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This scoping review examines sexual activity's impact on athletic performance in various populations, suggesting avenues for further research.
Existing studies demonstrate no performance impairment when sexual activity occurs ≥10- to 12-hour precompetition. Sleep quality improvements require further investigation. Psychological expectations and cultural contexts appear influential based on athlete surveys. Critical gaps include female underrepresentation (99% male samples), age diversity (studies limited to 20-40 y), and ethnic homogeneity. Rigorous investigations with diverse populations remain necessary to establish evidence-based practice guidelines.
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Dhahbi et al. (2026) studied this question.
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