Problematic Pornographic Consumption and Its Impact on Sexual Function: A Narrative Review with Indian Insights
- Dr.Natesh Prabhu
- Sep 25
- 2 min read
SEXCON 2025 Presentation Abstract
Download the Conference Presentation Slides
Background:
With the digital revolution, pornography has become widely accessible across India. While many individuals consume it without adverse consequences, a growing subset experience distress, impaired control, and sexual dysfunction—collectively termed Problematic Pornographic Consumption (PPC). PPC has clinical implications, yet Indian data remain limited.
Objective:
To synthesize global and Indian literature on the prevalence, risk factors, and sexual health
consequences of PPC in adolescents, adults, and couples, and to highlight evidence-based
screening and treatment strategies.
Methods:
A narrative review of peer-reviewed studies (2005–2025) was conducted using PubMed, Google Scholar, and Scopus. Keywords included “problematic pornography,” “pornography addiction,” and “sexual dysfunction.” Indian and international data were prioritized. Validated instruments such as PPCS-18, CYPAT, and CIUS were considered.
Results:
Globally, 4–11% of men and 1–3% of women meet criteria for PPC. In India, community estimates suggest ~0.2% addiction prevalence in adults, while student surveys report higher rates—12.5% among medical undergraduates and 47% exposure among adolescent boys. PPC is associated with erectile dysfunction, delayed ejaculation, anejaculation, and reduced libido. Partners of PPC users, particularly women, report lower emotional intimacy and sexual satisfaction. Risk factors include early exposure, male gender, alcohol use, and poor sexual health literacy. CBT and web-based interventions show promise, though Indian clinical trials are lacking.
Conclusion:
PPC is an under-recognized contributor to sexual dysfunction in Indian practice. With increasing digital access, clinicians must be equipped to screen, counsel, and refer appropriately. Culturally sensitive education and further research are needed to address this silent sexual health issue. Keywords: Pornography, Erectile Dysfunction, Sexual Satisfaction, India, Adolescents, CBT, PPC
Author:
Dr.M.Natesh Prabhu MD, FCSM, CCEBDM, CFAA (Spain),
Regenerative Sexual Medicine and Andrology Consultant
Andregn Clinic, Trichy, Tamilnadu
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