I think results vary for people who re-engage in sexual activity. For me, staying away from PM and having relations with the wife was (and is) a lesson in learning to be intimate again without referencing porn. Being with my wife feels new again and it's been great. Anxiety comes and goes but is better managed after 1 year. I don't notice any negativity during or after relations. This comes with practice of course. Avoid referencing previous memories (black mirror anyone?) whilst having relations with the spouse. Focus on her and her needs. This is really important since we have been focusing on our needs via PM for the longest time. Anyways, wish i could be more help here. If there are other married men here who have better experience feel free to answer.