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April 19, 2026The Journal of Sexual Medicine

The role of sexual fantasy on sexual desire, distress, and sexual worries: a randomized controlled study

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Authors

PCPedro CamposILIsabel LealRCRui Miguel Costa

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Overview

Randomized controlled trial examines how sexual fantasy impacts desire and distress, implying potential for improved sexual well-being.

Key Points

  • This study aims to determine if engaging in sexual fantasies can enhance sexual desire and lower sexual distress and worries.
  • Conducted a randomized controlled trial with sixty heterosexual adults.
  • Participants were assigned to either a sexual fantasy group or a control group.
  • The sexual fantasy group wrote erotic narratives while the control group wrote non-sexual narratives.
  • Outcomes measured included sexual function, pleasure, distress, and worries.
  • The sexual fantasy group showed significant increases in sexual desire and pleasure.
  • Participants reported reduced sexual distress and worries.
  • Enhanced partner-focused imagination vividness was observed in the fantasy group.

Cite This Study

Campos et al. (2026) studied this question.

synapsesocial.com/papers/69e472a8010ef96374d8eab1https://doi.org/10.1093/jsxmed/qdag097
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