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The 2001–2002 rates for older men 40–80 were about 13% in Europe. However, in just a decade, things changed radically. Based on the findings of historical studies cited earlier, older men would be expected to have far higher ED rates than the negligible rates of younger men. The second group, in 2011, were 40 and under. A decade later, in 2011, the same (yes/no) question from the GSSAB was administered to 2737 sexually active men in Croatia, Norway and Portugal.
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In 2001–2002, it was administered to 13,618 sexually active men in 29 countries. One clear demonstration of this phenomenon relates to ED, and compares very large samples, all of which were assessed using the same (yes/no) question about ED as part of the Global Study of Sexual Attitudes and Behavior (GSSAB). In contrast, recent studies on ED and low sexual desire document a sharp increase in prevalence of such dysfunctions in men under 40.
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The first of these “tube sites” appeared in September 2006.
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These data were gathered before Internet “porn tube sites” enabled wide access to sexually explicit videos with no download required. A 1999 major cross-sectional study reported erectile dysfunction in 5%, and low sexual desire in 5% of sexually active men, ages 18 to 59, and a 2002 meta-analysis of erectile-dysfunction studies reported consistent rates of 2% in men under 40 (except for the preceding study). 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. Trends in Sexual Dysfunction-Unanswered Questions In the interim, a simple diagnostic protocol for assessing patients with porn-induced sexual dysfunction is put forth.ġ.1. 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. 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. Alterations to the brain's motivational system are explored as a possible etiology underlying pornography-related sexual dysfunctions.
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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.
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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.