This case report presents a 22-year-old male with Pornography-Induced Psychogenic Erectile Dysfunction (ED), highlighting the growing prevalence of this condition in young men and emphasizing the importance of recognizing and addressing it in primary care settings. The patient presented with the primary complaint of an inability to sustain an erection, with erections lasting only for approximately one minute. He had an unremarkable past medical and family history, was a previous smoker, and engaged in occasional alcoholic beverage consumption. Psychological assessment revealed moderate erectile dysfunction, problematic use of pornography, and minimal anxiety.

A comprehensive treatment plan was implemented, incorporating lifestyle modifications, pharmacotherapy and psychological interventions (Motivational Interviewing, Brief Strategic Therapy, and Educational Counseling). The patient demonstrated a positive response to treatment, with significant improvements in both erectile function and control over pornography consumption, as evidenced by follow-up assessments.

This case underscores the need for healthcare professionals to routinely inquire about pornography consumption habits when assessing patients with ED, particularly young men. It emphasizes the importance of a thorough assessment, including medical, psychological, and sexual history, for accurate diagnosis and effective treatment.

Furthermore, it demonstrates the value of an integrated treatment approach, addressing both physical and psychological factors, for optimal outcomes. Finally, it highlights the importance of patient education to enhance treatment adherence and motivation for change.