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Several lines of research have begun to elucidate the overlap in the neural substrates of sexual learning and addiction [ , ]. Eight months after stopping all exposure to pornography the patient reported experiencing successful orgasm and ejaculation, and succeeded in enjoying good sexual relations [ 34 ]. Yet, how likely is it that anxiety and depression account for the sharp rise in youthful sexual difficulties given the complex relationship between sexual desire and depression and anxiety? On physical examination, his vital signs were all normal, and his genital exam was normal appearing without lesions or masses.

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