TABLE 2.
Studies analyzing the effects of Cannabis consumption on sexual behavior in men.
| Target population | Method or instrument | Result | References |
| College students (345) | e-mail survey (cannabis use and sexuality) | Increase in sexual desire and enjoyment following the use of marijuana. As dosage increases, the tendency toward an increase in sexual desire decreases | Koff, 1974 |
| Chronic marijuana users (n = 275) | Intense interviews | Low cannabis doses seem to act as an aphrodisiac. Performance and enjoyment are enhanced under its influence. Moderate and high cannabis doses, still induce desire but interferes with sexual performance. | Chopra and Jandu, 1976 |
| Marijuana users (n = 50) | Interview | Users felt that marijuana acted as an aphrodisiac, but only about 9% rated the effect as strong; 81% reported increased feelings of sexual pleasure and satisfaction with marijuana use. | Halikas et al., 1982 |
| 8,656 Australians | Computer-assisted telephone survey | No association between frequency of cannabis use and sexual desire. Frequent cannabis use is related with changes in orgasm timing (delayed or too soon) |
Smith et al., 2010 |
| Patients with cannabis use disorder (n = 47) | International index of erectile function (IIEF) | Cannabis use is associated with erectile and orgasmic dysfunction in males. No differences in Sexual desire score or Sexual satisfaction score |
Aldemir et al., 2017 |
| People with experience using cannabis during sex (n = 216) | Online questionnaire | Participants reported that cannabis is related with an increased desire for sex and heightened sexual satisfaction. Also, an increased penile erectile function/hardness, increased sensitivity to touch and intensity of orgasm. In general, positive outcomes | Wiebe and Just, 2019 |
| Adults who visited a cannabis dispensary (n = 325) | International index of erectile function (IIEF) | Frequency-response relationship between cannabis use and sexual function. Increased use associated with an overall increased IIEF score, intercourse satisfaction domain, and overall satisfaction domain. | Bhambhvani et al., 2020 |
| Sexual and gender minority men (SGM) | In-depth, semi-structured interviews | Participants reported an instrumental use of cannabis to alleviate and address symptoms of mental health (e.g., depression, post-traumatic experiences) and describe adverse effects of cannabis use on their mental health, including feelings of paranoia. | Parent et al., 2021 |
| Patients from academic center andrology clinic (n = 993) | Questionnaires sexual health inventory for men (SHIM) |
Cannabis users had a higher mean SHIM and higher sexual frequency compared to non-users | Shiff et al., 2021 |