The concept of pornography induced erectile dysfunction (PIED) has spurred movements such as NoFap, where men pledge to stop viewing pornography and masturbating to it. A quick Google or Ted Talk search will result in a number of sites or talks discussing pornography induced erectile dysfunction (PIED).

Despite there being quite a bit of support for these ideas and movements in some quarters, there is still a lack of scientific evidence that supports PIED.

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Learn more about curbing your urges in our series on Blocking Porn.

The Study

A study published last year in the JMIR Public Health and Surveillance Journal by Jacob et al, was a collaboration between researchers and medical doctors that sought to study the issue.

The authors, in consultation with urologists, created a 118-item questionnaire that included demographic information, medical history, pornography consumption, masturbation frequency as well as the Cyber Pornography Addiction Test, International Index of Erectile Function and the Alcohol Use Disorders Identification test (AUDIT) which are all validated tests. The study participants were all in Denmark and Belgium and over 3400 individuals (aged 18 to 35) survey responses were used in the study. 

For me, some of the best parts of this study are the descriptive analyses. When talking about sex addiction or problematic sexual behavior, there is this assumption that we know what “normal” pornography use or masturbation is and from there can quantify abnormal. However, we really don’t have a lot of recent statistics on how much pornography people are using and how often they masturbate.  

Do you believe you have an online pornography addiction? Then take this free Cyber Pornography Addiction Test (CYPAT) and have the results to speak with your therapist.

Pornography, Masturbation, and Erectile Dysfunction

The study found that 84.9% of the men surveyed started to masturbate between the ages of 10 and 14 years old and more than 70% of these men masturbated multiple times a week. 98.98% of these men used pornography while they masturbated. The study found that the median age that the men started to masturbate to pornography was 13-14 years old. Most of these men (over 90%) skipped to the “best parts” of the pornography during masturbation and over 80% of them stated that an average pornography/masturbation session lasted between 5 and 30 minutes. For the men in this study, it is safe to say that masturbating to pornography would be considered normal. 

Erectile Dysfunction

The study found that over 21% of the men who were sexually active experienced some degree of erectile dysfunction. There was a statistically significant relationship between erectile dysfunction and how high the person scored on the cyber pornography addiction test, meaning individuals who had higher CYPAT scores also had higher levels of ED.

From a clinical perspective, there were several interesting findings. First, 61% of individuals who were sexually active and had some ED issues reported that they never had ED issues when they were masturbating to pornography. Second, 58% of individuals who started to masturbate to pornography before they were 10 years old had more ED issues.  

Summary of Results

1. How often someone viewed pornography did not have an impact on ED
2. How often someone masturbated did not affect ED
3. There was a significant relationship between ED and Pornography Addiction (as tested with the CYPAT)
4. Individuals who started to masturbate to pornography at a very young age, at or before 10 years old, had higher rates of ED.  
5. Other factors related to ED are experiencing performance pressure, relationship issues and identified sexual orientation. 

Struggling with excessive sexual thoughts, urges, or activities that are causing you distress? Take the free, online Sexual Symptom Assessment Scale (SSAS) and get a link to share with your therapist.

For me, there are two big takeaways from this study.

The first is that viewing and masturbating to pornography is a normal behavior for men in this age category. 

The second is that starting to view and masturbate to pornography at a young age has more detrimental effects than doing so at an older age.

This study provides more support for the need to talk to children about pornography and limit their access to pornography until they are older, and it is more developmentally appropriate. 

Since this post dealt more with validating the scientific concepts behind PIED I want to leave you with an informational resource if you’re struggling: Your Brain on Porn.  

Reference:  Jacobs T, Geysemans B, Van Hal G, Glazemakers I, Fog-Poulsen K, Vermandel A, De Wachter S, De Win G Associations Between Online Pornography Consumption and Sexual Dysfunction in Young Men: Multivariate Analysis Based on an International Web-Based Survey JMIR Public Health Surveillance Journal 2021;7(10):e32542 doi: 10.2196/32542

This post contains affiliate links. The author or blog owner may earn a commission if you make a purchase using these links.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

Do you feel your sexual behavior, or that of someone you love, is out of control? Then you should consult with a professional.

For an in-depth guide on talking to your adolescents about cybersex and pornography, check out Dr. Jen’s book. Amazon | BookBaby

The post Pornography Use and Erectile Dysfunction first appeared on Dr. Jen's Recovery Readings.

This post contains affiliate links. The author or blog owner may earn a commission if you make a purchase using these links.

Update: To learn more about ways to restrict access to pornography, see the series on Blocking Porn.

Gary Wilson, the curator of the widely visited site, www.yourbrainonporn.com, recently released a book of the same name. Your Brain on Porn: Internet Pornography and the Emerging Science of Addiction. The book is available on Kindle or as a .pdf file.

The value of Your Brain on Porn

I have used videos from the yourbrainonporn.com website when I lecture at graduate counseling courses or teach continuing education programs to others in the mental health field. The site’s videos are a great combination of fun graphics and science that are portrayed in a manner that is very understandable for the non-scientist. The site also provides readers a forum called Reboot Nation that allows others to connect and provide support for each other in their journey to stop using internet pornography and “reboot”.

Mr. Wilson’s book is an excellent combination of the best parts of the website. He has brought together the latest (as recent as 2014 publications) scientific research and direct quotes from forum participants to illustrate his points. The book takes the reader through the growth of problematic internet pornography use and the effects of such use on (mostly) men who view and masturbate to an abundance of pornography. He then moves into a discussion of the science of addiction addressing why, in both his mind and based on the science, pornography addiction does exist. Finally, he provides the reader with some helpful tools to “Reboot”. This section is particularly helpful as it is full of forum members’ actual experiences with rebooting and their struggles with stopping masturbation and pornography viewing.

Do you believe you have an online pornography addiction? Then take this free Cyber Pornography Addiction Test (CYPAT) and have the results to speak with your therapist.

Beyond Pornography Addiction

While Your Brain on Porn does agree with the existence of pornography addiction, that is not the focus of the book. The main focus is to address the issue of pornography induced erectile dysfunction. Pornography induced ED is an erectile dysfunction that is based on over consumption of pornography leading to mens’ inability to get an erection or maintain an erection while having sex with an actual live person.

One of the great things about this book is that it does not preach. The author is not saying that pornography itself is inherently bad, nor is he saying that masturbation is a bad thing. He writes this book to bring to light the fact that internet pornography does have an effect on the brain and arousal templates and that this fact causes dysfunction for some people. For those people who struggle with internet pornography or pornography induced erectile dysfunction, there is, in fact, help.

This post contains affiliate links. The author or blog owner may earn a commission if you make a purchase using these links.

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

The post Your Brain on Porn: Book Review first appeared on Dr. Jen's Recovery Readings.