| Sumario: | The internet has greatly increased the ease of access to pornography and the privacy of its use, accompanied by a notable rise in consumption among young people. This review aimed to systematically review and narratively synthesise quantitative evidence on the prevalence, motivations, and content types of internet pornography use – as well as its associations with multiple domains of psychosexual well-being, including attitudes and emotions towards use, sexual self-concept, sexual desire and functioning, and compulsive use – among individuals aged 16–25 years. Following a pre-registered protocol, we originally conducted a systematic search of PubMed, PsycINFO, and Web of Science on 20 May 2024 and updated on 24 April 2025 for studies published from 1 January 2000 to 24 April 2025 that reported associations. Study quality was assessed. Twenty-seven studies (30,023 participants) were included in the systematic review. Measurement details were reported for the pornography use variables and the psychosexual well-being variables. The results indicate that most young people have used internet pornography, with a higher prevalence reported in men than women. Additionally, gender differences related to internet pornography were found in reported motivation and content types, attitudes and emotions, sexual self-concept, sexual desire and functioning, and compulsive use. Young people today have easier access to online pornography than ever before. This review looked at studies of people aged 16–25 years and found that most had used pornography, with men reporting higher use than women. We also found gender differences in reasons for use, preferred content, and links to sexual feelings and satisfaction. These findings help us better understand how pornography may shape young people's sexual lives across different cultures.
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