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Acute and Delayed Effects of Sexual Activity on Athletic Performance: A Scoping Review Across Sex, Age, and Ethnicity.

Title: Acute and Delayed Effects of Sexual Activity on Athletic Performance: A Scoping Review Across Sex, Age, and Ethnicity.
Authors: Dhahbi, Wissem; Briki, Walid; Dergaa, Ismail; Slim, Ines; El Omri, Abdelfatteh; Pyne, David B.; Ben Saad, Helmi
Source: International Journal of Sports Physiology & Performance; Apr2026, Vol. 21 Issue 4, p509-520, 12p
Subject Terms: HUMAN sexuality; SEX distribution; FUNCTIONAL assessment; FATIGUE (Physiology); AGE distribution; SEX customs; RACE; SYSTEMATIC reviews; MEDLINE; HEART beat; ENERGY metabolism; PHYSICAL fitness; CONVALESCENCE; PSYCHOLOGICAL stress; ATHLETIC ability; ONLINE information services; SLEEP quality; PSYCHOLOGY information storage & retrieval systems
Abstract: Purpose: The effects of sexual activity on athletic performance have been debated for centuries, with traditional abstinence beliefs lacking scientific foundation. We sought to map existing literature examining acute and delayed effects of sexual activity on athletic performance, and identify knowledge gaps across mechanistic pathways. Methods: Sexual activity encompassed intercourse, masturbation, or orgasm-culminating activities. Performance outcomes included strength, endurance, power, speed, reaction time, and sport-specific skills. This scoping review followed PRISMA-ScR guidelines. Searches covered PubMed/Medline, Scopus, Web of Science, and PsycINFO (inception-July 2025). Population–Concept–Context framework guided study selection. Extracted data covered demographics, performance modalities, timing, and mechanisms. Narrative synthesis addressed heterogeneity. Results: Available evidence indicates sexual activity ≥10 to 12 hours pretesting yields no observed performance impairment. Cardiovascular recovery effects occur with ≤2-hour intervals. One study (n = 16) documented maximal lower-limb strength reduction within 24 hours. Athletes report variable performance expectations (40% perceive immediate negative effects; 90% report no influence at ≥12 h). Studies exhibited small sample sizes (n = 2–16), 99% male representation, and methodological heterogeneity. Proposed acute mechanisms include hormonal fluctuations and minimal energy expenditure (1.8–2.8 metabolic equivalent of tasks). Hypothesized delayed pathways involve sleep quality and stress modulation. Conclusion: 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. [ABSTRACT FROM AUTHOR]
: Copyright of International Journal of Sports Physiology & Performance is the property of Human Kinetics Publishers, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index