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It’s a self-fulfilling prophecy.” I'd think: "Next time I see her, is it going to happen?" It became a running joke. The more he imposes a demand on himself, and the more that demand is not met, the more disturbed he becomes. “Shortly before the man finds himself in bed with his partner, the anxiety builds. “I see an increasing number of men under the age of 35 developing performance anxiety,” says Francis. The problem with ED is that men can literally think themselves into having it: a few fumbled experiences can, over time, create a cycle of ongoing ED. But then they don’t refill the prescription because they come to realise they’re fine.” “They’ve had a couple of bad experiences, so they panic. “But with the drugs companies in the 90s, they started pushing the idea that any erection trouble is unacceptable.” She mentions evidence that men who get Viagra prescriptions don’t refill them. It would be weird if you didn’t,” she says. “Everyone has erectile problems from time to time. Prause says that party drug culture and Viagra marketing have led men to pathologise occasional erection issues as something more sinister. Whether it is as a result of drinking, stress or tiredness, the inability to get or maintain an erection will happen to most men at some point in their lives. “Often, these are men who appear to be super-healthy: they’re slim, they exercise, they’re young, and you think: ‘Why on earth have these people got sexual difficulties?’” “I have been treating patients for 30 years, and there’s no doubt that we’re seeing more young men today than we used to,” says Dr Douglas Savage of the Centre for Men’s Health, based in Harley Street and Manchester. Medical professionals report that many more young men are coming to them complaining of ED.
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“Nobody tells you how to have sex – you just figure it out yourself from other teenage boys and porn.”
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“We are raised in a culture where men do not talk authentically about sex,” says Paul Nelson, founder of Frank Talk, an online support group for men with ED. “If you look at the rise of easily accessible pornography, people have an expectation that men are going to be great performers,” says Raymond Francis, a psychotherapist at the Apex Practice, in London. Under enormous social pressure to be smooth sexual performers, they are mistakenly self-diagnosing with ED after a few failed attempts to have sex. More men believe themselves to have ED, when they are actually anxious about their sexual performance. What does seem to have increased is young men’s performance anxiety. I see stats all the time reading, ‘It’s increased 1,000% in young men.’ But there’s no paper that says that.”
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“When you look representatively, there has not been an increase in erectile dysfunction. But Nicole Prause, a neuroscientist who specialises in sexual behaviour, says there is little scientific and statistical evidence of a growth in the prevalence of ED. A recent study of 2,000 British men found that 50% of those in their 30s reported difficulties in getting and maintaining an erection. Many believe erectile dysfunction (ED), also known as impotence, is becoming more prevalent in young men.