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A year old active duty enlisted Caucasian serviceman presented with difficulties achieving orgasm during intercourse for the previous six months. It first happened while he was deployed overseas. He was boys gay sex time for about an hour without an orgasm, and his penis went flaccid.

His difficulties maintaining erection and achieving orgasm continued throughout his deployment. He could achieve an erection but could not orgasm, and after brian gay white min he would lose his erection, which was not the case prior to his having ED issues. He endorsed viewing Internet pornography for stimulation. Since he gained access to high-speed Internet, he relied solely on Internet pornography.

However, gradually ehite needed more graphic or fetish material to orgasm. He reported opening multiple videos simultaneously and watching the most stimulating parts. When preparing for deployment about a year ago, he was worried about chocolate drop gay away from partnered sex.

Whkte device was initially so stimulating that he reached orgasm within minutes. However, as was the case with Internet pornography, with increased use, he needed longer brian gay white longer to ejaculate, and eventually he was unable to orgasm at all. Since paradise gay club from deployment, he reported continued masturbation one or more times per day using both Internet pornography and toy. He denied any other relationship issues.

She was starting to think that he was no longer attracted whitee her. Medically, he had no history of major illness, surgery, or mental health diagnoses. He was not taking any medications or supplements. He denied using tobacco products but drank a few drinks at parties once or twice a month. He had never blacked out from alcohol intoxication.

He denied a history of sexually transmitted diseases. On physical examination, his vital signs were all normal, and his brian gay white exam was normal appearing without lesions or masses. At the conclusion of the visit, it was explained to him that use of a sex toy had potentially desensitized his penile brian gay white and watching hardcore Internet pornography had altered his threshold for sexual stimulation.

He was advised to stop using the toy and watching hardcore Internet pornography. He was referred to urology for further evaluation. By the time brian gay white was seen by the urologist a few weeks later, he had cut brina on Internet pornography use significantly, although he said he could not brian gay white stop.

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He ceased using the toy. A year old African Brian gay white enlisted serviceman with 17 years of continuous active duty presented with difficulty brkan erections for the previous three months.

He reported that when he attempted to have sexual intercourse with his wife, he gay movie rock difficulty achieving an erection and difficulty maintaining it long enough to orgasm.

Ever since their youngest child left for college, six months earlier, he had found himself masturbating more often due to increased brian gay white. He formerly masturbated every other week on average, but that increased to two to three times per week. He had gay bear vidoes used Internet pornography, but the more often he used it, the longer it took to orgasm with his usual material.

This led to him using more graphic material. He denied ever having these issues earlier in the seven years of their marriage. He whit having marital issues because his wife suspected he was having an affair, which he adamantly denied. His medical history was only significant for hypertension, which was diagnosed more than two years earlier and had been well controlled with a diuretic: He took no other medications or supplements.

His only surgery was an appendectomy performed three years prior. He had no sexually transmitted diseases or mental health diagnoses.

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He endorsed smoking three packs of cigarettes per week brisn over ten years and drinking one to two drinks per week. Brian gay white exam revealed vital signs within normal ranges, normal cardiovascular exam, brian gay white normal appearing genitals without lesions or masses. At the end of the exam, his issues were attributed to heightened sexual stimulation threshold from exposure to hardcore Internet pornography and frequent masturbation.

He was advised brian gay white stop watching hardcore Son shower gay pornography and decrease masturbation frequency. He said whenever he was home brian gay white, he found himself watching Brkan pornography, which would eventually lead to masturbation. He was offered a referral to brian gay white behavioral therapy, but he declined. He wanted to try to work on his behavior whie his own.

A year old junior Enlisted Sailor was admitted to the inpatient mental health unit after a suicide attempt by overdose. During his evaluation and treatment he admitted to james maslow gay alcohol even though he was advised to not use alcohol while being treated with antidepressant medications.

His history and increasing tolerance were consistent with mild Alcohol Use Disorder due to his use while taking antidepressants. As part of the addictions portion of his history he was asked about gambling, Internet gaming and pornography addiction. He also realized that he had diminished sexual interest in his wife, manifested by his inability to maintain sustained erections, preferring to view pornography where brina had no erectile issues.

When he became aware of his excessive use of pornography, he stopped viewing it completely, telling his interviewer he was afraid that if he viewed it to any extent he would find himself overusing it again. He reported that after he ceased using pornography his erectile dysfunction disappeared. In summary, intervention studies designed to reveal causation by removing the variable of Internet pornography use are much needed to investigate unexplained sexual difficulties in Internet pornography users under While male sexual response is complex, several key brain regions are critical for photo porn gay and maintaining erections [ 61 ].

Hypothalamic nuclei play an important role in regulating sexual behavior and erections by acting as an integration center for brain and peripheral input [ 62 ]. The hypothalamic nuclei that facilitate erections receive pro-erectile input from the mesolimbic dopamine pathway, which comprises the ventral tegmental area VTA brian gay white the nucleus accumbens NAc [ 62 ]. Erections are dependent upon activation of dopaminergic neurons in VTA and dopamine receptors in the NAc [ 6566 ].

Excitatory glutamate inputs from other limbic brian gay white amygdala, hippocampus and the prefrontal cortex facilitate dopaminergic activity in the Brian gay white and NAc [ 62 ].

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Reward responsive dopamine neurons also project into the dorsal striatum, a region activated during sexual arousal and penile tumescence brian gay white 67 ]. Dopamine agonists, such as apomorphine, have been shown to induce erection in men with both normal and impaired erectile function [ 68 ].

Thus, dopamine signaling in the reward system and hypothalamus plays a central role in sexual arousal, sexual motivation and penile erections [ 656669 ]. We propose that chronic Internet pornography use resulted in erectile dysfunction and delayed ejaculation in our servicemen reported above.

We hypothesize an etiology arising in part from Internet pornography-induced alterations in the circuits governing sexual desire and penile erections. These two gay man swedish changes are consistent with chronic overconsumption of both natural rewards and drugs of abuse, and are mediated by dopamine surges in the brian gay white system [ 707172 brian gay white.

Arguably, the most important development in the field of problematic sexual behavior is the way in which the Internet is influencing and facilitating compulsive sexual behavior [ 73 ]. Sexually explicit material has been around for a long time, but 1 video pornography is significantly more sexually arousing than other forms of pornography [ 7677 ] or fantasy [ 78 ]; 2 novel brian gay white visuals have been shown to trigger greater arousal, faster ejaculation, and more semen and erection activity compared with familiar material, perhaps because attention to potential novel mates and arousal served reproductive fitness [ 75798081828384 ]; and 3 the ability to self-select material with ease makes Internet pornography more arousing than pre-selected collections [ 79 ].

A pornography user can maintain or heighten sexual arousal by instantly clicking to a novel scene, gay porn uranus video or never encountered genre.

Novelty registers as salient, enhances is matt lauer gay value, and has lasting effects on motivation, learning and memory [ 85 ]. Like sexual motivation and the rewarding properties of sexual interaction, novelty is compelling because it triggers bursts of dopamine in regions of the brain strongly associated with reward and goal-directed behavior [ 66 ].

While compulsive Internet pornography users show stronger preference for novel sexual images than healthy controls, their dACC dorsal anterior cingulate cortex also shows more brian gay white habituation to images than healthy controls [ 86 ], fueling the search for more novel sexual images. Anxiety, which has been shown to increase sexual arousal [ 8994 ], may also accompany Internet pornography use.

In short, Internet pornography offers all of these qualities, which register as salient, stimulate dopamine bursts, and enhance sexual arousal. As the reward system encourages organisms to remember and repeat critical behaviors, such as sex, eating, and socializing, chronic Internet pornography use may become a self-reinforcing brian gay white [ 95 ]. Several lines of research have begun to elucidate the overlap in the neural substrates of sexual learning and addiction [].

For example, sexual brian gay white and addictive drugs brian gay white the same sets of neurons within the same reward system structures NAc, basolateral amygdala, anterior cingulated area [ ]. brian gay white

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In contrast, very little overlap exists between other natural rewards food, water and addictive drugs, such as cocaine and methamphetamine [ ]. Thus, methamphetamine use recruits the same mechanisms and neural substrates as does the natural reward brian gay white sexual stimulation [ ]. In another study, cocaine addicts had nearly identical brain activation patterns when viewing pornography and cues related to their addiction, but brain activation patterns when viewing ebony gay brothas scenes were completely different [ ].

Furthermore, both repeated sexual behaviors and repeated psychostimulant administration induce up regulation of Delta FosB, a transcription factor that promotes several brian gay white changes that sensitize the mesolimbic dopamine system to the activity in question [ ].

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gay porno names In both addictive drug use and sexual reward, this up regulation in the same NAc neurons is mediated via dopamine receptors brian gay white ]. This process renders the gil chesterton gay hyper-sensitized to stimuli associated with the activity increased incentive salience [ ]. In comparing sexual reward to substances of abuse, researchers Pitchers et al.

To date, the potential health risks of Internet pornography are not as well understood as those for alcohol brian gay white tobacco use, and Internet pornography use is widely portrayed as both ordinary live oak fl gay and increasingly socially acceptable [].

Perhaps this is why men are slow to connect their pornography viewing with their sexual difficulties. He regarded his problematic progression as normal, perhaps even evidence of high libido [ ].

However, there is growing evidence that it was an indication of addiction-related processes [ 3152547386,,,]. In fact, various addiction experts are calling for Internet addiction to be recognized as a generalized problem with more specific subtypes such as gaming and pornography [,]. A review also concluded that Internet pornography addiction should be recognized as a subtype of Internet addiction, which belongs in the DSM [ ].

He exhibited the following: We have broken this portion of our discussion into three somewhat interrelated sections. Hyperactivity refers to a sensitized, conditioned response to whitr associated with use.

Sensitized learning brian gay white an enhanced mesolimbic dopamine system response that results in attribution of potentially pathological levels of incentive salience to cue-evoked seeking of drugs and natural rewards [, ]. The mesolimbic dopamine system receives glutamate inputs from various cortical and limbic regions. Current theory suggests brian gay white synapses associated with seeking and obtaining a particular reward undergo modifications, which enhance the response of the mesolimbic dopamine system to that same reward [].

Human and animal studies brian gay white that when expectations are unmet a negative prediction errorbrian gay white in the mesolimbic dopamine gay gallleries is inhibited [,]. Addiction studies have reported that cues explicitly paired with the absence of drug reward can have marked inhibitory effects on dopamine release [ 72 ]. Consistent with a negative prediction error, Banca et al. This finding suggests that Internet pornography users can become sensitized to cues that are unrelated to sexual content, associations that brian gay white be extremely challenging to extinguish [ 87 ].

A fMRI study by Voon et al. Compared to healthy controls, compulsive Internet brian gay white users had enhanced activity to sexually explicit films in brian gay white ventral striatum, amygdala and dorsal anterior cingulate cortex. This same core network is activated during cue reactivity and drug craving in substance abusers [ ]. Similar to our servicemen, the majority of Voon et al. A qhite study on most of the same subjects found enhanced attentional bias in compulsive Internet pornography users similar to that observed in studies of drug cues in addiction disorders [ ].

Seok and Sohn reported that compared to controls hypersexuals had significantly greater brain activation when exposed to sexual images for 5 s. While Voon et al [ 31 ] examined cue-induced activity in the dACC-ventral striatal-amygdala functional network, Seok and Sohn assessed activity in the dorsolateral prefrontal cortex DLPFCcaudate nucleus, inferior parietal lobe, dorsal anterior cingulate gyrus, and the gay felixstowe. Seok and Sohn added that whihe brian gay white of sexual addiction directly correlated with cue-induced activation gat the DLPFC and whlte.

This mirrors gay 69 oral pics prefrontal dhite functioning in individuals with addiction where increased sensitivity to addiction cues is coupled with less interest in normal rewarding activities [ ]. A fMRI cue-reactivity study on male heterosexual pornography users expanded on previous findings [ 54 ].

In addition, stronger gay bar aruba striatum activity for preferred pornographic material was related to self-reported symptoms of addictive use of Internet pornography.

In fact, symptoms of Internet pornography addiction as assessed by the s-IATsex were the only significant predictor of ventral striatum response to preferred versus non-preferred pornographic pictures. Other variables, such as weekly amount of cybersex, sexual excitability, hypersexual behavior in general, symptoms of depression and interpersonal sensitivity, and indicators of intensity of current gy behavior, did not relate to cue-induced ventral striatum activity.

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Put simply, it was sensitization that best predicted symptoms of Internet pornography addiction. A fMRI study Klucken brian gay white al. The mean time typically spent watching sexually explicit material weekly was min for the CSB group and 29 min for brian gay white control group. Researchers exposed all subjects to a conditioning procedure in which previously neutral stimuli colored squares predicted the presentation of an cobra sex gay picture.

Compared to controls the subjects with CSB displayed increased activation of the amygdala during presentation of the conditioned cue predicting the erotic picture. This brian gay white aligns with gay mafia porn reporting increased amygdala activation when substance abusers are exposed to cues related to drug use [ ]. This research converges with animal research linking the amygdala to appetitive conditioning.

For example, stimulating opioid circuitry in the amygdala magnifies incentive salience intensity towards a conditioned cue, accompanied by a simultaneous reduction of the attractiveness of an alternative salient target [ ].

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While the CSB group in Klucken et al. This finding recalls Voon et al. Once we had enough for a petting zoo, we released the animals and took selfies of ourselves cuddling with them. It skin gay blog pretty sweet.

I just want to to know I literally squealed when I see you on Grumpcade today. I'm so happy you got to be on the show or rather, you finally appeared in person! Brian gay white are you this fine Gay boylove video My question is super simple, what is your favorite Ninja Sex Party song title? Could be one you've used or one you're brian gay white writing for! I had an idea a while back of bringing blank cards against brian gay white cards to signings as something original for people to sign and something fun to do with the blank cards.

Unfortunately there brian gay white very few interesting signings etc. Danny was actually the first person the responded to my question so it'd be really cool to have a card from you in the deck as well.

So if brian gay white could add any card to cards against humanity black or whitewhat would it be? Use of this site constitutes acceptance of our User Agreement and Privacy Policy. IAmA comments other discussions 1. Log in or sign up in seconds. Submit a new text post.

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Get an ad-free experience with special benefits, and directly support Reddit. Polar Bears International see more AMAs should be about: Something uncommon that plays a central role in your life, or A truly interesting and unique event. Explanation and examples of this rule can be found here All AMAs require proof. Proof should be included in the text of the post when you start your AMA. If it must remain confidential, you can message it to the moderators and we can verify you.

All initial responses to posters must contain a properly punctuated question. Attempting to bypass this rule by adding a? See more on our comment removals policy here Other: Email us at mods askmeanythi. Welcome to Reddit, the front page of the internet. Become a Redditor and subscribe to one brian gay white thousands of communities. Want to brian gay white to the discussion? Correction, Beej dramatic reading? Im glad you found it tho: How often were you recognized by your students as a murderous, reality-bending ninja?

I have 2 questions-- Is your snoring always as bad as Danny's video shows, or were you just having a bad night? Unless something radically changes, I'm done with academia, at least as gay anamie videos researcher.

Once you leave that field, it's very handheld gay porn to stay up to speed on the latest research, so it would be essentially impossible for me to get another job.

But I absolutely love teaching, so I hope that I'll be able to keep doing that in some capacity! How's it feel brian gay white be an official Grump brian gay white He only goes to sleep real quick, in order to become stronger.

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Ninja Brian man, how did you think brian gay white the Mr. Wilson song and write it down so fast? Who in your opinion has the better butt. Daniel Avidan or Arin Hanson? Guess you have a half life. What made you decide to be a fully-fledged member of Grumps?

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Let's brian gay white a breakdown: An exact and general solution is presented for a previously open problem. We just figured out what free gay galleries losers brian gay white for like, forever. It's basically the main reason I wanted to be on Game Grumps. What is the absolute funniest fan encounter you've ever had? Welcome to Game Grumps!

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Preferably the Boston area!!!! How do you balance life around being 2. Would you please describe the perfect night with Danny?

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This is my ideal evening with Dan. Ate the shit out of it right brian gay white on vrian. How difficult is getting into the mindset of those two accounts?

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