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We may be proud that India is the fourth-largest economy. However, we should also remember that we are the third-largest consumer of online adult content in the world. One-third of internet traffic and one-third of data usage reportedly relate to such content, and the male–female ratio of users is approximately 2:1.This is causing concern in society. What are the facts, and how is this affecting us? Exposure to explicit content has changed the concept of intimacy — from mutual caring to using someone; from emotional connection to purely physical activity; from private affection to public display; and from lasting satisfaction to instant gratification. Our sexual scripts have changed. The shifts include: · Objectification of women as sexual objects · Degradation of partners · Portrayal of dominance, aggression, exploitation and coercion · Increased acceptance of violent or risky behaviour · Greater permissiveness and normalisation of such behaviour Sexual attitudes are shaped by culture and family. Behaviour is influenced culturally but often learned from peers. Online content can act as a “super-peer.” Among men, problematic consumption consistently reduces sexual satisfaction. Reasons include: · Comparing real partners with unrealistic on-screen representations · Disappointment when a partner does not imitate acts seen online · Frustration from not experiencing the variety shown online · Choosing online content over intimacy with a real partner There are two types of users: recreational users and problematic users. About 80% fall into the recreational category, while around 14% develop problematic patterns. Recreational use is occasional and voluntary, without guilt or regret, and may not cause harm. Problematic Pornography Usage (PPU) involves: · Excessive use · Loss of control, preoccupation and craving · Repeated failed attempts to cut down · Withdrawal symptoms · Negative consequences · Continued use despite harm Recreational users generally do not require intervention. It is those with problematic use who may require psychiatric help. The writer is a sexologist. Mail him at dr.narayana@deccanmail.com