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自2011年以來,所有評估年輕男性的性生活研究報告都指出,患有勃起功能障礙和性冷淡的男性人數正飛速增長。(見 Research confirms enormous rise in youthful ED)如果我們將最近的研究數據與以前的研究數據相比較,我們會發現由於網路的出現,年輕男性中患有勃起功能障礙的人數增長了600%-3000%。這可不是打錯了!

 


 

Porn-Induced Sexual Dysfunction Is a Growing Problem

色情誘發的性功能障礙日益嚴重

 

 

經調查顯示,目前男性勃起功能障礙的患病率在27%-33%,而性冷淡的(包括性欲減退)患病率在24%—37%。其中25歲以下的男性所占比率較低,而40歲以下男性所占比率則要多得多。

 

這些驚人的高患病率是當今社會的新現象,而再讓我們來看看兩篇早期的“關於美國男性勃起功能障礙的橫斷面研究”的報告數據:

1.在20世紀40年代,報告數據顯示,在30歲以下的年輕人中,男性的勃起功能障礙患病率不到1%,而30歲-45歲的男性的患病率也不到3%.

2.美國醫學會雜誌上發表的1999年研究報告稱,勃起功能障礙的發生率為5%,性欲低下的發生率為5%。在這項研究中,被調查的人的年齡範圍在18歲到59歲之間,其中三分之一以上的人年齡超過40歲。

 

那麼問問你自己:過去的15年裡到底發生了什麼?是什麼導致了年輕人勃起功能障礙的患病率如此巨大的增長?那就是網路色情

第一篇業內同行普遍認同的報告指出,是色情導致的勃起功能障礙。在這項腦掃描的研究報告——“基於是否對性行為具有強迫症的兩種不同人群中,性暗示與大腦神經的相關性研究”( Neural Correlates of Sexual Cue Reactivity in Individuals with and without Compulsive Sexual Behaviours (2014)),其報告結果顯示,痴迷於色情的人中,60%以上的人患有勃起障礙。報告中寫到:腦化學刺激檢測的受試者說,由於過度沉迷色情,並濫用色情不停地去刺激,他們在與女性發生性關系的過程中,更加容易勃起困難和性冷淡。受試者說,對色情的沉迷,導致了他們勃起障礙。他們平均年齡僅25歲,但19名受試者中的11名卻患有勃起障礙和性冷淡。

 

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Published on July 11, 2011 by Marnia Robinson

 


Internet porn appears to be "sex-negative" for many users.

網路色情對許多用戶來說是“性是負面”的

 

A growing number of young, healthy Internet pornography users are complaining of delayed ejaculation, inability to be turned on by real partners, and sluggish erections.

越來越多的年輕而身體健康的網路色情用戶抱怨射精困難、對現實中的性伙伴失去興趣、勃起困難

 

Lots of guys, 20s or so, can't get it up anymore with a real girl, and they all relate having a serious porn/masturbation habit. Guys will never openly discuss this with friends or co-workers, for fear of getting laughed out of town. But when someone tells their story on a health forum, and there are 50-100 replies from other guys who struggle with the same thing. This is for real.

很多20歲上下的小伙子無法與真實的女友交歡,他們都有嚴重的色情/手淫習慣。因為害怕嘲笑、在當地呆不下去,小伙子們絕不會和朋友或同事們公開討論這個問題。但只要有人在健康論壇上講述他們的故事,就有50到100條回復,都來自掙扎於同一困境中的年輕男性。這可不是玩笑。

 

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Threads relating to this issue are springing up all over the Web on bodybuilding, medical help, and pick-up artist forums, in at least twenty countries. Notice from one such forum:

有關這一問題的區塊在至少20個國家的健美、醫療救助和新興藝術家論壇上如雨後春筍般冒出來。其中一個論壇發布公告說:

 

Due to the overwhelming emails and requests we have received concerning pornography addiction and erectile dysfunction, we decided to create an entirely different thread. ED due to porn is becoming rapidly common, especially for young men.

我們收到鋪天蓋地的電子郵件和請求,都是有關色情癮症和勃起功能障礙,因此我們決定開辟一個完全不同的區塊。勃起功能障礙由於色情泛濫而日益普遍,尤其是在青年男性中。

 

Desperate young men from various cultures, with different levels of education, religiosity, attitudes, values, diets, marijuana use, and personalities are seeking help. They have only two things in common: heavy use of today's Internet porn and increasing need for more extreme material.

尋求幫助的絕望年輕男性來自於不同文化背景,教育、宗教信仰、態度、價值觀、飲食習慣、吸食大麻習慣、個性等各不相同。他們只有兩個共同點:濫用網路色情,日益依賴更為極端的物質刺激

 

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Many have previously been to doctors, undergone various tests, and been declared "just fine" physically. Neither they nor their health care providers considered excessive porn use as a potential cause of their continued performance problems. Most were assured that "masturbation cannot cause erectile dysfunction." (Probably true, but unfortunately Internet porn use can.) The final diagnosis was generally "performance anxiety." Desperate, many also looked online. See this 900-post thread and this 300-post one.

很多人都曾看過醫生,做過各種測試,被告知身體“健康”。他們和醫生都沒有想到,濫用色情也可能是其功能持續障礙的潛在誘因。大多數人都相信,“自慰不會導致勃起功能障礙。” (也許是對的,但不幸的是網路色情就會。)最終的診斷結果一般都是“焦慮導致功能障礙”。絕望之中,許多人也上網求助。看看這個900條帖子的話題和這個300條帖子的話題。

 

Is anxiety really the cause? Here's a simple test: Try to masturbate (alone) using no porn and no fantasy—only sensual touch. Use the same speed and pressure as you would during intercourse. How erect is your penis without porn? If your penis is not fully erect, or it takes effort to become erect, then the chances are that anxiety is not the source of your problems. Persistent performance problems can certainly lead to anxiety, however. As one man said after he recovered following three months without masturbation or porn: It's hard to tell where addiction ends and anxiety begins. I think a combination of the two is involved in a lot of situations.

焦慮是真正的誘因嗎?這兒有一個簡單的測試:試一下單獨自慰,不要用色情或性幻想——單純用感官觸摸。性交時采用同一節奏和力度。沒有色情時陰莖勃起狀況如何?如果你的陰莖沒有完全勃起,或需要努力才能勃起,那麼焦慮多半不是你問題的根源。不過,持續性的性功能障礙肯定會導致焦慮。一位男子戒斷手淫和色情3個月後恢復正常,正如他所說:“很難說清楚上癮後會怎麼樣,什麼時候開始出現焦慮。我覺得很多情況下兩者都在起作用。”

 

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Not long ago, Italian urologists confirmed an erectile dysfunction-porn use connection via a large survey. When interviewed about the survey, urologist Carlo Foresta (head of the Italian Society of Andrology and Sexual Medicine and professor at the University of Padua) mentioned that 70 percent of the young men seeking clinical help for sexual performance problems admit to using Internet pornography habitually.

不久前,意大利泌尿科醫生通過一項大型調查確認,勃起功能障礙和使用色情相關。在關於這項調查的采訪中,泌尿科醫生卡羅·傅雷斯塔(Carlo Foresta,意大利男性科學和性醫學協會負責人、帕多瓦大學教授)提到,因性功能問題尋求醫療幫助的年輕男性有70%都承認有使用網路色情的習慣

 

Recovery appears to take 6-12 weeks, and rests primarily on one factor: avoiding the extreme stimulation of Internet erotica. (Many also avoid masturbation for a time, either because at first they cannot masturbate without porn fantasy, or because climax triggers binging.)

恢復需要6-12周,主要依賴於一點:避免網路色情的極端刺激。(很多人也停止了一段時間的手淫,要麼是因為一開始沒有色情想像就無法手淫,要麼是因為高潮引發毒癮。)

 

Among those who recover, progression is surprisingly similar. Men typically report that after a few days of intense sexual cravings, their libido plummets and their penis seems "lifeless," "shrunken," or "cold." These "flatline" symptoms typically continue for up to six weeks on average, dependent upon age and intensity of porn use.

在那些康復的人中,康復進程驚人一致。男性一般報告說,經過幾天強烈的性渴望,他們的性欲驟降,陰莖似乎“毫無生氣”、“萎靡”、或“冰冷。”這種“乏悶”症狀一般會持續平均6個星期,取決於年齡和色情使用的強度

 

erectile-dysfunction

 

Gradually, morning erections return, followed by libido and, perhaps, occasional spontaneous erections. Finally, there is complete recovery of erectile health, sexual desire for real partners, sex becomes extremely pleasurable, and condom use is no longer problematic.

漸漸地,性欲恢復,可能偶爾自發勃起,早晨又會勃起了。最後,勃起完全恢復,對真實的性伙伴有了欲望,性行為變得非常愉快,使用安全套也沒有問題了

 

I am a 25-year old male, masturbating a lot from 13 and using porn from 14. Gradually, it took more to turn me on: bigger fantasies or harder porn, and I stopped getting hard without touching. During sex I would struggle to get an erection or keep it, especially for intercourse. Over the past 7 years I haven't held down a relationship, and the main reason for me has been this problem. Now the good news: When I realized the cause, I immediately gave up porn. Over the last 6 weeks I held off masturbating as much as I possibly could. (My best record was 9 days!) It all paid off. I just went away with a girl for the weekend and it was the best ever. I don't think I'm out of the woods yet. I still get pretty anxious from all the bad experiences over the years. But I just wanted to tell you all it can work, and it's well worth it!

我是一個25歲的男性,13歲起就經常自慰,14歲起開始用色情刺激。漸漸地,興奮越來越困難:需要更瘋狂的幻想或更黃的色情,不觸摸就無法勃起。在性愛過程中,我要費很大勁才能勃起或保持勃起狀態,特別是在性交過程中。過去7年,我無法維持固定關系,主要的原因就是這個問題。現在有了好消息:當我意識到原因後,我立刻放棄了色情。過去6個星期以來,我盡可能控制自己不自慰。(我最長的紀錄是9天!)努力終有回報。周末我和一個女孩上床了,我最愉悅的一次。我覺得自己還沒有完全走出來。這些年來的痛苦體驗仍然使我很焦慮。但我只想告訴大家,這辦法有用,值得一試!

 

Week 12, age 36 - I'm actually totally impressed how HUGE I get. It has been kinda hard to ignore. I mean, my erections are ROCK HARD and ENORMOUS. I remember asking other guys who went before me about when they noticed the return of their full erections. Well, I think I got mine back.

第12周,36歲——實際上,我所得到的回報之豐厚令我難以忘懷。真的是忘不了。我的意思是,我勃起時又大又硬,堅如岩石。我記得我問過比我先來的其他人,他們大約什麼時候注意到又能夠完全勃起了。哈哈,我想我又完全能行了。

 

 

 

freepornanderectiledysfunction
How can porn cause sexual performance trouble?

色情如何導致性功能障礙?

 

The cause appears to be physiological, not psychological, given that such diverse men change only one variable (porn use), yet report a similar recovery pattern. For these men, anxiety is secondary.

鑒於這些不同的男性只有一個變量(使用色情)發生改變就出現類似的康復模式,原因似乎是生理性的,而非心理性的。對於這些人,焦慮是次要的。

 

Recent behavioral addiction research suggests that the loss of libido and performance occur because heavy users are numbing their brain's normal response to pleasure. Years of overriding the natural limits of libido with intense stimulation desensitize the user's response to a neurochemical called dopamine.

最近的行為成癮研究表明,性欲和性功能損失是因為癮君子們的大腦對於愉悅的正常反應麻木了。長年超過性欲自然限度的強烈刺激降低了使用者對一種名為多巴胺的神經化學物質的感受靈敏度。

 

Dopamine is behind motivation, "wanting" and all addictions. It drives the search for rewards. We get little spurts of it every time we bump into anything potentially rewarding, novel, surprising, or even anxiety-producing.

動機、“欲望”和癮症的背後是多巴胺。它驅使我們尋求快感。每次我們遇到可能有快感、新奇、令人驚喜、甚至產生焦慮的東西,它就噴出一小點。

 

Animal models have established that both sexual desire and erections arise from dopamine signals. Normally, dopamine-producing nerve cells in the reward circuitry activate the sexual (libido) centers of the hypothalamus, which in turn activate the erection centers in the spinal cord, which send nerve impulses to the genitalia. A steady stream of nerve impulses, which release nitric oxide into the penis and its blood vessels, maintain an erection.

動物實驗體已經證實,多巴胺發出信號引起性欲和勃起。正常情況下,控制快感的神經鏈路中產生多巴胺的神經細胞激活下丘腦的性欲中心,性欲中心又激活脊髓中的勃起中心,勃起中心把神經脈衝發送到生殖器。源源不斷的神經脈衝釋放一氧化氮進入陰莖及其血管,維持勃起。

 

Nitric oxide in turn stimulates the blood vessel dilator cGMP, the on/off switch for engorgement and erection. The more cGMP is available the more durable the erection. So, the pathway from the brain to an erection is:

一氧化氮刺激血管擴張肌的環鳥苷酸(cGMP),環鳥苷酸是充血和勃起的開關。環鳥苷酸越多,勃起越持久。所以說,從大腦到勃起的途徑是:

 

Reward circuitry (dopamine) > hypothalamus > spinal cord > nerves > penis

快感鏈路(多巴胺)>下丘腦 > 脊髓 > 神經 > 陰莖

 

sex-addiction  

 

Erections start with dopamine and end with cGMP. Sexual enhancement drugs work by inhibiting the breakdown of cGMP, thus allowing it to accumulate in the penis. Yet if the patient's brain isn't producing enough signals in the first place, ED drugs will not increase libido or pleasure even if they (sometimes) produce an erection.

勃起始於多巴胺,終止於環鳥苷酸。增強性欲的藥物就是通過維持環鳥苷酸,使之積聚在陰莖裡而起作用的。然而,如果病人的大腦首先就不能產生足夠的信號,即使他們(有時)產生勃起,治療陽痿的藥物也不能增強性欲或快感

 

My ED is definitely porn-related because even erection pills do little but sometimes help enough to penetrate or get an erection. But, NEVER is the feeling good...because I still don't feel anything. I've lost most, if not all my sensitivity.

我的勃起功能障礙是絕對和色情有關,因為用勃起丸也沒什麼效果,只是有時能幫我插入或勃起。但是,感覺總是很糟……因為我仍然沒有什麼感覺。我的敏感快沒了,如果還不算是完全喪失的話。

 

In the case of age-related erectile dysfunction, cardiovascular conditions or diabetes, the primary weak link tends to be the nerves, blood vessels, and penis. However, for men with porn-induced erectile dysfunction, the weak link is not the penis, but rather the desensitized dopamine system in the brain.

在與年齡相關的勃起功能障礙、心血管疾病或糖尿病的病例中,主要的薄弱環節往往是神經、血管和陰莖。然而,色情誘發勃起功能障礙的男性,薄弱環節不是陰莖,而是大腦中麻木的多巴胺系統

 

 

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The relevance of recent addiction brain science

腦科學關於癮症的最近研究

 

In the last decade or so, addiction researchers have discovered that too much dopamine stimulation has a paradoxical effect. The brain decreases its ability to respond to dopamine signals (desensitization). This occurs with all addictions, both chemical and natural. In some porn users, the response to dopamine is dropping so low that they can't achieve an erection without constant hits of dopamine via the Internet.

在過去十年左右的時間裡,癮症研究人員發現,過多的多巴胺刺激有逆反效果。大腦降低其對多巴胺信號的反應能力(脫敏)。所有的癮症都會發生這種現像,不管是化學成癮還是自然成癮。有些色情用戶對多巴胺的反應靈敏度非常之低,不通過網路尋求持續的多巴胺刺激就無法勃起。

 

Erotic words, pictures, and videos have been around a long while, but the Internet makes possible a never-ending stream of dopamine spikes. Today's users can force its release by watching porn in multiple windows, searching endlessly, fast-forwarding to the bits they find hottest, switching to live sex chat, viewing constant novelty, firing up their mirror neurons with video action and cam-2-cam, or escalating to extreme genres and anxiety-producing material. It's all free, easy to access, available within seconds, 24 hours a day, 7 days a week. Overstimulation of the reward circuitry in the brain is a very real possibility today.

色情文字、圖片和視頻的出現已經不是一天兩天了,但網路可能造就永無休止的多巴胺水平升高。當今的用戶可以強迫多巴胺釋放,打開多個窗口觀摩色情、無休止地搜索色情內容、快進到他們覺得最刺激的那部分、轉到色情聊天、觀看不斷變換的新奇花樣,用色情畫面和視頻聊天或者是極端的和誘發焦慮的色情內容讓自己的神經元虛幻地燃燒起來。而這一切都是免費的,幾秒鐘內就能到手,全天候可以訪問。過度刺激大腦中的快感鏈路在今天真是不費吹灰之力。

 

Many men don't realize their brain's sensitivity is declining toward normal sex because Internet erotica delivers endless dopamine hits—making erection and climax possible where normal encounters would not. When they try to have actual intercourse and cannot, they understandably panic.

許多男性沒有意識到,他們的大腦對於正常性行為的敏感度在下降,因為網路色情提供了無休止的多巴胺刺激,形成了正常情況下不可能的勃起和高潮。當他們無法正常性交時自然就會恐慌,這也可以理解。

 

The brain changes causing porn-induced erectile dysfunction arise from actual physical addiction processes (among them, numbing of the pleasure response of the brain). Quitting can therefore be quite challenging. In addition to an alarming temporary drop in libido, some men experience withdrawal symptoms: insomnia, irritability, panic, despair, concentration problems, and even flu-like symptoms. Finding a good counselor who understands addiction, and why today's porn has different effects from viewing a Playboy magazine, can be very helpful.

引起色情誘發的勃起功能障礙的大腦變化實際上是物理成癮過程(其中就有大腦的快感反應麻木)。因此,斷癮可是相當具有挑戰性的。除了性欲暫時性急劇下降,一些男性還會經歷戒斷症狀:失眠煩躁恐慌絕望精力不集中等問題,甚至出現類似流感的症狀。找一個了解癮症、明白為什麼今天的色情與看《花花公子》不同的好顧問,也許很有幫助。

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The brain needs a chance to "reboot," that is, return to normal dopamine sensitivity. This can take a couple of months. For a science teacher's explanation of the science behind porn-related erectile dysfunction, see this video presentation: Erectile Dysfunction and Porn.

大腦需要“重新啟動”的機會,也就是說,恢復到正常的多巴胺敏感性。這可能需要幾個月。如要了解科學教師解釋色情誘發的勃起功能障礙背後的科學,請看這段視頻:勃起功能障礙與色情。

 

 

Most men are astonished to learn that pornography use can be a source of sexual performance problems. Instead, many are becoming convinced that ED at twenty-something is normal. They are amazed that heavy porn use can affect them adversely, that no one told them it could affect them, and that humans have actually masturbated without porn. There is almost total ignorance about the significance for porn users of the recent discoveries of addiction science.

大多數男性得知色情可能是性功能障礙的原因時,都很驚奇。相反,許多人都相信,二十幾歲出現陽萎很正常。他們很驚訝,經常使用色情會不利於性功能,也沒有人告訴過他們這些,而人居然不依靠色情也能自慰。科學最近的研究發現,有色情癮症的人對此幾乎完全無知。

 

If you are suffering from youthful ED, and wish to restore your potency, be optimistic. As one man said after his successful two-month experiment:

如果你也年輕、深受勃起功能障礙之苦,並希望重振雄風,樂觀些。正如一位男性經歷了2個月的成功試驗後說:

 

A few facts:

有幾點事實:

1. This is 100% fixable.

 這是100%可治愈的。

2. It will likely be one of the most difficult things you've ever done.

 它可能會是你經歷的最困難的事情之一。

3. If you ever want a normal sex life again, you kinda don't have another choice.

 如果你想再次過正常的性生活,除了戒除你還真是別無選擇。

 

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For information and recovery accounts, see: Is my erectile dysfunction related to my porn use?

更多信息和關於康復的描述,請參閱:【我的勃起功能障礙與使用色情有關嗎?】

 


英文原文:【點我】

譯者原文:【點我】

 

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