Pornography use alone does not cause erectile dysfunction. Research shows that neither the frequency (how often) nor the duration (for how long) of porn use causes erectile dysfunction. However, feeling conflicted about using porn or believing that one’s use is problematic has been shown to lead to erectile difficulties.
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What Is Porn-Induced Erectile Dysfunction?
Erectile dysfunction (ED) refers to the persistent difficulty in achieving or maintaining an erection sufficient for sexual activity, typically lasting for at least six months. Porn-induced erectile dysfunction is a specific type of ED where the issue is believed to stem from excessive or habitual use of pornography.
It’s important to note that occasional difficulties with erections are common and can be influenced by various factors, including stress, health issues, or substance use. Approximately 20% of men under 30 experience ED, and this percentage increases by about 10% with each additional decade of age.1
Can Porn Cause Erectile Dysfunction?
Research consistently shows that pornography use doesn’t directly cause erectile dysfunction (ED), regardless of how often or for how long it’s used.2,3,4 However, the way someone feels about their porn use can make a difference. If you believe your use is problematic or it conflicts with your personal values or cultural beliefs, that inner conflict can contribute to sexual difficulties.3,4,5,6,7 This tension can create a cycle where feelings of sexual shame lead to performance anxiety, which can then cause or worsen issues like difficulty achieving or maintaining an erection—or even avoiding sexual situations altogether.
Porn can also cause unrealistic expectations about sex, which can play a role in sexual performance anxiety. Many men are exposed to the idea that penis size and sexual stamina are the ultimate measures of masculinity. Comparing themselves to porn stars—who are often specifically chosen for these traits and whose performances are enhanced by editing or medication—can leave men feeling inadequate. When porn becomes the standard for what’s “normal,” it’s easy to see how feelings of insecurity or failure might arise. And as anxiety creeps in, it’s no surprise that it can cause porn-induced erectile dysfunction.
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How to Deal With Porn-Induced ED
The threshold for what becomes a problem varies from person to person and can change over time. If you’re experiencing negative effects tied to pornography—whether physical, emotional, or based on your beliefs—there are steps you can take to regain control and improve your sexual health.
Here are seven tips to overcome porn-induced erectile dysfunction:
1. Explore Your Values
If your struggles with erectile dysfunction stem from a conflict between pornography use and your personal values, it might be time to reflect on those beliefs. Values can evolve with time and experience, so intentionally re-evaluating them can help you gain clarity and reduce inner conflict.
Here are some questions that can help you explore your values:
- What specifically feels wrong about using pornography?
- Would it feel different if you used it less frequently or in moderation?
- Are there types of porn you find more acceptable than others?
- Are your beliefs about porn truly yours or are they shaped by cultural or societal influences?
- Would choosing ethically produced content align more closely with your values?
Taking the time to explore these questions can help you better understand the source of your discomfort and decide what works for you moving forward.
2. Masturbate Without Porn
When you rely on porn, your arousal can become tied to external visual stimulation, making it harder to feel aroused or maintain an erection in other contexts. Masturbating without porn can help with porn-induced erectile dysfunction (ED) by teaching your brain and body to respond to natural sensations instead of relying on visual stimulation.
To do this, focus on the feelings in your body during masturbation, like touch and movement. Think about a past pleasurable experience with a partner, and try to imagine it in as much detail as possible—what it looked like, felt like, and sounded like. You can also fantasize about something new and exciting that sparks your interest. This practice helps retrain your arousal to respond to real-life experiences, making sexual intimacy with a partner feel more natural and enjoyable.
3. Practice Mindfulness
Porn often overstimulates the brain with fast-paced visuals and constant novelty, making it harder to focus on and enjoy the subtler, real-life sensations of touch and connection. Mindfulness can be a powerful tool for addressing porn-induced erectile dysfunction (ED) by helping you reconnect with the present moment and your physical sensations during intimacy. During sexual activity, practice engaging all your senses, noticing the warmth of touch, the feel of skin and hair, or even subtle smells, while gently letting go of distracting thoughts.
4. Improve Your Self-Esteem & Body Image
Improving your self-esteem and body image can play a significant role in overcoming porn-induced ED by reducing feelings of inadequacy often triggered by comparing yourself to unrealistic standards set by porn. When you feel confident and comfortable in your own body, you’re less likely to let insecurities about size, appearance, or performance interfere with arousal and intimacy.
Start by appreciating your body for what it can do rather than focusing solely on how it looks. For example, think about its strength, endurance, or sensitivity. Remind yourself that your partner has chosen you for reasons that go beyond appearance—they value who you are as a person. Trust that you deserve love, affection, and sexual connection without needing to meet the exaggerated standards often depicted in pornography.
5. Talk About Your Desires
Many people use pornography to explore fantasies. Discussing your desires with your partner can help with porn-induced ED by shifting that exploration into real-life intimacy. Start by talking about a fantasy or desire you have, and clarify whether it’s something you’d like to try in real life or simply something you’d enjoy talking about during sex. This conversation can build trust and create a sense of shared adventure, making intimacy more fulfilling. Be sure to reassure your partner that there’s no pressure to act on any fantasy unless they’re comfortable—it’s about connection, not obligation.
6. Address Underlying Emotional Concerns
When you turn to pornography to escape stress, sadness, or other difficult emotions, it can create a reliance on external stimulation rather than addressing the root of the issue. Over time, this avoidance can disconnect you from real-life intimacy and make it harder to feel aroused in meaningful, emotional contexts. Addressing emotional concerns can help with porn-induced erectile dysfunction by breaking the cycle of using porn as a way to avoid negative feelings.
Before engaging with porn, take a moment to check in with yourself. Ask how you’re feeling and try to identify any difficult emotions that might be present. Are you stressed, lonely, or anxious? Spend some time sitting with these feelings, naming them, and reflecting on their source. Journaling about what you’re experiencing or processing the situations that brought up these emotions can be especially helpful.
7. Seek Professional Support
Seeking professional support is a crucial step in overcoming porn-induced ED, especially if the problem feels overwhelming or persistent. A qualified therapist, particularly one specializing in sexual health, addiction, or relationships, can help identify and address underlying issues like performance anxiety, shame, or emotional triggers. Cognitive behavioral therapy (CBT) or sex therapy can provide tools to reframe unhealthy thought patterns and build a healthier relationship with intimacy.
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How to Find Professional Support
Seeking professional support can be an important step in addressing porn-induced ED, especially if it feels overwhelming to manage on your own. A local therapist directory is a great way to find a therapist who specializes in sexual health, addiction, or relationships. Alternatively, many online therapy services offer flexible options, including video, phone, or chat-based sessions. These services often make it easier to start therapy in a more private and accessible way. In addition to individual therapy, peer support can be invaluable. Many groups—both in-person and online—focus on helping individuals navigate issues related to pornography use and its effects.
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In My Experience
Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Allen, M. S., & Walter, E. E. (2019). Erectile dysfunction: An umbrella review of meta-analyses of risk factors, treatment, and prevalence outcomes. Journal of Sexual Medicine, 16(4), 531–541. https://doi.org/10.1016/j.jsxm.2019.01.314
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Landripet, I., & Štulhofer, A. (2015). Is pornography use associated with sexual difficulties and dysfunctions among younger heterosexual men?. The journal of sexual medicine, 12(5), 1136-1139.
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Grubbs, J. B., & Gola, M. (2019). Is pornography use related to erectile functioning? Results from cross-sectional and latent growth curve analyses. The Journal of Sexual Medicine, 16(1), 111-125.
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Whelan, G., & Brown, J. (2021). Pornography addiction: an exploration of the association between use, perceived addiction, erectile dysfunction, premature (early) ejaculation, and sexual satisfaction in males aged 18-44 years. The journal of sexual medicine, 18(9), 1582-1591.
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Hoagland, K. C., & Grubbs, J. B. (2021). Pornography use and holistic sexual functioning: A systematic review of recent research. Current addiction reports, 8(3), 408-421.
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Hatch, H. D., Hatch, S. G., Henderson, E., Deichman, C., Johnson, D., Esplin, C., … & Braithwaite, S. (2022). Examining the problematic pornography use model: A quantitative exploration of dysregulated pornography use. The journal of sexual medicine, 19(1), 132-143.
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Hoagland, K. C., Rotruck, H. L., Moore, J. N., & Grubbs, J. B. (2023). Reasons for Moral-Based Opposition to Pornography in a US Nationally Representative Sample. Journal of Sex & Marital Therapy, 1-22.
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Sarah E. Wright, PsyD, CST/S (No Change)
Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Fact-checked and edited for improved readability and clarity.
Author: Sarah E. Wright, PsyD, CST/S
Reviewer: Kristen Fuller, MD
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