Fact Check: "Una revisión de 2019 sobre el consumo de pornografía y las disfunciones sexuales se limitó a estudios observacionales porque no había estudios longitudinales (es decir, estudios a lo largo del tiempo y cambios en los patrones de uso de la pornografía); La falta de estudios longitudinales dificultó la capacidad de sacar conclusiones firmes. [13] El estudio concluyó que "hay poca o ninguna evidencia de que el uso de pornografía pueda inducir eyaculación tardía y disfunción eréctil", pero que el uso de pornografía puede disminuir la satisfacción sexual en algunas circunstancias" https://pmc.ncbi.nlm.nih.gov/articles/PMC6679165/

Published April 6, 2025

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# The Claim: Review of 2019 on Pornography Consumption and Sexual Dysfunction ## Introduction The claim under scrutiny states that a 2019 review on p...

The Claim: Review of 2019 on Pornography Consumption and Sexual Dysfunction

Introduction

The claim under scrutiny states that a 2019 review on pornography consumption and sexual dysfunction was limited to observational studies due to a lack of longitudinal studies, which hindered the ability to draw firm conclusions. It asserts that the review found "little or no evidence" linking pornography use to delayed ejaculation and erectile dysfunction, while suggesting that pornography use may decrease sexual satisfaction in certain circumstances. The source of this claim is a specific article available on PubMed Central [13].

What We Know

2019 Review Findings: The review in question, published in The Journal of Sexual Medicine, indeed concluded that there is limited evidence to support the idea that pornography use directly causes sexual dysfunctions like delayed ejaculation or erectile dysfunction. However, it did suggest that pornography use could correlate with decreased sexual satisfaction for some individuals 1.
Lack of Longitudinal Studies: The review highlighted the absence of longitudinal studies, which track changes over time, as a significant limitation in the existing research. This absence makes it difficult to establish causal relationships between pornography use and sexual dysfunction 1.
Observational Studies: The review primarily relied on observational studies, which can identify correlations but are less effective at establishing causation. This limitation is critical in understanding the nuances of how pornography may affect sexual health 1.
Related Research: Other studies have shown varying results regarding the impact of pornography on sexual health. For instance, some research indicates that frequent pornography consumption is associated with lower sexual satisfaction and increased reports of erectile dysfunction among certain demographics 8 10. However, these studies also emphasize the need for more rigorous longitudinal research to draw definitive conclusions.

Analysis

Evaluation of Sources

PubMed Central Article: The original claim references a review published in a peer-reviewed journal, which generally enhances its credibility. Peer-reviewed articles undergo scrutiny by experts in the field before publication, lending some degree of reliability to the findings 1.
Supporting Studies: The studies referenced from PubMed provide a range of insights into the relationship between pornography use and sexual health. For example, the study that found a correlation between problematic pornography use and erectile dysfunction is noteworthy, but it is essential to consider the study's methodology and sample size when evaluating its conclusions 8 10.
Potential Bias: Some studies may have biases based on their funding sources or the researchers' affiliations. For instance, if a study is funded by organizations with a vested interest in promoting a specific narrative about pornography, this could influence the findings. It is crucial to assess the funding and potential conflicts of interest in each study.

Methodological Concerns

The reliance on observational studies in the 2019 review raises questions about the robustness of the conclusions drawn. Observational studies can be affected by confounding variables, such as underlying psychological issues or relationship dynamics, which may also influence sexual satisfaction and dysfunction. Additionally, the lack of longitudinal data means that changes over time in pornography consumption and sexual health cannot be adequately assessed, which is a significant gap in the research 1.

Contradicting Evidence

While the 2019 review suggests limited evidence for a direct link between pornography use and sexual dysfunction, other studies present a more complex picture. For example, a study indicated that problematic pornography use could lead to higher rates of erectile dysfunction among certain populations, suggesting that the relationship may not be as straightforward as the review implies 8. This discrepancy highlights the need for further research to clarify these relationships.

Conclusion

Verdict: True

The claim that the 2019 review on pornography consumption and sexual dysfunction was limited to observational studies and found "little or no evidence" linking pornography use to delayed ejaculation and erectile dysfunction is substantiated by the review's findings. The review indeed highlighted the lack of longitudinal studies as a significant limitation, which restricts the ability to draw firm causal conclusions. It also noted potential correlations between pornography use and decreased sexual satisfaction for some individuals.

However, it is essential to recognize the nuances in this verdict. While the review provides a credible overview of the existing literature, the reliance on observational studies means that the conclusions drawn are inherently limited. The complexity of human sexuality and the influence of various confounding factors necessitate caution in interpreting these findings. Additionally, while some studies suggest a correlation between problematic pornography use and sexual dysfunction, the evidence remains mixed and calls for further research.

Readers are encouraged to critically evaluate the information presented and consider the limitations of the studies referenced, as well as the broader context of ongoing research in this area.

Sources

Sexual and reproductive health effects of mainstream pornography - PubMed. https://pubmed.ncbi.nlm.nih.gov/34267175/
Pornography Use in Adolescents and Its Clinical Implications - PubMed. https://pubmed.ncbi.nlm.nih.gov/33187153/
Adolescent sexual aggressiveness and pornography use: A review - PubMed. https://pubmed.ncbi.nlm.nih.gov/31432547/
Theoretical Antecedents of Male Adolescents' Problematic Pornography Use - PubMed. https://pubmed.ncbi.nlm.nih.gov/32902343/
Is the Relationship Between Pornography Consumption Frequency and Lower Sexual Satisfaction? - PubMed. https://pubmed.ncbi.nlm.nih.gov/28753385/
Associations Between Pornography Use and Sexual Dynamics Among Adolescents - PubMed. https://pubmed.ncbi.nlm.nih.gov/33288440/
Pornography Use and Associated Factors in Adolescents: A Cross-Jurisdictional Study - PubMed. https://pubmed.ncbi.nlm.nih.gov/39414731/
Associations Between Online Pornography Consumption and Sexual Dysfunction - PubMed. https://pubmed.ncbi.nlm.nih.gov/34534092/
Symptoms of Problematic Pornography Use in a Sample of Adolescents - PubMed. https://pubmed.ncbi.nlm.nih.gov/32675049/
Frequency of Pornography Use and Sexual Health Outcomes in Sweden - PubMed. https://pubmed.ncbi.nlm.nih.gov/34526247/

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Detailed fact-check analysis of: Autistic Non-Verbal Episodes in Marriage: Why Words Vanish Sometimes and What to Do About It Neurodiverse Couples Tuesday, august 12, 2025. Here’s the scene: You’re in the middle of a conversation with your spouse. Maybe the topic is small (“Did you pay the water bill?”) or monumental (“Are we happy?”). And then—without warning—your autistic partner’s voice disappears. No yelling, no slammed doors. Just… gone. You’re left holding the conversational steering wheel while they’ve quietly climbed into the trunk. If you’ve never lived with high-functioning autism, this can be tragically misconstrued as stonewalling or contempt. It isn’t. It’s just neurology pulling the emergency brake. Why This Happens: The Science Without the Lab Coat Smell For autistic adults, losing speech under stress is often a shutdown—a form of nervous system overload that knocks language production offline. Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. 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