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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.
By 2011, ED rates in young Europeans, 18–40, ranged from 14%–28% .
In the last few years, research using a variety of assessment instruments has revealed further evidence of an unprecedented increase in sexual difficulties among young men.
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) .
These data were gathered before Internet “porn tube sites” enabled wide access to sexually explicit videos with no download required.
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.