曾经解释男性性困难的传统因素似乎不足以解释勃起功能障碍的急剧上升,延迟射精,性满意度下降,40岁以下男性的性伴侣性欲下降。这篇评论(1)考虑了来自多个领域的数据,例如,临床,生物学(成瘾/泌尿科),心理(性条件),社会学;(2)提出了一系列临床报告,目的是为这一现象的未来研究提出一个可能的方向。大脑动机系统的改变被探索为色情相关性功能障碍的可能病因。这篇评论还考虑了互联网色情的独特属性(无限新颖性,容易升级到更极端材料的潜力,视频格式,等。)可能足以使性唤起成为互联网色情使用中不易过渡到现实生活中的伴侣的方面,这样,与所需伴侣的性行为可能不会注册为满足期望和唤醒下降。临床报告表明,终止网络色情使用有时足以扭转负面影响,强调需要使用方法进行广泛的调查,这些方法可以使主题消除互联网色情使用的变量。在此期间,提出了一种简单的诊断方案,用于评估色情引起的性功能障碍患者。
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.