40 Day

Porn Abstinence Impact Challenge: Stress Test

STUDY TITLE Porn Abstinence Impact Challenge: Stress Test
Submitted under umbrella

Minimal Risk Citizen Science Umbrella Protocol

Date submitted

Apr 12, 2025

End date

There is no pre-specified end date and sub-studies remain open long-term.

Language

English

Efforia AI IRB approval recommendation

Recruitment page preview

Preview

Author edit

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Informed consent

Review

Study author

Jordan Tsanev, Christos Konstantinidis, Matthew Amsden

Principal investigator

Matthew Amsden

Sub-Investigator for Adverse Events

Dr. Viral Patel

Description

We know almost everyone uses porn, but we don't really know how (or if) it affects us. This porn abstinence challenge looks at the impact of a 30 days of porn abstinence - specifically on your perceived stress levels. No moral judgement here This is science. And you’re the subject. Join the study to contribute to real findings that trump the talking heads - and learn more about yourself at the same time.

Participant engagement length

40 Days

Sponsor

This study is made possible by your payment to cover all supplies and expenses required to participate.

Cost to participant

$0

Included products & services
Outcome measures

Weekly Porn Consumption Survey

Sexual Desire Inventory-2 (SDI-2) Survey for Men & Women

International Index of Erectile Function Survey

Perceived Stress Scale (Past Week Version)

Methodology

Single Arm longitudinal where participants act as their own control

Basic or advanced dissemination plan

Basic

Deviation from recruitment approach

No

Deviation from statistical approach

No

Will study include “more about you questions”

No

Clinicaltrials.Gov

Yes

Committment to list findings on clinicaltrials.Gov

Yes

This document is prepared with the assistance of AI, but is reviewed by a human.

Rational & Study Design

Let’s get something straight:

no one really knows how good or bad porn is for us—especially not for you, personally. The science is still unfolding, and the internet is flooded with opinions, muddled with moral judgement, dressed up as facts. Some academic studies suggest links between excessive porn use and decreased sexual satisfaction or performance. At the same time, others view responsible use of porn as as a part of healthy sexuality.

So let's find out. This is the first in a series of studies looking at the impact of porn use on various aspects of men's mental health, sexual health and performance. Each study has some differences. But they all share a couple of very important tings in common. None are about judgment. It’s not about shame. We all come to this with an open mind. It’s about self-experimentation. You are the subject. Your life is the lab.

My Objective for You:

To give you insights. Not dogma. By observing your behavior and then stepping away from porn for 30 days, you’ll get real, personal data—about your sexual function, desire, and stress related well-being. You might feel a shift. You might not. Either way, you’ll walk away with a deeper awareness of what drives you—and what doesn’t.

Aims & Objectives:

This free study aims to evaluate the effects of a 30-day pornography abstinence on sexual health and well-being with a specific focus on your self-reported stress levels. Our objectives include assessing changes in sexual desire, erectile function, and overall well-being using validated surveys.

Why this Matters:

In a world full of hot takes and half-truths, this study is about generating real insight—both for you, and for the broader conversation around porn, performance, and mental health. The outcome? A stronger foundation for smarter choices, better relationships, and a more dialed-in version of yourself.

This isn’t about quitting.
This is about knowing.

The Intervention

The scientific evidence on porn abstinence is still evolving, with studies indicating potential links between excessive porn use and negative impacts on sexual satisfaction and mental health, while others suggest that responsible use can be part of healthy sexuality. The medical community has not reached a consensus, and discussions remain ongoing. Social media buzz reflects polarized views, with some advocating for abstinence to improve well-being, while others see no harm in moderate use. The general population holds mixed beliefs, with some perceiving abstinence as beneficial for mental clarity and stress reduction, and others skeptical of its impact. The intervention aims to provide personal insights on stress levels and sexual health through self-experimentation, without moral judgment.

Included Products & Services

Study Design & Methodology

Inappropriate Participants & Inclusion/Exclusion

Category of Individual Contraindications Reason
Individuals with Mental Health Disorders History of depression, anxiety, or other mental health issues Possible exacerbation of symptoms due to psychological distress or emotional instability triggered by abstinence.
Individuals with PTSD History of trauma that could be exacerbated by stress Potential for re-triggering trauma-related stress or mental health crises.
Individuals with Addiction Issues Current or past addiction to pornography or other substances Risk of withdrawal-like symptoms and potential mental health crises due to abstaining from habitual behaviors.
Individuals with Sleep Disorders Pre-existing insomnia or other sleep disturbances Risk of exacerbating sleep disturbances as a side effect of the intervention.
Individuals Undergoing Psychiatric Treatment Currently undergoing treatment for psychiatric conditions Interference with treatment regimen and potential for adverse psychological effects.
Individuals with Chronic Stress High baseline stress levels or stress-related health issues Risk of increased stress or health complications due to changes in habitual behavior.
Individuals with Cognitive Disorders Pre-existing cognitive impairments Potential worsening of cognitive symptoms as a side effect of the intervention.
Individuals in Healthcare Transition Undergoing significant life changes or adjustments in healthcare regimen Additional stress from the intervention may complicate ongoing treatment or adjustments.
Pregnant Individuals Pregnancy or planning to become pregnant during the study period Individuals may want to avoid participation in research studies when pregnant or considering pregnancy. 

Under the Efforia minimal risk protocol, within which this study is reviewed for safety and human subjects ethics, all individuals over the age of consent are eligible, however, it is the responsibility of participants to determine if their unique circumstances make participation inappropriate.

Study Design & Experience

Treatment activities:

Week 1: Continue normal porn habits to establish a baseline. Days 8–38: Abstain from pornography for 30 days, observing effects on stress regulation, sexual performance, energy, mood, and emotional resilience.

Assesments and frequency:
  • Every 7 days: Check-in to record experiences and observations.
  • Week 1: Complete Weekly Porn Consumption Survey and Perceived Stress Scale.
  • Weeks 2-5: Continue with regular check-ins and assessments.
Methodology:

The "Porn Abstinence Impact Challenge: Stress Test" is designed as a single-arm observational trial focused on understanding the effects of a 30-day porn abstinence on individual stress levels. This study operates under the premise that while pornography is widely consumed, its impacts on personal stress and sexual health remain largely unexplored. Participants will engage in a self-experiment wherein they serve as their own control, providing a unique opportunity to gather preliminary data indicative of potential outcomes. At Efforia, we term this a "Signal Phase" study, intended to offer directional insights into the effects of abstaining from pornography.

This study is structured to observe changes over a defined period, beginning with a baseline observation phase lasting one week, where participants maintain their usual porn consumption habits. This initial phase is critical for establishing a baseline of the participant's stress levels and sexual health. Following this, participants commit to a 30-day abstinence period, during which they document changes in stress regulation, sexual performance and arousal, energy, focus, motivation, mood, and emotional resilience. Weekly check-ins are integral to this process, providing ongoing data collection and reflection, akin to traditional lab studies but conducted remotely for convenience and privacy.

Participants will utilize digital tools such as Google Calendar and Todoist to maintain consistent check-ins and reflections. The study prioritizes data security, ensuring all information shared is anonymized and protected. Should the trial indicate positive results, suggesting that porn abstinence significantly affects stress and related metrics, more comprehensive study designs will be considered to substantiate these findings further. This research not only aims to contribute to broader scientific understanding but also empowers participants through self-discovery and personal growth. For more detailed information, please refer to the "Minimal Risk Umbrella protocol."

Statistical Analysis Plan

Please refer to the Minimal Risk Umbrella protocol page 94. This study will use both the N of 1 and the Single Arm observational trial (Signal Phase) statistical approaches as outlined in the document. The statistical plan will not stratify with additional demographic information beyond age, sex and location.

Limitations & Justification

In conducting this single-arm observational trial under the Minimal Risk Citizen Science Umbrella Protocol, we confront inherent limitations typical of such study designs, namely the absence of a control group and potential biases that may arise from self-reported data. The lack of a control group is particularly challenging as it restricts our ability to definitively attribute observed changes in stress levels, sexual desire, and erectile function to the intervention of pornography abstinence. To mitigate the influence of participant expectations on outcomes, we employ an expectations questionnaire designed to capture and quantify this form of bias. By understanding participants' preconceived notions about the intervention's impact, we aim to contextualize the data collected, providing a more nuanced interpretation of the results.

Despite these limitations, the study design incorporates strategic elements to strengthen the validity of our findings. The sample size and statistical methods, including potential stratification by demographic variables, are planned to enhance the robustness of data analysis. Stratification allows us to account for variability across different participant groups, which is crucial given the diverse nature of the target population. Furthermore, by positioning this trial as a signal detection study, we acknowledge its exploratory nature. A positive signal would prompt subsequent studies with more rigorous designs, such as randomized controlled trials, to confirm and elaborate on initial findings, thereby contributing to a more comprehensive understanding of the effects of pornography abstinence.

At the heart of this study is the democratization of clinical research, a core tenet of Efforia and the Minimal Risk Umbrella Protocol. By focusing on self-experimentation and personal insights, we empower individuals to engage directly with scientific inquiry, especially in areas often overlooked by traditional research paradigms. This approach not only broadens the scope of inquiry but also democratizes the research process itself, allowing diverse voices and questions to shape the scientific discourse. Participants are not merely subjects of research but active contributors to a more inclusive and dynamic exploration of complex issues like pornography use and its impact on mental and sexual health. For more detailed information about this protocol, individuals are encouraged to refer to the Minimal Risk Umbrella Protocol.

Human Subjects Ethics

Suitability Under Minimal Risk Umbrella Protocol

The "Porn Abstinence Impact Challenge: Stress Test" protocol appears to involve participants abstaining from pornography to assess its impact on stress levels. This study would likely fall under the category of behavioral interventions aimed at enhancing general health, productivity, and wellness within normal ranges. If the study only involves abstaining from a legal and accessible activity without requiring a prescription, diagnosis, or any regulated intervention, it could potentially align with the minimal risk criteria. Additionally, if the study involves non-invasive data collection methods, such as self-reported stress levels or basic health trackers, it would fit within the permissible interventions under the umbrella protocol.

However, there are certain aspects of this study that may make it unsuitable for the minimal risk umbrella protocol. If the study involves vulnerable populations or requires specific eligibility criteria beyond general availability of the intervention, it would not qualify. Furthermore, if the study incorporates any form of blinding, deception, or requires more than minimal risk procedures, it would be disqualified. The aim of the study must also be to enhance general wellness without targeting individuals with a diagnosed condition related to pornography use or stress. Given these considerations, additional details on the study's design and participant criteria would be necessary to fully determine its suitability under the umbrella protocol.

Suitability for Pay to Participate Model

The "Porn Abstinence Impact Challenge: Stress Test" study is a unique initiative that invites participants to abstain from porn for 30 days to evaluate its effects on perceived stress levels. Given that the study is offered at no cost, it removes any financial barriers that could otherwise limit participation. This approach aligns with Efforia's commitment to justice and equitable participation by making the research accessible to a broad and diverse population without imposing a financial burden. The product or service under study—porn abstinence—is not a physical product that incurs a cost, but rather a voluntary behavior change, further emphasizing the study's focus on scientific inquiry over commercial interest.

Furthermore, the study provides participants with the opportunity to gain personal insights and contribute to a broader understanding of how porn consumption or its absence can impact stress levels. This self-discovery aspect, coupled with the contribution to scientific knowledge, offers significant value beyond simple information dissemination. Participants are empowered through the study to make informed, data-driven health decisions regarding their own porn consumption habits. The absence of a price tag ensures that individuals from various socioeconomic backgrounds can participate without experiencing financial hardship, while the voluntary nature of the study minimizes the risk of undue influence or exploitation.

Human Subjects Protection Questionnaire

Beneficence

  1. This study has an innovative research question, will porn abstinence reduce stress levels over time and improve sexual health among porn users. This topic is hotly debated in multiple cultural sub-segments, but real prospective studies are quite limited. 

Non-maleficence

  1. Are participants recruited with justifiable inclusion and exclusion criteria?
    No, the criteria for participant inclusion and exclusion are undefined, which is crucial for ensuring the study targets the appropriate population and maintains scientific integrity.

  2. Does the research team have the experience, skills, facilities, and time to complete the study?
    Yes, although the study design is undefined, Efforia's decentralized model, extensive infrastructure, and experienced team, including Principal Investigator Matthew Amsden, provide a solid foundation for conducting minimal risk studies. Dr. Viral Patel is available to manage any adverse events, ensuring participant safety and study integrity. For more information, refer to the Minimal Risk Umbrella Protocol.

  3. Is there a fair balance of benefits and harms (risks) for all with an interest in the study?
    No, without defined study parameters, it is challenging to assess the balance of benefits and risks. The study needs clear objectives and methods to evaluate whether it offers a fair balance for participants and stakeholders.

  4. Will participants receive appropriate care both during and after the study?
    Yes, participants are advised to seek their own medical care in case of adverse events, as per the informed consent. Given the minimal risk nature of the interventions, the study enhances care through adverse event monitoring, which is typically absent from these market-available interventions. Refer to the Minimal Risk Umbrella Protocol for more details.

  5. Is personal data handled appropriately (confidentiality)?
    Yes, refer the reviewer to the Minimal Risk Umbrella protocol for details on data handling and confidentiality measures.

Autonomy

  1. Have participants been offered a fair choice through the information they are given (presented in plain English) and consent process?
    Yes, the informed consent document provides clear and comprehensive information about the study, ensuring participants can make an informed decision.

  2. Has the research incorporated patient and participant views?
    Yes, Efforia's platform is inherently participant-driven, emphasizing feedback and engagement. The study design includes participant feedback on their experiences with MoonBrew, encouraging ongoing dialogue and input.

Justice

  1. Are there fair payments for participation and financial recompense in case of harm?
    Yes, while participants pay to participate, the study offers a valuable product and health outcome tracking, providing intrinsic value. Participants are responsible for their medical care costs in case of adverse events, which are reported to Efforia for further action.

  2. Do participants have access to an independent complaints procedure (or advocate)?
    Yes, participants can contact Efforia's support for concerns or complaints. The informed consent includes independent ethics review board contact information for those preferring not to engage directly with Univo.

  3. Will the project be registered and results reported in the public domain?
    Yes, Efforia commits to transparency, providing personal results to participants and sharing generalizable results to build credibility.