High-speed Internet pornography users in their twenties are increasingly developing sexual performance problems (erectile dysfunction, delayed ejaculation). Said one young man,

“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.”

Italian urologists recently confirmed the impotence-porn use connection via a large survey. Italian men suffer ‘sexual anorexia’ after Internet porn use. 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% of the young men seeking clinical help for sexual performance problems had been using Internet pornography habitually.

No one yet knows the percentage of Americans affected. However, youthful impotence has implications for condom use and safe sex.

According to Foresta, porn-related impotence is reversible. Yet it appears that recovery requires 4 to 12 weeks of avoiding intense sexual stimulation. Read one man’s recovery story: “Day 64: Successful, great, normal sex.” More recovery accounts.

Of those who ultimately recover by terminating pornography use, many had previously been to doctors, undergone numerous 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.” This was no doubt sound advice before masturbation was coupled with the constant novelty and hyperstimulation of today’s Internet erotic possibilities. However, it may no longer be valid given the effects of superstimuli on the brain.

Among those who recover, progression is surprisingly similar. When the users completely stop using pornography (and masturbation as well for a time, because it is initially so closely associated with porn fantasy), here’s what occurs:

1) Withdrawal symptoms and cravings: Immediately

2) Complete loss of libido and erections: Begins towards the end of week one.

3) Absence of libido and erections, increased flaccidity (“shrinking or lifeless penis”): Continues for 2-6 weeks, dependent upon age and severity of porn use.

4) Gradual return of morning erections, libido and spontaneous erections at other times, no more “semen leakage” during bowel movements, etc.

5) Complete recovery of erectile health, sexual desire for real partners, reports of extremely pleasurable sex, contented condom use even if it was once a problem.

Sufferers typically recover within eight weeks. Those in their late teens generally require a shorter period of avoiding sexual stimulation to bounce back, but they also tend to relapse more often, which extends their recovery. Older men may need a longer period without stimulation in order to recover, but are typically more disciplined. Either way, reports are encouraging:

“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.”

Those affected report that escalating pornography tastes preceded their symptoms. Escalation, their withdrawal symptoms during recovery, and the sequence and time-dependence of their recovery all point to a common cause of their impotence, namely overstimulation of the reward mechanism in the brain.

Animal models have established that the mesolimbic dopamine pathway dopaminergic neurons activate the hypothalamic erection centers. It’s likely that porn-induced ED is tied to desensitization of the mesolimbic dopamine pathway. This is a hallmark of all known addiction processes. 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. Only after they experiment for themselves do they become fully convinced that pornography use was indeed the source of their dysfunction.