Problematic pornography use (PUP) is a type of compulsive sexual behavior disorder (CSBD). It can affect a person’s mental health and sexual relationships. It can also lead to sexual abuse.
BSOD makes it challenging to control and manage intense sexual impulses. Healthcare professionals sometimes refer to this behavior as uncontrollable sexual behavior (USB).
It is important to note, however, that there is much debate about whether BSOD, including PPU, can be a form of pornography addiction. Some healthcare professionals do not recognize pornography addiction as a diagnosable disorder, and there is a similar debate about whether PPU is a component of addiction.
If a person believes they have BSOD, they may want to seek counseling from a certified sex therapist. Other strategies may also help.
Please keep reading to learn more about PPU, including how it can affect a person and treatments that may help.
What Are The Signs Or Symptoms Of Problematic Pornography Use?
A person may suffer from PPU if they have a persistent, uncontrollable, or intense desire to use pornography, even if it harms their work or relationships.
PPU can affect each person differently but may cause.
- feelings of distress or guilt about pornography use
- a decrease in the quality of sexual intimacy with a partner
- reduced sexual drive when not using pornography
- reduced genital sensitivity
- delayed or reduced ability to orgasm
- pornography-induced erectile dysfunction
- delayed ejaculation
- cognitive deficits, or brain fog
- feeling physically or mentally exhausted
- difficulty becoming motivated for everyday tasks
- new or worsening mental health problems, such as anxiety or depression
- issues with functioning or performance at work
- sexual violence toward other people, such as a partner
A person may also find that when using pornographic images, they focus on different stimuli. For example, they may have multiple tabs on their computer that they can navigate through in a single session.
Pornography viewing sessions can also last for reasonable hours.
It is important to note that these symptoms can have many possible causes. A person may want to discuss these issues with a doctor to fix the underlying cause.
What Causes Problematic Pornography Use?
The cause of PPU is unclear.
However, a 2024 paper based on credible sources states that factors such as loneliness and emotional regulation issues may worsen or prolong PPU.
Further research is needed into the causes of PPU and HSDD. A person can work with their doctor to identify anything worsening their symptoms.
Then, the treating doctor can recommend ways to address these issues. For example, suppose a person finds their PPU worse when they have difficulty controlling their emotions. In that case, the doctor may recommend medications from credible sources that may help.
How Do Doctors Diagnose Problematic Pornography Use?
Diagnosing PPU can be difficult because there are no formal diagnostic criteria.
A robust 2024 study shows two ways to assess the severity of PPU: the Problematic Use of Sexual Images Scale (PPCS and PPCS-6) and the Brief Sexual Image Screening (BPS).
The PPCS consists of 18 items assessing PPU. The PPCS-6 is a shortened version of the PPCS. It contains the six most relevant items for each of the PPCS-18 factors, allowing for a brief but reliable assessment of PPU.
The BPS consists of five items. The person answers each question based on their experience over the past 6 months. The answer “never” is scored as 0, “sometimes” as 1, and “often” as 2. A score of 4 or greater may indicate a risk of developing PPU.
What Are The Treatments For Problematic Pornography Use?
There is limited research into the therapeutic benefits of PPU.
If a person has symptoms of PPU or a doctor suspects they may have the condition, they should seek help from a board-certified sex therapist.
A 2022 study found that various treatments may help relieve symptoms of PPU. Treatments may include:
- Cognitive behavioral therapy (CBT) can help a person learn to manage their symptoms.
- Psychotherapy can help improve your overall well-being.
- Psychopharmacological therapy may involve working with a psychologist to find the proper medications to improve your mental health.
Medications that can help with PPU include opioid antagonists such as naltrexone, and antidepressants may also be helpful.
A 2022 article also suggests that seeking social support helps manage PPU. This may include talking to a partner or family member. A treatment group or support groups may also help.
Working with a certified therapist can help a person track any changes in symptoms, identify coping strategies, and evaluate the effectiveness of treatments.
When Should A Person Contact A Doctor?
A person should see a doctor when concerned about PPU or HSBD. They can help them evaluate the symptoms and make a proper diagnosis.
A doctor may refer you to a specialist or a certified sex therapist for an assessment and support in treatment.
If possible, you should try to work with a therapist who has experience with PPU or HSBD.
Summary
Problematic pornography use (PUP), a form of compulsive sexual behavior disorder (BSBD), can cause anxiety, depression, grief, and other mental health changes. It can also lead to decreased sexual performance or a worsening relationship with a partner.
If people believe they have PU, they can seek counselling from a healthcare professional. They may find it helpful to talk to a licensed sex therapist or psychotherapist. They may recommend cognitive behavioral therapy (CBT), psychotherapy, or medication.
Talking to a family member or other loved one can also help them cope with the effects of PU. Some people may also benefit from group therapy or support groups.