The Hard Truth About Porn-Induced Erectile Dysfunction

The Hard Truth About Porn-Induced Erectile Dysfunction

The fastest-growing population of E.D. patients that we’ve seen in our practice as Sex Therapists are healthy young (20-35 years old) adult men. But none of the typical risk factors for E.D. are present- they are physically fit, non-smokers, not diabetic and not suffering from depression or taking medication with sexual side effects. But their common thread is an affinity for online porn. Most of these men are shocked to hear that there just might be a correlation between their porn usage and their lack of sexual responsiveness. This article presents first-hand accounts of young men who encountered some very unintended consequences of regular online porn consumption. It also includes information on the rapidly growing community of support for young men who are saying “enough” to online porn – and have improved sexual functioning to show for it. (Beware the quotes from PIED deniers. They are from so-called experts who are media darlings and pornography proponents who will never be open to the growing body of scientific studies validating PIED).

Noah Church is a 26-year-old part-time wildland firefighter in Portland,

Ore. When he was 9, he found naked pictures on the Internet. He learned how

to download explicit videos. When he was 15, streaming videos arrived, and

he watched those. Often. Several times a day, doing that which people often

do while watching that genre by themselves.

 

After a while, he says, those videos did not arouse him as much, so he

moved on to different configurations, sometimes involving just women,

sometimes one woman and several guys, sometimes even an unwilling woman.

“I could find anything I imagined and a lot of stuff I couldn’t imagine,”

he says. After the appeal of those waned, he moved on to the next level,

more intense, often more violent.

 

In his senior year of high school, he had an opportunity to have actual

sex, with a real partner. He was attracted to her and she to him, as

demonstrated by the fact that she was naked in her bedroom in front of him.

But his body didn’t seem to be interested. “There was a disconnect between

what I wanted in my mind and how my body reacted,” he says. He simply

couldn’t get the necessary hydraulics going.

 

He put it down to first-timers’ nerves, but six years went by, and no

matter which woman he was with, his body was no more cooperative. It

responded only to the sight of porn. Church came to believe that his

adolescent Internet indulgence had somehow caused his problems and that he

had what some are calling porn-induced erectile dysfunction (PIED).

 

A growing number of young men are convinced that their sexual responses

have been sabotaged because their brains were virtually marinated in porn

when they were adolescents. Their generation has consumed explicit content

in quantities and varieties never before possible, on devices designed to

deliver content swiftly and privately, all at an age when their brains were

more plastic–more prone to permanent change–than in later life. These

young men feel like unwitting guinea pigs in a largely unmonitored decade-long

experiment in sexual conditioning. The results of the experiment, they

claim, are literally a downer.

 

So they’re beginning to push back, creating online community groups,

smartphone apps and educational videos to help men quit porn. They have

started blogs and podcasts and take all the public-speaking gigs they can

get. Porn has always faced criticism among the faithful and the feminist.

But now, for the first time, some of the most strident alarms are coming

from the same demographic as its most enthusiastic customers.

 

Of course there are much broader concerns about porn’s effect on society

that go beyond the potential for sexual dysfunction, including the fact

that it often celebrates the degradation of women and normalizes sexual

aggression. In February, these issues led British Prime Minister David

Cameron’s government, which had previously asked Internet service providers

to filter adult content unless a user opted in, to begin the process of

requiring porn sites to verify the age of their users or face a fine.

Shortly afterward, the Utah legislature unanimously passed a resolution to

treat pornography as a public-health crisis. And compelling new research on

visual stimuli is offering some support to the young men’s theories,

suggesting the combination of computer access, sexual pleasure and the

brain’s mechanisms for learning could make online porn acutely habit

forming, with potential psychological effects.

 

For Gabe Deem, 28, porn was as much a part of adolescence as homework or

acne. “It was normal and it was everywhere,” he says. He grew up in an

era when what used to be considered X-rated was becoming mainstream, and he

and his friends used to watch explicit videos constantly, he says, even

during class, on their school-issued laptops. “It wasn’t something we

were ashamed of.” Deem, who lives in Irving, Texas, is the founder of

Reboot Nation, a forum and online video channel that offers advice and support

for young people who believe they are addicted to pornography, have sexual

dysfunctions as a result and wish to quit.

 

He’s a little different from many of the porn activists, because he was

sexually active at a young age and consumed porn only as a side dish. But

it came to dominate his diet, and some years after high school, “I got

with a gorgeous girl and we went to have sex and my body had no response at

all,” he says. “I was freaked because I was young and fit and I was super

attracted to the girl.” He went to his doctor. “I said, I might have

low T,” Deem says, using slang for a testosterone deficiency. “He

laughed.”

 

Many of the details of his story are confirmed by his girlfriend at the

time, who would prefer to remain anonymous. “He would try to start

something, and then in the middle he would say, ‘I think we should wait,’”

she recalls. “I was just really confused and I would think, Does he not

like me? What’s going on?” It took nine months after he told her about

his problem for him to be able to perform with her.

 

Having a partner with ED isn’t the primary problem most young women face

with porn, and only a fraction of women report feeling addicted, yet they

are not immune to the effects of growing up in a culture rife with this

content. Teen girls increasingly report that guys are expecting them to

behave like porn starlets, encumbered by neither body hair nor sexual needs

of their own.

 

In April 2015, Alexander Rhodes left a good job with Google to develop

counseling and community-support sites for those who are struggling with a

porn habit. He had started the NoFap subreddit–a list of posts on one

subject–on the popular website Reddit and a companion website called

NoFap.com in 2011, but it’s now a full-time endeavor. (The name derives

from fap, Internet-speak for masturbation.) The 26-year-old says his first

exposure to porn was a pop-up ad–no, really, he swears!–when he was about

 

  1. His father was a software engineer in Pennsylvania, and he had been

encouraged to play with computers since he was a 3-year-old. “For as long

as there had been an Internet, I had relatively unfiltered access,” says

Rhodes. The ad was for a site that showed rape, but he says he only

understood there was a naked lady. Pretty soon he was printing out

thumbnails of his image-search results for “women’s tummies” or “pretty

girls’ boobies.” By the time he was 14, he says, he was pleasuring

himself to porn 10 times a day. “That’s not an exaggeration,” he

insists. “That, and play video games, was all I did.”

 

In his late teens, when he got a girlfriend, things did not go well. “I

really hurt her [emotionally],” says Rhodes. “I thought it was normal

to fantasize about porn while having sex with another person.” If he stopped

thinking about porn to focus on the girl, his body lost interest, he says.

He quit porn a couple of times before finally swearing off it for good in

late 2013. His two sites have about 200,000 members, and he says they get

about a million unique users a month.

 

These men, and the thousands of others who populate their websites with

stories of sexual dysfunction, are all at pains to make it clear that they

are not antisex. “The reason I quit watching porn is to have more sex,”

says Deem. “Quitting porn is one of the most sex-positive things people

can do,” says Rhodes. One online commenter, sirrifo, put it more simply:

“I just want to enjoy sex again and feel the desire for another person.”

 

Do their claims of porn-induced ED have any merit? Recent statistics

suggest some correlation. In 1992, about 5% of men experienced ED at age

40, according to the U.S. National Institutes of Health (NIH). A study in

the July 2013 Journal of Sexual Medicine found that 26% of adult men

seeking help for ED were under 40. In a 2014 study of 367 U.S. military

personnel younger than 40, a third reported ED. And a 2012 Swiss study

found the condition among a third of even younger men: 18 to 25.

 

Of course, there could be any number of reasons for these findings. Since

the advent of Viagra and similar medications, awareness and acceptance of

erectile dysfunction is much higher, and thanks to all those TV

commercials, the stigma is correspondingly lower, so more people may be

admitting to it. Diabetes, obesity, social anxiety or depression can also

cause the condition, as can drug or alcohol abuse. As these have risen

among the young, so may have instances of ED. But urologists aren’t willing

to rule out that pornography could be partly to blame. “I think it’s

possible,” says Dr. Ajay Nangia, former president of the Society for Male

Reproduction and Urology. “There’s a kind of desensitization of these

men, and they only reach the point of feeling stimulated when sex is like

it is on a movie.”

 

If the causes of the spike in ED are up for debate, the unprecedented

access to porn via streaming video in the past decade is not. The advent of

video sites that, like YouTube (which launched in 2005), allow users to

upload, aggregate and organize videos has transformed the way people

encounter porn. There’s a staggeringly diverse array of free explicit

content that’s constantly expanding because anyone, from amateurs to

professionals, can put a video online. One independent web-tracking company

clocked 58 million monthly U.S. visitors to adult sites in February 2006.

Ten years later the number was 107 million. One of the world’s largest

adult sites, Pornhub, an explicit-video-sharing site, says that it gets 2.4

million visitors per hour and that in 2015 alone, people around the globe

watched 4,392,486,580 hours of its content, which is more than twice as

long as Homo sapiens has spent on earth. Porn is so ubiquitous, it has spun

off memes, including Rule 34, which says, “If it exists, there is porn of

it.” (Leprechauns? Check. Pterodactyls? Check. Pandas? Check.) The Internet

is like a 24-hour all-you-can-eat buffet restaurant that serves every type

of sex snack.

 

And the young are devouring it. Almost 40% of British boys ages 14 to 17

said they regularly watch, according to a February 2015 study by the

University of Bristol. Chyng Sun, an associate professor of media studies

at New York University, says nearly half of the 487 men she surveyed in one

study had been exposed to porn before they’d turned 13. A study in the

Journal of Sex Research puts first exposure at, on average, 12 years old

for young men.

 

A massive social shift involving the health of young people usually prompts

a robust round of research to assess what’s really going on. But in this

case, not so much. It’s hard even to get funding to study how widespread

porn use is, says Janis Whitlock, a former sex educator who is now a

researcher in mental health at Cornell University. NIH staff reportedly

advise researchers against using the word sexual in their funding

applications if possible. Neuroscientist Simone Kühn, whose study on porn

watching and brain structure was published in the esteemed JAMA Psychiatry,

says her employers at the Max Planck Institute were unhappy to be

associated with it.

 

The lack of research is exacerbating a bitter fight in the academic

community about the effects of excessive porn use. And there’s not a lot

of hard science to decide the outcome.

 

The young porn abstainers do have an unlikely guru: Gary Wilson, 59, a

former part-time adjunct biology professor at Southern Oregon University

and various vocational schools and the author of Your Brain on Porn:

Internet Pornography and the Emerging Science of Addiction. His website,

yourbrainonporn.com, or more commonly YBOP, is a clearinghouse for

information that supports the link between heavy adolescent pornography use

and sexual dysfunction. Many people find him through his 2012 TEDx talk,

which has more than 6 million views.

 

YBOP contends that watching too much onanistic material in adolescence

affects the brain in multiple ways. “Porn trains your brain to need

everything associated with porn to get aroused,” Wilson says. That includes

not only the content but also the delivery method. Because porn videos are

limitless, free and fast, users can click to a whole new scene or genre as

soon as their arousal ebbs and thereby, says Wilson, “condition their

arousal patterns to ongoing, ever changing novelty.”

 

A heavy porn schedule and the resulting sustained high levels of dopamine

reinforces these patterns. “The result in some Internet porn users is

higher brain activation to internet porn, and less arousal to sex with a

real person,” Wilson argues. And then there’s habituation: the need for

more to get the same hit. “Extreme novelty, certain fetishes, shock and

surprise and anxiety–all those elevate dopamine,” he says. “So they

need those to be sexually aroused.”

 

Other researchers are dismissive of any link between porn and erectile

dysfunction.”In the absence of supporting scientific data, the strength

of [these young men’s] belief that porn causes ED is not evidence for the

validity of their belief,” says David J. Ley, a clinical psychologist and

the author of The Myth of Sex Addiction. “The overwhelming majority of

porn users report no ill effects. A very, very small minority are reporting

these concerns about ED.”

 

Ley points to recent studies of young men who use porn, like a 2015 paper

in the Journal of Sexual Medicine, in which researchers from the University

of Zagreb in Croatia analyzed studies of about 4,000 sexually active

heterosexual young men in three European countries and found only a very

slight correlation between pornography use and erectile problems. (And only

in Croatia.) Another found that porn users who were religious were more

likely to think they were addicted. Nicole Prause, a psychologist and

neuroscientist, also believes PIED is a myth: “An overwhelming number of

studies have shown that the strongest predictors of ED continue to be

depression and drug use.”

 

For the young male activists, however, Exhibit A is always their own

physiology. “If you can get a boner with porn and you can’t get a boner

without porn, that’s about as hard as evidence gets in my opinion,” says

Deem of Reboot Nation. He crosses off every other reason for his sexual

dysfunction. Inexperience? “I’ve been a sexually confident and experienced

guy since the age of 14,” he says. Obesity? He’s a certified personal

trainer with, he says, under 10% body fat. Drug use? He claims to have

smoked about five joints in his life. And his ED couldn’t have been due

to performance anxiety, because he says he couldn’t get aroused even when

masturbating offline on a relaxed Sunday afternoon. “I ran back to my

computer to double-check. I turned on porn and bam!”

 

Beyond the issues facing these young men, there’s emerging research that

should give every porn user pause. A 2014 fMRI study from the Max Planck

Institute found that habitual porn use may have an effect on the brain.

“The more pornography men consumed, the smaller the brain striatum, the

reward center of the brain,” says Kühn, the author. “And those who

watched more pornography showed less response to pornographic pictures in

the same area.” Another study showed that more-frequent porn users were

more impulsive and had less ability to delay gratification. And a brain-scan

study out of the University of Cambridge in 2014 showed that men with

compulsive sexual behavior responded to explicit clips in the same way

users of drugs respond to drugs; they craved them, even if they didn’t

like them.

 

The lead researcher in that study, neuroscientist and neuropsychiatrist

Valerie Voon, says many of her heavy-porn-using subjects report having

erectile issues. But she and Kühn both note that none of this is proof that

porn shrinks brains; it could be that people who have smaller reward

centers have to watch more porn to get the same thrill. “I would be

cautious about using a single imaging study to imply that there has been

‘damage’ to the brain,” says Voon. “We just need more studies.”

 

The porn-addiction debate is a rancorous subset of a disagreement in the

medical and scientific communities about whether it’s possible to classify

so-called behavioral addictions, like those to gambling and eating, in the

same category as substance addictions, like those to alcohol or

prescription drugs. Prause argues that using the word addiction to describe

what could simply be a high sexual appetite is unhelpful and may be

worsening the problem by stigmatizing it.

 

But to Voon, who studies addictions, compulsive porn watching sure looks

like one, even though it has different properties, including a higher

appetite for novelty than other addictions. “It’s possible that the

combination of pornographic stimuli being highly rewarding in addition to

the novelty might have some kind of greater effect,” she says.

 

Brian Anderson, a cognitive neuroscientist at Johns Hopkins University, has

an intriguing theory. His specialty is habit formation; in February his

team released a study showing that visual stimuli that are linked to a

reward are harder to ignore when they are encountered again. When the brain

detects evidence of the enjoyable stimulus, it pays more attention and

blocks out other stimuli. “Your brain is wired to develop those patterns,

and when you tie them to something like porn it can be very disruptive and

difficult to break,” says Anderson.

 

He hypothesizes that the visual nature of porn makes it particularly

appealing for the brain. “It lends itself to a strong and quick attention

bias,” he says. “The brain is going to learn that association very

quickly.” And because people’s modern lives are very computer-heavy,

there are reminders of porn everywhere. “There probably comes a point in

time,” he says, “where you open up your browser and you just start

thinking about porn.” (And that’s before virtual-reality tech takes

things to a whole new level.)

 

Since the teenagers guzzling all that porn are digesting it in a brain that

is still developing, it’s possible they are particularly susceptible.

Philip Zimbardo, emeritus professor of psychology at Stanford University

(and the guy who did the famous Stanford prison experiment), notes that

porn often goes hand in hand with video games and is similarly finely tuned

to be as habit-forming as possible.

 

“Porn embeds you in what I call present hedonistic time zone,” he says.

“You seek pleasure and novelty and live for the moment.” While not

chemically addictive, he says, porn has the same effect on behavior as a

drug addiction does: some people stop doing much else in favor of pursuing

  1. “And then the problem is, as you do this more and more, the reward

centers of your brain lose the capacity for arousal,” he says. At a time

when young men are at their physical peak, he says, all the inactivity may

be contributing to the unexpected sexual dysfunction.

 

Noah Church devotes about 20 hours a week to trying to help others

eliminate porn from their lives, or at least to cut out the habit known as

PMO (porn, masturbation, orgasm). He has written a free book about it,

Wack, runs addictedtoporn.com and counsels people via Skype for a $100 fee.

Rhodes, meanwhile, tries to help guys get their mojo back by arranging

“challenges,” during which young people try to abstain from PMO for a

certain span of time. There are different levels of abstinence: the most

extreme (known, ironically, as “hard mode”) is keeping away from any

sexual activity, and the least extreme is having all the sexual encounters

that present themselves, including those that occur alone, but without visual

aids. Deem’s site offers similar strategies, along with a lot of community

support and educational materials.  A group of young men from Utah have

started an organization called Fight the New Drug, which has a free recovery

program for teens called Fortify.

 

The young men who wish to reboot their brains describe similar consequences

as they titrate off the habit. Some of them have withdrawal-like symptoms

such as headaches and sleeplessness. Many of them talk about “flatlining,”

a period of joylessness, zero libido and even shrunken genitalia that can

last several weeks. “I felt like a zombie,” says Deem. Older guys have

reported similar symptoms, but they generally recover faster, possibly

because they had more sexual experiences in real life. Football player

turned actor Terry Crews recently posted a series of Facebook videos about

the damage his porn habit did to his marriage, and his life, though not his

virility. He went to rehab. Others report bouncing back more quickly. “I

felt more focused, awake, socially confident, connected to others, more

interested in daily activities and more emotionally sensitive,” says

Church. “I started feeling these changes very soon after quitting.”

 

Because consuming porn is often done on impulse, NoFap’s newest product

is an online emergency button, which when clicked takes users to a

motivational picture, video, story or advice, like this: “PMO is not even

an option. The way eating yellow snow is not an option. It doesn’t even

factor into the decisionmaking process.” The Brainbuddy app, which was

developed after a young Australian named David Endacott noticed how

difficult it was for him to give up porn, offers a series of

alternatives–an activity or an inspiring video. Not watching porn is only

half the battle, he says. The brain has to develop new and different

pleasurable associations with the computer. Like a Fitbit, the app also

tracks how many days users have gone without resorting to the habit. It has

had more than 300,000 downloads so far.

 

The one thing that these young men are not suggesting is an end to porn,

even if that were possible. “I don’t think that pornography should be

legislated or banned or restricted,” says Rhodes. In any case, legislating

porn has always been fraught, and today that’s not just because of the

First Amendment but also because of technology. One challenge facing the

British proposal to force porn sites to verify the age of their consumers

is figuring out how to make that work without invading adult privacy and

despite the ease with which most teenagers can subvert online filters.

(Reports showed that 1.4 million unique visitors to adult sites in Britain

were under the age of 18 in May 2015, after Internet providers’ opt-in

filters were in place.) Although one U.S.-based site, Pornhub, has pledged

to adhere to the new British rules, the industry is dubious about the

health claims. “My No. 1 gripe with the porn industry is that they have

been generally unaccepting of the whole porn-addiction recovery movement,”

says Rhodes. “They really trivialize it.” (Pornhub declined to answer

any questions about legislation or health concerns for this story.)

 

“As an industry we have seen a lot of moral panics,” says Mike Stabile,

communications director for the Free Speech Coalition, the

adult-entertainment industry’s trade association. “There doesn’t seem

to be a whole lot of reputable science. Should something emerge it might

spur discussions.” The industry is not in favor of the British approach

that makes Internet users opt in to adult content rather than opting out,

says Stabile: “Those filters can block access to LGBTQ groups and sex-education

sites.” But that’s exactly the model that state senator Todd Weiler is

hoping will be used in Utah. “We’ve changed how we’ve approached

tobacco, not by banning it but by putting reasonable restrictions in place,”

says Weiler. He’d like places like McDonald’s and Starbucks–and even

libraries–to filter their wi-fi so that they would be porn-free.

 

Providing a counternarrative for teens about the porn they’ll inevitably

encounter, despite whatever filters are put in place, is a key goal of the

young activists. “Thirteen- and 14-year-olds have access to unrestricted

and endlessly novel Internet porn way before they discover that it could

potentially have harmful side effects,” says Rhodes. Deem points out that

he stayed away from cocaine because he was taught it would harm him. He’d

like to see porn treated the same way, with schools teaching about the

possible side effects of pornography during sex ed. “I would tell my son,

I’ll be straight up with you, all superstimulating things, like Internet

porn, junk food and drugs, can be fun and pleasurable, temporarily,” says

Deem. “However, they also have the potential to desensitize you to normal,

natural things and ultimately rob you of the one thing you thought they

would give you, the ability to experience pleasure.”

 

Introducing porn to sex ed at school would seem a quixotic quest. Sex

education is already the source of much conflict, and schools do not wish

to be accused of introducing kids to pornography, even if the science of

its effects were settled. Parents too are wary of broaching the subject,

afraid of what questions might be asked. But curiosity abhors a vacuum;

online porn is becoming de facto sex ed for many young people.

 

Whitlock, the former sex educator, says she has been surprised by how

reluctant her erstwhile colleagues are to speak up about porn. She believes

that because sex educators were fighting a negative image of sex for so

long during the years of abstinence-only education, they’re allergic to

anything that questions sexual appetites. She has found that even asking

students to reflect on what their watching habits are doing to their mental

health is met with pushback. “It makes no sense to me,” she says. “It’s

like saying if you question the value of eating Dunkin’ Donuts all the

time that you’re ‘food negative.’”

 

An ideal way to deliver the message might be online, but ironically, many

of these efforts are thwarted by porn blockers. That’s a problem for

Brainbuddy. Its creator feels it’s important to get it to the 12-and-older

crowd, but users must be over 17 to download it.

 

The shame around a compulsive porn habit makes asking for help difficult,

even though neuroscientists say it could happen to anyone. Then there’s

the reverse stigma for young men who speak against the genre in a culture

that celebrates sexuality. Deem and other advocates know they are walking

into a headwind of apathy, antagonism and ridicule. But they’re not

dissuaded. “If anything is going to change,” says Deem, “it’s going

to have to come through the guys who went through the trenches, who were

actually clicking the tabs and watching the hardcore porn when we were 12.”

 

One of the newer NoFap members (known as Fapstronauts), a 30-something gay

man just starting a 30-day challenge, puts it this way: “When I think about

it,” he writes, “I’ve wasted years of my life looking for a computer

or mobile phone to provide something it is not capable of providing.”

Do’s:

  1. Understand that the science is now clear: Porn-Induced Erectile Dysfunction is a real thing. Yes, there are deniers and will continue to be deniers. Even for those who cling to flimsy studies, it’s hard to understand how you get millions of site visitors and members to join organizations dedicated to addressing a problem if it’s not a problem. PIED is most obvious in young men without other risk factors for E.D. (overweight, medication side effects, sexual trauma, etc.). Thankfully, symptoms typically resolve after approximately 1 month of abstaining from online porn.
  2. Talk with your children about the risks of online pornography as you would with other risks to their physical and mental health. We admonish our children for having the volume too loud on their earbuds, so let’s be consistent and let them know that online porn can absolutely have a detrimental effect not only on their emotional health and relationships but on their physical health and sexual functioning as well.
  3. Familiarize yourself with the resources in this article so you can determine if . Your Brain on Porn is a comprehensive site for parents of boys and girls, and for adolescents themselves.

Don’t:

  1. Minimize the risks of online porn. They are very real and as this article portrays, range from relationship difficulties, sexual pressure on girls and women, addiction to porn and yes, sexual functioning.
  2. Listen to so-called experts like David Ley. Give them (and their publicists) credit for getting lots of media attention, but not for anything else.
  3. Be hypocritical by using online porn while warning your kids about its risks. The odds are good that your kids will discover evidence of your usage at some point.
Skills

Posted on

July 16, 2016

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