This review 1 considers data from multiple domains, e. Alterations to the brain's motivational system are explored as a possible etiology underlying pornography-related sexual dysfunctions. 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. Up until the last decade, rates of ED were low in sexually active men under 40, and did not begin to rise steeply until thereafter [ 1 , 2 ].

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