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. 2016 Aug 5;6(3):17.
doi: 10.3390/bs6030017.

Is Internet Pornography Causing Sexual Dysfunctions? A Review With Clinical Reports

Free PMC article

Is Internet Pornography Causing Sexual Dysfunctions? A Review With Clinical Reports

Brian Y Park et al. Behav Sci (Basel). .
Free PMC article

Erratum in


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. In the interim, a simple diagnostic protocol for assessing patients with porn-induced sexual dysfunction is put forth.

Keywords: Internet pornography; PIED; delayed ejaculation; erectile dysfunction; low sexual desire; low sexual satisfaction; pornography; sexually explicit material.

Conflict of interest statement

The authors declare no conflict of interest. Opinions and points of view expressed are those of the authors’ and do not necessarily reflect the official position or policies of the U.S. NAVY or the Department of Defense.

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    1. De Boer B.J., Bots M.L., Lycklama a Nijeholt A.A.B., Moors J.P.C., Pieters H.M., Verheij Th.J.M. International Journal of Impotence Research—Figure 2 for article: Erectile dysfunction in primary care: Prevalence and patient characteristics. The ENIGMA study. [(accessed on 10 November 2015)]. Available online:
    1. Prins J., Blanker M.H., Bohnen A.M., Thomas S., Bosch J.L.H.R. Prevalence of erectile dysfunction: A systematic review of population-based studies. Int. J. Impot. Res. 2002;14:422–432. doi: 10.1038/sj.ijir.3900905. - DOI - PubMed
    1. Laumann E.O., Paik A., Rosen R.C. Sexual dysfunction in the United States: Prevalence and predictors. JAMA. 1999;281:537–544. doi: 10.1001/jama.281.6.537. - DOI - PubMed
    1. Sarracino C., Scott K.M. The Porning of America: The Rise of Porn Culture, What It Means, and Where We Go from Here. Beacon Press; Boston, MA, USA: 2009.
    1. Nicolosi A., Laumann E.O., Glasser D.B., Moreira E.D., Paik A., Gingell C. Global Study of Sexual Attitudes and Behaviors Investigators’ Group Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors. Urology. 2004;64:991–997. doi: 10.1016/j.urology.2004.06.055. - DOI - PubMed