Marijuana users sometimes report that pot enhances their desire for sex. But a new review of research on marijuana and sexual health suggests that male smokers could be courting sexual dysfunction.
"It's a strong message to our younger generations and younger men," Shamloul said.
Shamloul reported his findings online Jan. 26 in the Journal of Sexual Medicine.
Sex and drugs
Scientists first began to study marijuana and sex in the 1970s. Some researchers found that cannabis seemed to have the effect of a love drug; in one 1982 study published in the Journal of Psychoactive Drugs, 75 percent of male pot smokers said the drug enhanced their sex lives. Meanwhile, another study published in the same journal the same year found that erectile dysfunction was twice as common in marijuana users — not such good news for lit lotharios. Other research suggests a dose effect, in which small amounts of marijuana have little impact on sexual dysfunction, but more marijuana makes for fewer erections.
But problems are rife with this research, Shamloul said, because none of the studies used validated measurement techniques when surveying men about their sexual function. The different questions used could skew the responses, as could the drug itself, he noted in the review. The 39 percent of men in the original 1982 study who said marijuana extended the duration of sex may just have been experiencing the drug's altering effects on the perception of time.
What most concerns Shamloul is a study published in 2010 in the journal European Urology. In that study, researchers found receptors for tetrahydrocannabinol (THC), the active ingredient in marijuana, in penis tissue from five male patients and six rhesus monkeys. These receptors were mainly in the smooth muscle of the penis, Shamloul said. Additional lab studies suggest that THC has an inhibitory effect on the muscle.
"This is a more serious effect on the erectile function because the smooth muscle makes up 70 percent to 80 percent of the penis itself," Shamloul said.
Men and marijuana
Marijuana use is widespread, especially among men at their sexual peak in life, Shamloul said. The United Nations Office on Drugs and Crime reports that 162 million people worldwide use marijuana each year. More than 22 million use it daily. That makes understanding long-term effects important, Shamloul said.
People tend to focus on the possible upsides of marijuana more than the possible downsides, said Sharon Johnson, a professor of social work at the University of Missouri, St. Louis, who has studied marijuana use and sexual health in the past. Her study, published in 2004 in the journal Archives of Sexual Behavior, found that marijuana users have a slightly elevated risk of inhibited orgasms and pain during sex. (Johnson was not involved in Shamloul's review study.)
Research on sexual health and marijuana use in women is even less common than studies in men, Shamloul said.
"What we are really missing are clinical studies," Shamloul said. "We are stuck with only animal studies and molecular studies, and some clinical studies done in the '60s and '70s, most on a very small number of men… We need well-designed, placebo-control studies examining marijuana's effect in both the short-term and long-term."