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The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies

2019/06/26 by Aleksandra Diana Dwulit, Piotr Rzymski · 103 citations
Psychology · Social Sciences · Medicine · #Sexuality, Behavior, and Technology #Gender, Feminism, and Media #Sexual function and dysfunction studies #Pornography #Observational study #Medicine #Confounding #Sexual dysfunction #Erectile dysfunction #Clinical psychology #Psychiatry #Psychology #Internal medicine

paper · pdf · doi:10.3390/jcm8070914

published in Journal of Clinical Medicine 8(7), 914 (Multidisciplinary Digital Publishing Institute)

openalex publication_date 2019/06/26 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30

Abstract

This paper reviews the associations between pornography use and sexual dysfunction based on evidence from observational studies. The existing data in this regard mostly derive from cross-sectional investigations and case reports. There is little if no evidence that pornography use may induce delayed ejaculation and erectile dysfunction, although longitudinal studies that control for confounding variables are required for a full assessment. The associations between pornography use and sexual desire may differ between women and men although the existing data is contradictory and causal relationships cannot be established. The strongest evidence is available for the relation of pornography use with decreased sexual satisfaction, although the results of prospective studies are inconsistent. The paper outlines future research prospects beneficial in understanding the nature of associations between pornography use and sexual dysfunctions in men and women.

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