One of the most devastating repercussions of pervasive online porn use by young men is its distorting effects on relationships. Men are finding that "real life" women are not as sexually satisfying to them as digital women. Some women feel pressured to act like porn stars to meet expectations. Damian Thompson, author of The Fix: How Addiction is Invading Our Lives and Taking Over Your World, writes about this 21st century malady:

Some women are finding it increasingly difficult to satisfy men, particularly those under 30. It's not their fault. Short of digitizing themselves, there's no way they could fulfill the needs of their porn-obsessed partners. Why? Because, to put it bluntly, their boyfriends [or husbands] no longer want to have sex with human beings. Their brains have been conditioned by fantasy. Sex with another person can no longer produce the same rush of dopamine and endorphins that [come from looking at online porn]. This is the logical endpoint for both sexes of an addiction to internet pornography ….