confirms enormous rise in youthful ED. If we compare recent research to earlier studies, young men today are experiencing anywhere from a 600% to 1000% increase in ED since the advent of the internet. No, that is not a misprint. Erectile dysfunction rates ranged from 27 to 33%, while rates for low libido (hypo-sexuality) ranged from 24% to 37%. The lower ranges are taken from studies involving men 25 and under, while the higher ranges are from studies involving men 40 and under.
These alarmingly high rates are a recent phenomenon, as can be seen by comparing them with two earlier studies – the only major cross-sectional studies on ED in American men:
- In the 1940s, the Kinsey report concluded that the prevalence of ED was less than 1% in men younger than 30 years, less than 3% in those 30–45.
- A 1999 cross-sectional study published by the Journal of the American Medical Association reported erectile dysfunction rates of only 5%, and low sexual desire in 5%. In that study, the ages of the men surveyed ranged from 18 to 59, so a third of them were over 40.
Ask yourself – What variable has changed in the last 15 years that could lead to such a dramatic rise in youthful ED? Only Internet porn.
See this list articles by many experts who treat and recognize porn-induced ED – Porn-Induced ED in the media (experts)
Also see a list of studies supporting this article – 85 studies reporting links between porn use or porn/sex addiction and sexual dysfunctions, lower brain activation to sexual stimuli, and lower sexual satisfaction
Finally, a peer-reviewed paper involving 7 US Navy doctors: Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports (2016) – It’s an extensive review of the literature on porn-induced sexual problems. The review provides the latest data revealing a tremendous rise in youthful sexual problems. The paper also examines the neurological studies related to porn addiction and sexual conditioning. The doctors provide 3 clinical reports of men who developed porn-induced sexual dysfunctions.
ARTICLE: Internet porn appears to be “sex-negative” for many users.
A growing number of young, healthy Internet pornography users are complaining of delayed ejaculation, inability to be turned on by real partners, and sluggish erections.
Lots of guys, 20s or so, can’t get it up anymore with a real girl, and they all relate having a serious porn/masturbation habit. Guys will never openly discuss this with friends or co-workers, for fear of getting laughed out of town. But when someone tells their story on a health forum, and there are 50-100 replies from other guys who struggle with the same thing, this is for real.
Threads relating to this issue are springing up all over the Web on bodybuilding, medical help and pick-up artist forums, in at least twenty countries. Notice from one such forum:
Due to the overwhelming emails and requests we have received concerning pornography addiction and erectile dysfunction, we decided to create an entirely different thread. ED due to porn is becoming rapidly common, especially for young men.
Desperate young men from various cultures, with different levels of education, religiosity, attitudes, values, diets, marijuana use and personalities are seeking help. They have only two things in common: heavy use of today’s Internet porn and increasing need for more extreme material.
Many have previously been to doctors, undergone various tests, and been declared “just fine” physically. Neither they nor their health care providers considered excessive porn use as a potential cause of their continued performance problems. Most were assured that “masturbation cannot cause erectile dysfunction.” The final diagnosis was generally “performance anxiety.”
Is anxiety really the cause? Here’s a simple test: Try to masturbate (alone) using no porn and no fantasy—only sensual touch. Use the same speed and pressure as you would during intercourse. How erect is your penis without porn? If your penis is not fully erect, or it takes effort to become erect, then the chances are that anxiety is not the source of your problems. Persistent performance problems can certainly lead to anxiety, however. As one man said after he recovered following three months without masturbation or porn,
It’s hard to tell where addiction ends and anxiety begins. I think a combination of the two is involved in a lot of situations.
Not long ago, Italian urologists confirmed an erectile dysfunction-porn use connection via a large survey. When interviewed about the survey, urologist Carlo Foresta (head of the Italian Society of Andrology and Sexual Medicine and professor at the University of Padua) mentioned that 70 percent of the young men his clinic treated for sexual performance problems had been using Internet pornography heavily. (Foresta has since apparently conducted another survey.)
The Italians are not alone. See this list of articles by over 120 other medical profesionals are beginning treat young healthy men who have developed porn-induced sexual dysfunction, including Porn-induced ED presented at the American Urologic Association Conference, May 6-10, 2016: Part 1, Part 2, Part 3, Part 4.
Recovery may take 6-12 weeks (many young guys are now needing much longer), and rests primarily on one factor: avoiding the extreme stimulation of Internet erotica. (Many also avoid masturbation for a time, either because at first they cannot masturbate without porn fantasy, or because climax triggers binging.)
Among those who recover, progression is surprisingly similar. Men typically report that after a few days of intense sexual cravings, their libido plummets and their penis seems “lifeless,” “shrunken,” or “cold.” These “flatline” symptoms typically continue for up to six weeks on average, dependent upon age and intensity of porn use.
Gradually, morning erections return, followed by libido and, perhaps, occasional spontaneous erections. Finally, there is complete recovery of erectile health, sexual desire for real partners, sex becomes extremely pleasurable, and condom use is no longer problematic.
I am a 25-year old male, masturbating a lot from 13 and using porn from 14. Gradually, it took more to turn me on: bigger fantasies or harder porn, and I stopped getting hard without touching. During sex I would struggle to get an erection or keep it, especially for intercourse. Over the past 7 years I haven’t held down a relationship, and the main reason for me has been this problem. Now the good news: When I realized the cause, I immediately gave up porn. Over the last 6 weeks I held off masturbating as much as I possibly could. (My best record was 9 days!) It all paid off. I just went away with a girl for the weekend and it was the best ever. I don’t think I’m out of the woods yet. I still get pretty anxious from all the bad experiences over the years. But I just wanted to tell you all it can work, and it’s well worth it!
Week 12, age 36 – I’m actually totally impressed how HUGE I get. It has been kinda hard to ignore. I mean, my erections are ROCK HARD and ENORMOUS. I remember asking other guys who went before me about when they noticed the return of their full erections. Well, I think I got mine back.
Since we wrote this PT post, a disturbing trend has emerged. Guys who used Internet porn during their adolescence often need longer to regain their erectile health, see – Young Porn Users Need Longer To Recover Their Mojo)
How can porn cause sexual performance trouble?
The cause appears to be physiological, not psychological, given that such diverse men change only one variable (porn use), yet report a similar recovery pattern. For these men, anxiety is secondary.
Recent behavioral addiction research suggests that the loss of libido and performance occur because heavy users are numbing their brain’s normal response to pleasure. Years of overriding the natural limits of libido with intense stimulation desensitize the user’s response to a neurochemical called dopamine.
Dopamine is behind motivation, “wanting” and all addictions. It drives the search for rewards. We get little spurts of it every time we bump into anything potentially rewarding, novel, surprising, or even anxiety-producing.
Animal models have established that both sexual desire and erections arise from dopamine signals. Normally, 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. A steady stream of nerve impulses, which release nitric oxide into the penis and its blood vessels, maintain an erection.
Nitric oxide in turn stimulates the blood vessel dilator cGMP, the on/off switch for engorgement and erection. The more cGMP is available the more durable the erection. So, the pathway from the brain to an erection is:
Reward circuitry (dopamine) > hypothalamus > spinal cord > nerves > penis
Erections start with dopamine and end with cGMP. Sexual enhancement drugs work by inhibiting the breakdown of cGMP, thus allowing it to accumulate in the penis. Yet if the patient’s brain isn’t producing enough signals in the first place, ED drugs will not increase libido or pleasure even if they (sometimes) produce an erection.
My ED is definitely porn-related because even erection pills do little but sometimes help enough to penetrate or get an erection. But, NEVER is the feeling good…because I still don’t feel anything. I’ve lost most, if not all my sensitivity.
In the case of age-related erectile dysfunction, cardiovascular conditions or diabetes, the primary weak link tends to be the nerves, blood vessels and penis. However, for men with porn-induced erectile dysfunction, the weak link is not the penis, but rather the desensitized dopamine system in the brain.
The relevance of recent addiction brain science
In the last decade or so, addiction researchers have discovered that too much dopamine stimulation has a paradoxical effect. The brain decreases its ability to respond to dopamine signals (desensitization). This occurs with all addictions, both chemical and natural. In some porn users, the response to dopamine is dropping so low that they can’t achieve an erection without constant hits of dopamine via the Internet.
Erotic words, pictures and videos have been around a long while, but the Internet makes possible a never-ending stream of dopamine spikes. Today’s users can force its release by watching porn in multiple windows, searching endlessly, fast-forwarding to the bits they find hottest, switching to live sex chat, viewing constant novelty, firing up their mirror neurons with video action and cam-2-cam, or escalating to extreme genres and anxiety-producing material. It’s all free, easy to access, available within seconds, 24 hours a day, 7 days a week. Overstimulation of the reward circuitry in the brain is a very real possibility today.
Many men don’t realize their brain’s sensitivity is declining toward normal sex because Internet erotica delivers endless dopamine hits—making erection and climax possible where normal encounters would not. When they try to have actual intercourse and cannot, they understandably panic.
The brain changes causing porn-induced erectile dysfunction arise from actual physical addiction processes (among them, numbing of the pleasure response of the brain). Quitting can therefore be quite challenging. In addition to an alarming temporary drop in libido, some men experience withdrawal symptoms: insomnia, irritability, panic, despair, concentration problems, and even flu-like symptoms. Finding a good counselor who understands addiction, and why today’s porn has different effects from viewing a Playboy magazine, can be very helpful.
The brain needs a chance to “reboot,” that is, return to normal dopamine sensitivity. This can take a couple of months. For a science teacher’s explanation of the science behind porn-related erectile dysfunction, see this video presentation: Erectile Dysfunction and Porn.
Most men are astonished to learn that pornography use can be a source of sexual performance problems. Instead, many are becoming convinced that ED at twenty-something is normal. They are amazed that heavy porn use can affect them adversely, that no one told them it could affect them, and that humans have actually masturbated without porn. There is almost total ignorance about the significance for porn users of the recent discoveries of addiction science.
If you are suffering from youthful ED, and wish to restore your potency, be optimistic. As one man said after his successful two-month experiment:
A few facts:
- This is 100% fixable.
- It will likely be one of the most difficult things you’ve ever done.
- If you ever want a normal sex life again, you kinda don’t have another choice.
- If you started Internet porn at a young age the process can take longer (see – Started on Internet porn and my reboot (ED) is taking too long)
UPDATES:
- For information and recovery accounts, see: Is my erectile dysfunction related to my porn use?
- What Experts Tell Guys Suffering From ED
- Why Do I Find Porn More Exciting Than A Partner?
- Porn, Masturbation and Mojo: A Neuroscience Perspective
- Studies on the overlap between sex and drugs in the brain
- TEDX talk about porn-induced ED & reclaiming one’s sexuality: “How to Become a Sex God” by Gregor Schmidinger
Speak of the devil
This article hits very close to home. My girlfriend and I recently tried having sex and it was a disaster. I could barely keep an erection and I couldn’t ejaculate at all from intercourse. I eventually just masturbated to orgasm to prove to her that I could (hopefully this won’t mess up my rebooting progress).
I know this is caused by my pornography addiction.
The good news is that I am making progress on kicking the habit. Basically I have gone 8 days/1 PMO event, then 7 days/1 PMO event, and currently up to 7 days no PMO. No binging during any of the previous 23 days and 2 instances of PMO. And, thankfully, it’s getting easier to resist as well.
welcome dugeonman
I imagine you have see this FAQ – Is my erectile dysfunction (ED) related to my porn use? http://yourbrainonporn.com/erectile-dysfunction-question
It contains several pages covering porn-induced ED.
This page is on rebooting with a partner.
http://yourbrainonporn.com/rebooting-with-a-partner
We can’t really say how having sex will affect recovering from ED.
Good luck
Some answers at last !
Firstly, thanks so much for this site! So much useful and well thought out information.
I’m posting now, having been reading off and on for the past week. Boy, it’s hard to know where to start!! I am almost day 14 of no P, and today is the first day I have had some cravingflashbacks, mostly due to being along and a little bored. However, revisiting this site gives me renewed discipline so that’s great.
I’m 40 now but have not been in a serious relationship for a few years. It can obviously get lonely so it’s easy to understand how PMO can provide that hit you need to feel better, numb the boredom, loneliness etc. Like most, I started with the mags, then graduated to DVDs, then high speed net brought a whole new dimension to the habit. At its worst it was 4-5 times a week, PMO. I looked at my online billing history the other day and it goes back to 04! I cancelled the 2-3 open subscriptions I had the day I found this place. This was just after I’d had ED problems with a girl I’d just met – and this wasn’t the first time. I needed answers. It’s been intermittent for a number of years, the ED, likely tied to how much P I was using at the time. It all makes sense to me now – the numbed brain response.
A friend once said to me “are you meeting any girls? You just don’t seem interested.” There’s a lot to be said for that comment, as it stuck with me and I hadn’t been able to work out why I just wasn’t all that interested in the chase and generally, life has often seemed less interesting. Indifference seems to rule the roost!
I guess it was easier not to risk anything, risk getting burnt y’know; it was easier to just go home to the “girls”. But even P of late wasn’t doing it for me much, needing to find racier, raunchier stuff. I often felt guilty right after using. I never saw any of this as an addiction to be honest. A bit like going out for drinks, everyone does it, right?
A while back I did abstain from M for 2-3 weeks for other reasons and it did have a profound effect on my mood and general well being. In a nutshell, I wasn’t as lazy when abstaining, that’s for sure. But even after that realisation, I just lapsed straight back into the old ways of PMO.
There is a great section in a book called ‘Think And Grow Rich’ about Sex transmutation. Basically, it was about channelling sexual energy into more fulfilling pursuits and how many, many successfulwealthy men were able to do this. This also should have been a clue to me, but it got overlooked. The cravings and relapses into the easy world of P were just too strong.
Much like today, I know I’m going to be sorely tempted to have a look, just one small look but hopefully I can kick this thing for good and find myself a loving relationship very soon. It’s been too long and I’m sick of being alone and feeling like this beast is controlling me and wrecking what’s left of my life. The money and the hours wasted !!
I’m shocked to see that so many guys 15 yrs my junior have been hooked on this stuff for 10-15 yrs. For me the harcore P has really only been the last 7 or so years, but no more!
I consider myself a quite shy, reserved person at times but I figure that P has robbed me of some of what mojo I did have. I’m taking back the power!!l….so far so good.
In the last week or so I have had some murmurs of libido and morning erections, so that’s positive. Will update again.
Good luck to all.
welcome Porno4pyros
Your story succinctly describes the problem. It is frightening that so many guys today started young with daily use of hard core porn. Our next Psychology Today post will be: Teens and Porn – where we examine the vulnerabilities of the young brain.
Comment fron another forum
“I’m in deep dirt…. Yesterday the girl I’m in love with “she in love with me too” ASK me the deepest question ever over the phone.
She asks me have I ever had any problems getting it up. I paused on the phone for a second and flat out told her NO! She then asks me if I was being honest and I said “yea”. Then she was like “oh okay, because men out here are having a problem getting it up sometimes if it’s that’s the case then that’s a problem”
That’s exactly what she said… So now I feel guilty for lying about this and I’m thinking about coming clean today because I don’t wanna hit her with any surprises.”
A woman added this comment to this article on PT
Another woman added her experience
Another forum member said:
From a private message to me:
Posted on the PT version
She wrote:
One man’s take on porn-induced ED
NoFap reddit – 33 days
– Life is Different Now, and I Feel Amazing!
From reddit – NoFap
LINK –
Probably wouldn’t be a virgin right now if it weren’t for my Por
Pharmacist – decides to reboot after seeing so much ED in young
100 day milestone! 1st time post.
Comment on Topix ED forum
ED, Even in the Most Ideal Circumstance
An example of quick recovery
There appears to be two types of porn-induced ED -Chronic, whioch takes months to resovle, and a type where recovery takes 1-2 weeks.
The Cost of porn:
pmo
I hear what your saying. I probaly also could afford that longtime postponed pc upgrade.
God damn this time this addiction actually escalated probably more than ever. I have memberships including shemalesites, dvd videos on order and also knowledge of those best free sites.
I also freaking spent 50€ in 10-15mins (25+25€). I went online 1 on 1 live cam with a shemale and actually gave her my phonenumber, what hell was i thingking?
Atleast during that i noticed this addiction getting hold over my actual brain because my body felt so weak due to dopamine spikes.
But the thing is, that those girlfriend stories in these porn addiction forums aren’t at all helpful. I think they actually have “helped” me to fail my quest for abstince/sobriety which has gone longest about 1-3 weeks. I hope people writing those realize it and stop writing them.
I my self have had only 1 girlfriend my entire lifetime.
Allthough she was the most pretty and most wanted girl in school and she got to be my gf. Atleast those are some good memories.
But now things are hell alot worse. Im in my early twenties, few friends, no girlfriend/partner, unempolyed and without education.
I actually have went ballsout asking girls to cup of cafe at cashier and other non regular places and they simply rejected with “i have a boyfriend but thanks” thats really eating me. Therefore have just stayed with porn and havent really done any un-necessary interaction with people.
I dont drink, smoke or do drugs. I guess this pmo has been my drug.
Luckily no one knows about it and everyone in my family keep saying how good i’ve handled things, especially my grandma since others are using drugs and some even in detoxification.
I read on the internet that you need to talk about this addiction but i just really cant talk to my family about it and therefore has to be some other option.
I suggest joining a forum
Look under the support tab for furms.
Good luck
Rebooting works!!!
CURED!
Improvements with ED
Having ED troubles. Should I begin my nofap journey?
30 Days, or “Holy hell, it works.”
40 days then reset–my body’s vastly different reactions to sex
when we have sex, I have a difficult time maintaining an erectio
Sexually damaged after years of watching porn?
I can hardly feel my penis. Anyone else’s dick completely ruined
I just became aroused thinking about the girl i’m seeing naked.
Recovery from ED, found a girlfriend and new energy thanks to no
From Reddit NoFap: (He still has delayed ejaculation)
Indeed, delayed ejaculation
yourbrainrebalanced – Do hard erections return?
Do hard erections return?
For me, my lowest point wasn
My lowpoint?
My lowest point was
I’m new to NoFap and I’m relieved to have found you
“My girlfriend just ridiculed my NoFap attempt. I don’t know wha
I’ve been at this for almost
I’m a Male 17 and have been
How I figured to become ED free
Day 39 – Recovering from second flatline & ED issues
thre guys chatting –
What is a successful reboot?
Today my girlfriend and I engaged in Karezza sex
I’m constantly having erections whenever I see real women (12)
Now I’m constantly having erections whenever I see real women – 38 days
He answers another post
from a David Icke forum
Embarrassing question about ED turning into possible stage frigh
Embarrassing question about ED turning into possible stage fright…does it get better? Also, does it ever get back to the point of just being able to get hard by just kissing etc.?
GUY 2)
GUY 3)
My friend masturbates like 10-15 times a day.
Is fapping really the problem or is it the porn?
How many of you are here because of porn-induced ED, age?
Question; How many of you are here because you got porn-induced ED and how old are you?
Stop watching porn has saved my life
I’m 44. Started this because
I just turned 41. Divorced
Yes. I’m a 42 male. I always
Well the ED is getting better! Have DE problems, but hey, great
Victims and Veterans of ED, Let’s Talk About ED!
90 days “clean” – What
I have been addicted to porn
A new comment on the post “Porn-Induced Erectile Dysfunction Is A Growing Problem”
http://marnia.scienceblog.com/44/porn-induced-erectile-dysfunction-is-a-growing-problem/
I don’t need so-called “expert” to show me the truth.
So… 30 days.
16 with ED
ED is worse than death… man…
ED is worse than death… man…
ED is worse than death… man…
never had the TINIEST problem until after I started using broadb
I’m still lost when it comes to women
Everybody said that it was on my mind..
I started nofap because of ED
I searched for the weird s**t on purpose instead after
The warningsignal was ed, finally found this place and im sure i
The past few years I’ve experienced ED quite a few times
I couldn’t get it up -the girl pulls out a smart phone and plays
At 33, I still am yet to be with a woman.
Re: Reboot, unboot and rebooted again! Second sex no ED! (I’m ba
also feel so much better emotionally, spiritually, & socially
after 10 minutes he asked her if he could turn on some porn.
why doesn’t this happen to everyone?
why doesn’t this happen to everyone?
GUY 2)
GUY 3)
GUY 4)
I ran to the washroom (mid-forplay) pulled out my iPod for porn
Update on my long struggle – Good News
Commenting about this article on redddit –
Just_a_gal
Crackerpool
blergmonkeys
cynicroute
I have concluded that I have porn-induced ED
I had absolutely no idea that my relationship with porn
Did you notice weaker erections with more porn viewing?
LINK- anyone notice it get worse?
anyone notices that the more porn they were watching, their erections got slowly worse?
GUY 1)
GUY 2)
GUY 3)
GUY 4)
GUY 5)
GUY 5)
GUY 7)
GUY 8)
GUY 9)
GUY 10)
Commenting about this article on psychology today
NoPorn vs NoFap?
So pleased I’m not the only one.
So pleased I’m not the only one.
by altitudinous1 day
Sudden realization while viewing porn
comment on thread debating porn-induced ED
Introduction & how it helped my boyfriend
NEVER crossed my mind that my porn use could be the problem.
Fast forward 3 years
My first post here in 2011 really summed it up for me. I just re read it. After going cold turkey and feeling much better, swearing off PMO, I have relapsed a number of times followed by intermittent ED issues and having trouble maintaining any kind of longer term relationships.Note not necessarily directly related to any specific sexual issues as such. Anyway, Porn became that lifeline again for me sadly. Not as intense as before, but bingeing still an on and off issue. Then came a trip overseas whereby I was introduced to cheap liquid based viagra which again I’ve used on and off for a couple of years to head off any anxiety or performance issues related to ED. I’m only in my mid 40s and shouldn’t need to rely on that stuff!
The main thing for me currently is even if I am getting an erection I’m not feeling a lot. I just don’t feel horny. I’m seeing someone that could become serious so I’m now a couple of weeks off PMO trying to get back the balance again and feel normal. Lets hope I can kick this thing for good this time.
Admire anyone who actually talks this through with a girlfriend or partner as to me it all seems highly awkward and embarrassing.
Good luck
There are lots of good forums these days – which can make your journey easier. Check this one out, for example: Reboot Nation
It’s amazing the high price guys will pay for porn. Even after they wail for a solution to their ED and loss of attraction to real partners – and experience the cure for themselves – they go back and screw themselves up again.
Just shows the power of today’s supernormally stimulating porn to hijack the human reward circuitry. Sucks.
Thing is in order to quit you
Thing is in order to quit you need a reason and according to every article on here that reason is so men can have a decent sex life with women. But if, like me, you don’t have and will not ever have a sexual partner then quitting porn and masturbation means celibacy and that is worse than any side effect of masturbating too much.
Post on reddit – ED in amateur porn on the rise
LINK: http://www.reddit.com/r/NoFap/comments/35mg2s/something_i_noticed_when_i_relapsed_ed_in_porn/