Episode

14 Sept 2025 · 58 min

0:00

Podcast episode by Dr. Mihail (Mihail Pautov) exploring how pornography affects the brain, sexual functioning, and intimate relationships. The speaker reviews social/technological drivers (Internet boom and the AAA model), distinguishes normative from problematic pornography use, and presents prevalence estimates and screening tools (six signs of dependence; a five-question screen for pornography-induced erectile dysfunction). The episode summarizes mixed research findings: some studies link problematic use to erectile dysfunction, anxiety, depression and relationship dissatisfaction, while other studies find frequency alone is not predictive; subjective distress, shame, secrecy and motives (avoidance vs approach) better predict harm. Neurobiological parallels with other addictive behaviours (heightened striatal wanting, reduced prefrontal control) and CBT/ACT-based treatment approaches are discussed. Practical resources and transcripts are available on drmihail.ro; studies are referenced in the episode description.

Questions this episode answers

Between 92% and 98% of men have consumed pornography during their lives.

Over 80% of men confirm they continue to consume pornography currently.

Between 50% and 91% of women have consumed pornography during their lives; over 60% continue to consume it now.

Problematic consumption: between 3% and 10% of men, and between 1% and 7% of women.

82% of respondents in that survey reported they had tried to stop pornography but did not succeed.

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