Digital Social Hour
Dr. Trish Leigh: Why Young Men Are Getting Performance Issues So Fast | DSH #1787
26 Jan 2026
Chapter 1: What is the impact of excessive dopamine on young men's performance?
Now, with the click of a button, you can get any genre, any type of person, any acts. You can get 100 of them at one time. 100 tabs, 200 tabs, and people do that. Edging, it's called, where people will go from tab to tab to tab to tab. What? Edging. You know this term?
I heard of it, but I didn't know if people did it with...
Oh, yeah, it is rough. That is people who edge are the worst off of the people that I see.
Chapter 2: How are social media and dating apps contributing to relationship issues?
Some of them are non-functional, honestly, like non-functional in society, can't get the job they want, definitely can't get the relationship they want. Their brains feel like mush, depressed and anxious at all times. Edging basically is you keep looking for that video, that person, that scene to finally have an...
but the whole time they're flooding their brain in dopamine, very high levels of dopamine, and that desensitizes the D2 receptors in the brain.
Okay, guys, returning guest. It's been a while. She's been crushing it in the social media scene. Dr. Trish just did a Jubilee video, right?
Yeah, yeah. How'd that go?
Chapter 3: What role does 'edging' play in performance issues?
It went great, I think, at least. Middle ground, right? Middle ground, yeah. It was very, I really appreciated that they allowed the conversation to unfold and, you know, find the middle ground. So I thought that was cool.
What was your goal going into that?
My goal was to stay in peace and to be intentional and to, you know, make good points, but not attack anybody and and to hold the temperature of the room. And I think I did it.
Well done, because I know a lot of people have an emotional connection to porn. So when you tell them to stop watching it, they get mad.
Chapter 4: How does pornography addiction affect mental health?
Yeah. And especially porn performers, you know, it it. you know, insults the lifestyle that they're living. So to have empathy for that, but also to try to make some points about what's healthy versus unhealthy for people.
Yeah.
You know, so.
Has there been any new information since the last time we saw each other, new studies or anything that are?
Yeah, there's a lot going on. There's always new studies. There's so many studies.
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Chapter 5: What is the significance of testosterone replacement therapy (TRT)?
So my book came out. It's called Mind Over Explicit Matter. The important part of that is it had over 400 studies in it. And the publisher actually made me take some studies out. They're like, you don't have to cite that. You know what I'm like? But I want the world to know everything in this book has science behind it. There's so much science.
I just got done doing a study of 201 brains that are addicted to pornography. Those are people, men.
Chapter 6: How can young men reset their dopamine levels?
201 people who have porn-induced erectile dysfunction. My goal, which I'm in the midst of doing, is getting it into the scientific literature world. And there's a lot of fMRI studies that are out there, but none using EEG with such a big study. So that's cool findings.
Wow. So if you're addicted, there's a good chance you could develop erectile dysfunction.
Oh, yeah. It's the number one pain point. Erectile dysfunction has – actually, speaking of studies, one study shows that over 70% of men who have erectile dysfunction under the age of 40 were big-time porn users.
Wow.
Chapter 7: What are the characteristics of healthy masculinity?
Damn, that's a high percent.
Very high, very high percent. We are going to have a generation of men with sexual arousal dysfunction. And I know people think it's hyperbole, but it's not. You know, I talked to 18 year olds, 20 year olds. Full-blown ED from porn. But the good news is, you know, neuroplasticity. You can heal your brain and bring it back. But that's going to be the biggest wake-up call for people.
I liken it to the smoking industry.
Chapter 8: How can individuals curate their social media feeds for better mental health?
Smoking industry, there was, you know, big tobacco saying that, you know, smoking's fine. It helps you relax, which it does. But, you know, they were withholding the information that it's highly addictive. causes cancer and that secondhand smoke is real. So I want people to know that porn is highly addictive. That's not really debated anymore.
Erectile dysfunction is the number one thing that will come to pass if you continue watching porn and it affects your relationships.
Absolutely. Is this mainly a male issue?
Yes. And it's on the rise with women, but it's predominantly male.
Hmm. Wow. I wonder what the numbers are. I've heard some crazy stats on how many guys watch it.
Yeah, the numbers are they're huge considering those are the people admitting it. Those are the people who are willing to, you know, go to a study in or survey and say that, yeah, I watch porn, which still the vast majority of people aren't in, you know, that place where they're willing to put it out there.
You think most people can't control their addiction towards it?
No, they cannot. I know they can't. You know, I work with thousands of people personally, plus I have my YouTube channel where there's millions of people interacting. It's a dopamine dependency. So once you get past a certain point, it's compulsive use. So once you get past that, you need to consume it to not feel bad. It's no longer a habit to feel good.
Yeah. I feel like our generation, since it became videos, because our parents used the magazines, I guess it wasn't as bad. I don't know. But now it's so easy to get it.
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