An Update on Pathophysiology and Management of Porn Addiction

An Update on Pathophysiology and Management of Porn Addiction:

Addiction can be both chemical and behavioral. Porn addiction satisfy criterion of addiction .Porn addiction and chemical addiction share neural circuitry and neurotransmitters and its receptor .Growing incidence of porn addiction are risk factors of psychogenic ED , loss of libido and etc

Method:
Internet search was made at pub med using key words addiction, porn addiction, dopamine glutamate and etc.
Results:
ED rates in men 40-80 was 13% in Europe and in 2011 Ed rate in younger group 18-40 was 14 to 28%. Loss of libido was in 16%.

Discussion
Porn especially videos provides supranormal stimulus. It trigger stronger burst of dopamine .Novelty increase reward value and leave long-lasting effects on motivation learning and memory.
Quick habituation and at cingulate cortex and hpoactivity at nucleus accumben trigger search for hardcore porn to produce same amount of pleasure. Changes occur in glutamatamtergic input at NA .There is Increased connectivity of amygdale hippocampus prefrontal cortex . Euphoric input at NA is balanced by dysphoric input from these structures. Excessive consumption of pornography brings about neuroplastic changes in mesolimbic reward center. Delta Fos B play critical role in dentric plasticity . Effecst of these changes are higher cue sensitivity to porn. There is increase of NMDA-AMPA receptor ratio of afferents of nucleus accumben to prefrontal cortex. Dysfunction occur with frontal volitional control and reward salience .

TREATMENT
For cue reactivity use antiglutametergic lamatrogin and topramite ,Nacetyle cystine and memtine. Dopaminergic drug like bupropion for hypoactive NA.

Conclusions:
Professionals should consider porn addiction seriously.

Drug and non chemical addiction also known as behavioral addiction are two broad categories of addiction. Porn addiction satisfy criterion of addiction including loss of control, preoccupation, withdrawals and perpetuation of activity despite negative consequences. Cue reactivity and craving pathogonomic of addiction are present. Porn addiction and chemical addiction share neural circuitry and modification of neurotransmitters and its receptor .Cocaine addicts have demonstrated identical brain activity watching pornography and drug related cues.
Growing incidence of porn addiction are risk factors of psychogenic ED , loss of libido ,relationship issues retarded ejaculation depression and anxiety .For supernormal condition male naked women is a bad porn.
Method:
Internet search was made at pub med using key words addiction, behavioral addiction, mode of action, porn addiction, dopamine glutamate and etc. This was followed by study of relevant material .
Results

ED rates in men 40-80 was 13% in Europe and in 2011 Ed rate in younger group 18-40 was 14 to 28%. Loss of libido in 16% .
Discussion 

Porns especially videos provides supranormal stimulus. It trigger stronger burst of dopamineNovelty increase reward value and leave long-lasting effects on motivation learning and memory. Porn videos can be matched with person specific fantasies. Presently animated porn can depict most weird fantasies. Searching for perfect material for masturbation satisfy hunting instinct evolutionary tendency of male to have multiple sex partners.
Hpoactivity of dopamine system at nucleus accumben is demontrated. Quick habituationin porn addicts in dorsal anterior cigulate cortex has been demonstrated.Result of lack of response to natural sex which now become low grade porn. That triggers searching for hardcore porns to produce same amount of pleasure. Changes occur in glutamatamtergic input at NA.There is Increased connectivity of amygdale hippocampus frontal cortex . Euphoric input at NA is balanced by dysphoric input from these structures. Excessive consumption of pornography brings about neuroplastic changes in mesolimbic reward center. Delta Fos B play critical role in dentric plasticity .It mediate effect D1 receptor in nucleus accumbens,It sensitize mesolimbic system to a particular activity. Effect of these changes are higher cue sensitivity to porn. Glutamate circuts also show neuroplastic changes in form of new silent receptors.There is increase of NMDA-AMPA receptor ratio of afferents of nucleus accumben to prefrontal cortex an area involved in behavioral addiction .Studies in addiction has demonstrated atrophy of areas associated with frontal volitional control and reward salience .