RESEARCH EVIDENCE MODERATE EVIDENCE Cross-sectional study Tier 2 — Peer-reviewed study / review

Viewing sexual stimuli associated with greater sexual responsiveness, not erectile dysfunction

Authors
Prause, N., & Pfaus, J.
Year
2015
Journal
Sexual Medicine Reviews
Type
Conceptual / review paper
Source
https://doi.org/10.1002/sm2.58
Last verified
2026-10-04

Main question

Does viewing sexual stimuli reduce or increase sexual responsiveness?

Related claims

Summary

Prause and Pfaus (2015) reviewed the literature on viewing sexual stimuli and sexual responsiveness, concluding that greater viewing was generally associated with greater responsiveness, not erectile dysfunction. This is a key counterpoint to the PIED hypothesis.

Why it matters

This review does not close the question — it reviews heterogeneous studies and does not rule out problems in specific subgroups — but it directly challenges the strong claim that pornography viewing reliably causes erectile dysfunction.

Findings

Limitations

Clinical relevance

Challenges the claim that viewing causes erectile dysfunction.

Relevance to problematic pornography use

Key counterpoint to the PIED hypothesis.

Related topics