How Is the COVID-19 Pandemic Affecting Our Sexualities? An Overview of the Current Media Narratives and Research Hypotheses Vol.:(0123456789)1 3 Archives of Sexual Behavior (2020) 49:2765–2778 https://doi.org/10.1007/s10508-020-01790-z CO M M E N TA RY How Is the COVID‑19 Pandemic Affecting Our Sexualities? An Overview of the Current Media Narratives and Research Hypotheses Nicola Döring1 Received: 30 May 2020 / Revised: 26 June 2020 / Accepted: 30 June 2020 / Published online: 5 August 2020 © The Author(s) 2020 Coronavirus disease 2019 (COVID-19) first broke out in December 2019 in Wuhan, China, and has spread rapidly worldwide since the beginning of 2020. This new infectious disease is associated with a variety of symptoms and, in severe cases, leads to organ failure and death. On March 11, 2020, the World Health Organization (WHO) (2020a) declared the COVID-19 outbreak a global pandemic. Since then, the primary goal has been to slow down the spread of the novel coronavirus (SARS-CoV-2), which is responsible for the disease and is easily transmitted by direct and contact transmission. To this end, travel restrictions, curfews, and contact bans have been imposed in numerous countries around the world, and all nonessential public institutions have been closed (COVID-19 shutdown or lockdown). Most political, cul- tural, religious, and sporting events have been canceled or postponed. People are being asked to wash their hands regu- larly and wear protective masks, to keep a minimum distance of 1.5 meters away from other human beings and to stay at home if possible (i.e., social distancing and self-isolation). By Spring 2020, more than half of the world population was in lockdown (Sandford, 2020). The COVID-19 pandemic is causing one of the world’s largest economic crises and is affecting the well-being of individuals; some stress factors, such as domestic isolation, lack of movement and social con- tact, loss of jobs and economic problems, supply bottlenecks, limited health and psychosocial care, and fear of and confron- tation with infection and death, characterize life worldwide during the pandemic, but with great differences depending on the respective geographical region, socioeconomic situation, and personal circumstances. Sexuality‑Related Effects of the COVID‑19 Pandemic In addition to many other pandemic consequences, the effects of COVID-19 on human sexualities have been intensively discussed on both mass media (press, radio, and television) and social media (Facebook, YouTube, Instagram, and Twit- ter; Döring & Walter, 2020). For example, the New York Times ran “Coronavirus and Sex: Questions and Answers” (Gunter, 2020), VICE Magazine reported “How Sex Workers are Dealing with Coronavirus” (Pringels, 2020), and the new Facebook group “LGBTI COVID-19 Response” was founded. This is gratifying because issues of sexual and reproductive health and rights and sexual well-being should be taken seri- ously, even (and perhaps especially) in times of crisis, as they are closely related to overall health and quality of life. This is where media reports can have an educational and supportive effect. At the same time, it should be noted that the media discourse on “sex and the coronavirus” naturally follows the old rule of “sex sells” (Streitmatter, 2004): the topic attracts attention and increases click rates, especially when it is sen- sationalized. Therefore, the accuracy of media narratives on sexuality and the novel coronavirus should always be ques- tioned (Döring & Walter, 2020). Researchers have also begun to address the sexuality- related effects of the COVID-19 pandemic. Comments on different sexuality-related aspects have been published in scientific journals (e.g., Ait Addi, Benksim, & Cherkaoui, 2020; Alpalhão & Filipe, 2020; Grubbs, 2020; Hall et al., 2020; Hough, 2020; Hussein, 2020; Joseph Davey, Bekker, Coates, & Myer, 2020; Mestre-Bach, Blycker, & Potenza, 2020; Sun et al., 2020), as well as first empirical studies (e.g., Chen et al., 2020; Jacob et al., 2020; Li, Li, Xin, Wang, & Yang, 2020; Riley, Sully, Ahmed, & Biddlecom, 2020; Sanchez, Zlotorzynska, Rai, & Baral, 2020; Yuksel & Ozgor, 2020) and research reviews (e.g., Rasmussen, Smulian, Led- nicky, Wen, & Jamieson, 2020). Scientific societies provide * Nicola Döring nicola.doering@tu-ilmenau.de 1 Institute of Media and Communication Science, Department of Economic Sciences and Media, Ilmenau University of Technology, Ehrenbergstraße 29, 98693 Ilmenau, Germany http://orcid.org/0000-0003-1299-4586 http://crossmark.crossref.org/dialog/?doi=10.1007/s10508-020-01790-z&domain=pdf 2766 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 statements on their websites (e.g., ASHA, 2020; ISSM, 2020; ISSWSH, 2020). The first large-scale online surveys are already in pro- gress: The Kinsey Institute (Indiana University), for exam- ple, launched a three-wave longitudinal study on “Sex and Relationships in the Time of COVID-19” (https ://kinse yinst itute .org/resea rch/covid -relat ionsh ips.php) in March 2020. An international network of trans* organizations and research institutions initiated a global survey on “Measuring the impact of the COVID-19 pandemic on trans health & trans health care” (https ://trans carec ovid-19.com/). The Global Network of Sex Work Projects (NSWP) launched an inter- national survey on the perceptions of sex workers and sex work organizations of COVID-19 effects in April 2020 (https ://www.nswp.org/news/nswp-launc h-covid -19-impac t-surve y). Many more national surveys and clinical studies are in the field or in preparation. In Germany, for example, in coopera- tion with the German Institute for Sexuality Pedagogy, sex educators were interviewed about their working conditions during the pandemic (https ://www.tu-ilmen au.de/en/media -psych ology -and-media -desig n/resea rch/coron a-surve y/). This commentary aims to inspire researchers and clini- cians to further explore the sexuality-related implications of the COVID-19 pandemic. To this end, an overview of the effects that have been much discussed in the media and in academic journals is presented. The sexuality-related effects of the COVID-19 pandemic are addressed in four thematic blocks: (1) partnered sex, (2) solo sex, (3) sexual and repro- ductive health issues in vulnerable groups, and (4) sexual and reproductive healthcare and sexual education. COVID‑19 Effects on Partnered Sex How is COVID-19 changing partnered sex? Four main media narratives or research hypotheses of change could be identi- fied in public and academic discourse. More Relationship Sex and a Coronavirus Baby Boom In domestic COVID-19 isolation, couples are less distracted, have more time for each other, and can indulge in love making more often during the day, which—planned or unplanned— will inevitably lead to a “coronavirus baby boom” in nine months. This is at least a description found in mass media contributions (Döring & Walter, 2020) and academic papers (Ait Addi et al., 2020) alike. The press often speak of “Love in the Time of Corona” (e.g., BBC, 2020) in allusion to the bestselling novel “Love in the Time of Cholera” (García Márquez, 1988) that tells the story of two lovers who, after a life-long separation, finally get together and use the cholera quarantine on a ship for undisturbed togetherness. The belief in the “coronavirus baby boom,” which symbolizes a posi- tive future, is so strong that names are already being created on social media for the new generation: they should not be called “Millennials” but “Coronials” (see hashtag #Coronials on Twitter or Instagram). The narrative of the coronavirus baby boom is reminiscent of the hypothesis of the “blackout baby boom”: here, too, one imagines that couples have fewer distractions in the event of a power failure and can thus have sex undisturbed. However, the so-called blackout baby boom, in which newspapers are always happy to report on the basis of anecdotal examples, has never been confirmed on the basis of systematic empirical data. It is now more likely to be classified as a sexual urban legend (Brunvand, 1993): not only did the birth rate 9 months after the exceptional situation of a historical power failure in the U.S. not rise, but, in fact, it fell (Izenman & Zabell, 1981; Menaker, 1970; Udry, 1970). For most people, a prolonged blackout is a stressful and frightening interruption of their daily routine and thus is not particularly suited for relaxed romanticism and eroticism. Perhaps a power outage lasting several hours is not the right comparison scenario either. Instead, terrorist attacks and natural disasters that create terror and put people in an exceptional situation for weeks and months might be the bet- ter reference. In fact, the available data here point to positive fertility effects that are explained by different theories. For example, terror management theory predicts that existential threats lead people to recall traditional and family values and thus become more willing to marry and reproduce. Attach- ment theory predicts that, in times of threat, people move closer together with their significant others. Replacement the- ory assumes that, in existential crises, people—consciously or unconsciously—conceive more children to compensate for the loss of life. The fertility effects of collective threat situa- tions are complex and depend on various influencing factors (Evans, Hu, & Zhao, 2010; Rodgers, St John, & Coleman, 2005). They would therefore also need to be worked out more precisely for the COVID-19 pandemic. An Italian online sur- vey with a self-selection sample of 1486 women and men of fertile age in stable heterosexual relationships (Micelli et al., 2020) revealed both a pandemic-related increase in the desire of parenthood (e.g., due to need for positivity) and a decrease (e.g., due to economic difficulties). A Turk- ish study with a sample of 58 married women of fertile age (Yuksel & Ozgor, 2020) showed that during the COVID-19 pandemic, the frequency of sexual intercourse in marriage increased significantly (from an average of 1.9 times to 2.4 times per week) compared to 6–12 months before; at the same time, however, the proportion of women intending to become pregnant decreased (from 32.7 to 5.1%). Thus, regarding the predicted coronavirus baby boom, whether these are intended or unintended pregnancies must always be questioned (see https://kinseyinstitute.org/research/covid-relationships.php https://kinseyinstitute.org/research/covid-relationships.php https://transcarecovid-19.com/ https://www.nswp.org/news/nswp-launch-covid-19-impact-survey https://www.nswp.org/news/nswp-launch-covid-19-impact-survey https://www.nswp.org/news/nswp-launch-covid-19-impact-survey https://www.tu-ilmenau.de/en/media-psychology-and-media-design/research/corona-survey/ https://www.tu-ilmenau.de/en/media-psychology-and-media-design/research/corona-survey/ 2767Archives of Sexual Behavior (2020) 49:2765–2778 1 3 section below on pandemic-related barriers to family plan- ning and abortion). It should also be noted that the more relationship sex plus baby boom narrative always assumes that there is no risk of SARS-CoV-2 transmission in cohabiting couples because neither partner is infected or because both are already infected or immune. In discordant couples, however, part- nered sex is considered unsafe and should—similar to other types of physical contact—be strictly avoided, as emphasized by media, health authority, and scientific society publications (e.g., ISSM, 2020; ISSWSH, 2020). Less Relationship Sex and the Rise in Divorce Rates The romantic-optimistic picture of the “quarantine hon- eymoon” including a “coronavirus baby boom” has not remained unchallenged. Relatively quickly, a completely unerotic picture of the domestic COVID-19 isolation was drawn: one heard of couples who were mainly bored and annoyed with each other. Moreover, in domestic isolation, otherwise hidden injustices, gender asymmetries, and family conflicts can become unexpectedly apparent, as the Wash- ington Post points out: “The truth is, with babysitters, nan- nies, day cares, schools and, for some folks, their jobs, out of the mix, relationship inequities could be a lot more fraught” (Dvorak, 2020). According to media narratives, a kind of “camp frenzy” and permanent dispute with subsequent soar- ing separation and divorce rates can be expected (Döring & Walter, 2020). Factors contributing to relationship stress during the pandemic are limited living space, demanding home schooling and home office duties as well as job loss, preexisting conflicts, physical and mental diseases. Literature reviews show that mental health deteriorated significantly after the economic crisis in 2008 (Parmar, Stav- ropoulou, & Ioannidis, 2016) and in the course of quarantine measures related to earlier pandemics (Brooks et al., 2020). An increase in anger, anxiety, post-traumatic stress symp- toms, depression or even suicidal tendencies usually has a negative impact on relationships and sexual life and might foster sexual dysfunctions and sexual deviance. Some stud- ies also show that divorce rates increase in the aftermath of natural disasters (Cohan & Cole, 2002). There is thus a clear need for psychosocial care: coun- seling, therapy, and crisis intervention are needed for indi- viduals, couples, and families whose domestic conflicts and sexual problems have intensified during the pandemic and who are in separation crises. In addition, a special burden sit- uation arises for couples who are being forced to be separated for a long period of time during the COVID-19 pandemic (e.g., due to travel bans or because one person is living in a nursing home due to old age, which has issued a visiting ban). The Washington Times asked the following question: “Will coronavirus intimacy lead to a baby boom? Or a divorce tsunami?” (Dvorak, 2020). However, presumably, it is not at all about playing one effect against the other but rather about finding the determinants that ensure that some couples become closer during the coronavirus crisis, while others grow apart. Correspondingly ambivalent effects are also known from less dramatic situations such as holidays: some couples fall in love anew on vacation, and others fight all the time and separate afterward. It should also be borne in mind that the effect sizes of the postulated effects may be small and the changes only short- term in the general population. Many couples might stick to their established patterns of communication and sexuality or return to them in the wake of the crisis. It is therefore important not only to focus on problematic changes and sup- port needs but also to keep an eye on the persistence and resilience of couples and identify the factors that foster their successful coping. Less Casual Sex As the examples quoted so far show, changes in sexuality as a result of the COVID-19 pandemic are often discussed using heterosexual monogamous couple relationships as an exam- ple. A different narrative emerges when one looks at part- nered sex, which does not take place with domestic spouses and life partners but within the framework of alternative rela- tionship models (e.g., friendships with benefits and polyam- orous relationship networks) and is practiced as so-called casual sex, for example, in the context of one-night stands, hook-ups, sex dates, affairs or commercial sexual services. These forms of sexual interactions, which are more often part of the lifestyles of adolescents, singles, and LGBTQ + -iden- tifying people, among others, have been largely prohibited in the COVID-19 pandemic mitigation measures. This means that many adolescents and adults have had to adjust to long weeks and months without intimate physical contact with other people. There has been much media coverage about the fact that “bad times for singles” are dawning or that their “libido must take a break.” Newspapers have quoted surveys of hetero- sexual and queer dating services, whose members stated that since the beginning of the coronavirus crisis, they have had much less sex or no sex at all and have renounced casual sex (Döring & Walter, 2020). A rapid online survey of 1051 men who have sex with men from the U.S. showed that half of them had less sex partners (Sanchez et al., 2020). A Chinese online survey with a convenience sample of 459 women and men aged 18–45 years revealed a decrease in sexual partners, sexual frequency, and sexual risk taking during the pandemic (Li et al., 2020). The Editor of the journal Sexuality and Disability is asking for data on how people with disabilities are doing during the pandemic when their scheduled sexual surrogate and massage sessions are canceled and they remain 2768 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 without any sensual physical contact for weeks and months (Hough, 2020). In addition to a descriptive narrative describing the liv- ing conditions of singles who adhere to social and sexual contact bans, a prescriptive narrative can also be observed on social media. This narrative addresses how to encourage or even force people to stop having casual sex during the COVID-19 pandemic. In the newly formed Facebook group “LGBTI COVID-19 Response,” for example, one member suggested in a prescriptive less casual sex narrative that dur- ing the COVID-19 pandemic, it would be best to shut down Grindr, Scruff, GROWLr, and all other queer dating apps to stop casual sex. A heated discussion with dozens of posts followed. Especially in LGBTQ + communities, comparisons between coronavirus narratives and HIV narratives are obvi- ous. The establishment of safer sex, Treatment as Preven- tion (TasP), and, more recently, Pre-Exposure Prophylaxis (PrEP) significantly reduced the fear of infection in MSM with regard to HIV. Will the novel coronavirus, which is much easier to transmit than HIV, threaten the newfound freedom from fear and foster a new stigmatization of non- monogamous lifestyles? How, from a scientific point of view, is an appropriate risk assessment to be made? How do the risks of a weeks- or months-long lack of physical intimacy compare with the increased risk of SARS-CoV-2 infection through casual sex? Is there possibly a pragmatic middle ground of risk reduction, which lies between a risky “carry on as before” mentality on the one hand and total abstinence from partnered sex on the other? Anecdotally, there are reports of singles who limit their casual sex to a small circle of people to reduce the risk of SARS-CoV-2 transmission or who go into self-isolation together as a group and then only have sex among each other. This procedure is recommended on YouTube by an Austral- ian doctor from the LGBTQ + community, among others (Forgan-Schmith, 2020), and discussed in the scientific lit- erature (Turban, Keuroghlian, & Mayer, 2020). Finally, the expected reduction in casual sex should reduce the transmission of HIV and STI, and first evidence of a cor- responding reduction in new infections is already available in the literature (e.g., Alpalhão & Filipe, 2020; Junejo, Girom- etti, McOwan, Whitlock, & Dean Street Collaborative Group, 2020). More Telephone and Online Sex The fact that partnered sex with people outside the house- hold poses a significant risk of SARS-CoV-2 transmission is undisputed in view of its easy transmission through respira- tory droplets and physical intimacy (Cipriano, Giacalone, & Ruberti, 2020). However, what remains to be consid- ered is interpersonal sexual contact at a distance. These technology-mediated sexual interactions and relationships have been known since the 1990s under labels such as cyber- sex, virtual sex, electronic sex, chat sex, cam sex, or more recently, sexting (Courtice & Shaughnessy, 2017). In view of the coronavirus contact bans, such technology-mediated interpersonal sex contacts suddenly enjoy great popularity and are so much in the public eye that, in March 2020, a narrative of more telephone sex and more online sex was identified in German-speaking media as the most popular partnered sex media narrative (Döring & Walter, 2020). Similar to the narrative of less casual sex, the narrative of more phone sex and online sex exists with descriptive and prescriptive variants. On the one hand, it is observed and described that an increasing number of people prefer to resort to telephone and online sex instead of face-to-face sex dates. On the other hand, this approach has been explicitly recommended. The New York City Health Department made headlines world- wide when it published tips on safe sex during the COVID- 19 pandemic on March 21, 2020, positioning itself as being surprisingly inclusive and sex-positive for a state agency (NYC Health Department, 2020): “If you usually meet your sex partners online or make a living by having sex, consider taking a break from in-person dates. Video dates, sexting or chat rooms may be options for you.” It is remarkable that online sex, including sexting, which is often frowned upon and even declared a pathological or deviant risky behavior (see Döring, 2014), has now officially advanced to a disease prevention behavior. Health organi- zations worldwide recommend telephone and online sex as alternatives to in-person sex dates. The International Society for the Study of Women’s Sexual Health (ISSWSH, 2020) postulates the following: “The new ‘really safe’ sex in many cases may require ‘e-sex’.” Since the beginning of the COVID-19 pandemic, the media have been providing tips, tricks, and advice for good telephone and online sex. Such tips are quite useful, as phone and online sex require specific knowledge and skills. There- fore, in times of a pandemic, specific sexual education is in demand. The technical side of mediated sex requires knowl- edge and skills regarding the selection of the necessary equip- ment (microphone, camera, and light) and the appropriate platform or app (e.g., Zoom, Skype, Tinder, Grindr, etc.) as well as the correct handling (e.g., appealing camera angle and correct privacy settings). The sexual and social side of mediated sex requires knowledge and skills of how to express sexual desires and fantasies interactively and consensually with other people through text, pictures, audio, and video. This includes sexual interactions not only between two peo- ple but also between several people and in groups, as well as the integration of sexual scripts from kink, fetish, BDSM, and LGBTQ + contexts. In the meantime, queer sex parties are being organized online with “Instagram DJs” and “Skype 2769Archives of Sexual Behavior (2020) 49:2765–2778 1 3 darkrooms.” For example, the online edition of London’s “Naked Gay Party SBN,” which normally has approximately 600 guests offline, welcomed more than 3000 visitors in the video chat room on March 29, 2020 (Attitude, 2020). In the course of the COVID-19 pandemic, a destigma- tization and normalization of technology-mediated sexual interactions has been observed, which is desirable in prin- ciple, since these interactions have been part of the sexual repertoire of various populations for about a quarter of a century and are experienced positively by the majority (Döring, 2009; Döring & Mohseni, 2018). Conversely, it is problematic if the appreciation of the qualities of technology- mediated sex—especially its usefulness during face-to-face contact bans—immediately turns into glorification, as can be observed in some press articles (Döring & Walter, 2020). The sexual literacy to be promoted through sexual education in connection with technology-mediated sexual interactions should also include awareness of risks and protective meas- ures (Alpalhão & Filipe, 2020; Turban et al., 2020). This concerns, for example, the prevention of and intervention in cases of online sexual harassment, online grooming, online stalking, revenge pornography, online dating scams, etc. Sex- ual education should consider these topics, and in counseling and therapy, one should be prepared to deal with conflicts and problems related to telephone and online sex and to support people in their search for satisfying technology-mediated sexual contact. It would be interesting for sex researchers to investigate how technology-mediated sexual interactions are experi- enced and whether and how, for example, sexual scripts in online sex differ from sexual scripts in offline sex (cf. Döring, 2000). In the context of technology-mediated partnered sex research questions relating to remote-controlled sex toys that add haptic stimulation to the experience (Liberati, 2017) should also be considered, including new technologies that allow for kissing over distance (Cheok & Zhang, 2020). Pan- demic-relevant research questions are also related to immer- sive virtual environments in which people experience sexual interactions mediated by avatars (Wardle, 2018). Another relevant research question addresses who will switch from offline sex to online sex during the pandemic and who cannot or will not do so. Particular attention should be paid here, for example, to the situation of young people: for them, participation in online sex and sexting is partly illegal, depending on the national legal system and is generally con- sidered very risky. At the same time, young people are often single and have a strong desire for sexual exploration and contact. What does “safer online sex” or “safer phone sex” look like for young people (Döring, 2014) under pandemic conditions? Regarding senior citizens, contrary to the cliché of the “nonsexual elderly,” older people today also want to be sex- ually active more often. This raises the following question: Do single elderly people at home and in residential and care facilities have the possibility of finding suitable tech- nology-mediated sexual expressions under the conditions of a pandemic? Are there sexual education offerings that support older people and people with disabilities in this and take their needs for sexual well-being seriously? COVID‑19 Effects on Solo Sex In addition to changes in partnered sex, changes in solo sex have also been intensively discussed, with four aspects of change particularly being suspected. More Masturbation Those who spend more time in domestic isolation due to the COVID-19 pandemic also have more time and opportu- nity to masturbate. This at least is suspected by the public, and a corresponding descriptive narrative of more mastur- bation has been well visible in the media in Spring 2020 (Döring & Walter, 2020). This also applies to a prescriptive narrative of more masturbation, which directly calls on the population to masturbate more often. Masturbation is rec- ommended because it reduces stress and anxiety, strength- ens the immune system, fights boredom and frustration, and compensates for the lack of partnered sex, at least accord- ing to the arguments of the media (e.g., Die Bild, 2020), loosely referring to the state of research on the positive health outcomes of masturbation (e.g., Coleman, 2003; Levin, 2007; Robbins et al., 2011). The New York City Health Department (NYC Health Department, 2020) was quoted worldwide as stating the following: “You are your safest sex partner. Masturbation will not spread COVID- 19, especially if you wash your hands (and any sex toys) with soap and water for at least 20 s before and after sex.” The new enthusiasm with which the media and health authorities are celebrating masturbation may be a desir- able step toward further destigmatizing and normalizing solo sex. At the same time, it is problematic when mas- turbation is officially recommended as an alternative to partnered sex. For some people masturbation might be a viable substitute, while others feel they cannot do without interpersonal intimacy. Empirically, it is an open question whether, and if so, with whom, changes in masturbation frequency occur at all. In addition to pandemic factors that can have an increasing effect (e.g., more time at home), there are also pandemic fac- tors that can have a dampening effect (e.g., fears and worries). It is also plausible that the majority of people will more or less stick to their preexisting masturbation habits. 2770 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 More Sex Toy Use The most popular solo sex media narrative during the early phase of the COVID-19 pandemic has postulated the use of more sex toys (Döring & Walter, 2020). Toys are used for partnered sex, but even more often—especially with women—for solo sex (Döring & Poeschl, 2019), for which during coronavirus isolation, according to common belief, there is a particularly high opportunity. The media narrative of more sex toy use, which might be more prevalent in high-income countries, is optimistically oriented and refers to extra-pleasurable masturbation due to more or less sophisticated technical aids. Such mass media information about sex toys has a normalizing and educational character. At the same time, it is clever public relations work on the part of the sex toy industry because specific brands and products (e.g., Womanizer.com and We-Vibe.com) have often been praised in media reports and, in some cases, press articles directly linked to online shopping sites. This media narrative is often missing a critical examina- tion of the commercialization of solo sex and of the sex prod- ucts themselves, such as their functionality, sustainability, material quality, or pricing. While there are numerous blogs dedicated to the differentiated review of sex toys from users’ perspectives, only the marketing managers of the companies that report on sales successes have a say in media reports (Döring & Walter, 2020). Empirically, we hardly know anything about pandemic- specific effects: By whom are sex toys increasingly bought, and how intensively are they being used during the COVID- 19 pandemic? Which sexual scripts are acted out with these toys? What effects on solosexual satisfaction are experienced? Finally, it should be noted that the narrative of more sex toy use refers to established toys such as dildos and vibrators and excludes sex dolls or sex robots, which are otherwise dis- cussed as new trends (Döring, Mohseni, & Walter, in press; Döring & Pöschl, 2018). Whole-body toys such as robots and dolls, as well as conventional cuddly toys, may be particularly well suited for use in self-isolation when the need for tender- ness, hugging, and cuddling is at stake and people want to calm and comfort themselves while falling asleep. More Pornography Use During masturbation, people resort not only to toys but often also to pornography, currently mostly in the form of online pornography (Grubbs, Wright, Braden, Wilt, & Kraus, 2019). During the COVID-19 pandemic, this has increasingly been the case, at least that is what the narrative of more pornogra- phy use circulating in the media claims: “Corona makes porn purchases explode” was the headline of Germany’s largest daily newspaper (Döring & Walter, 2020). Pornhub.com led a special public relations coup. This leading provider of online pornography made headlines worldwide at the beginning of March 2020 because it gave quarantined Italians free premium access to the platform for one month. The offer was so positively received that Pornhub immediately expanded it to Spain and France and eventually the whole world. Pornhub tweeted the following on March 24, 2020 (Pornhub, 2020b): “Stay home and help flatten the curve! Since COVID-19 continues to impact us all, Pornhub has decided to extend Free Pornhub Premium worldwide until April 23rd. So enjoy, stay home, and stay safe https :// pornh ub.com/stayh ome #StayHomehub.” Those who signed up for free also confirmed that they would stay away from social contacts and enjoy Pornhub pre- mium videos in return. Pornhub jokingly changed its name to StayHomehub. For the Pornhub platform, which is repeat- edly mentioned in the narrative of more pornography use, the COVID-19 crisis is likely to have resulted in a significant increase in the platform’s popularity. Pornhub’s approach was not at all original, as various companies have offered free premium access during the pandemic. In connection with porn, however, this marketing measure had a particularly high news value. Pornography and its effects are a very controversial sub- ject in both public and academic discourses. In the German- language media in the Spring of 2020, the narrative of more pornography use was accompanied by rather affirmative assessments: people staying at home and masturbating more often using pornography were suddenly seen less as a prob- lematic risk behavior and more as a desirable SARS-CoV-2 prevention behavior and thus much more favorably regarded than usual. Professional assessments also go in this direction and do not see temporarily increased pornography consump- tion as a major problem but rather as constructive coping behavior to overcome pandemic-induced boredom and fear (Grubbs, 2020; Lehmiller, 2020) and to comply with contact bans (Grubbs, 2020): For most users, pornography is probably just another distraction–one that might actually help “flatten the curve” by keeping people safely occupied and socially distanced. Combined with the fact that many people are isolating alone, pornography may provide a low-risk sexual outlet that does not cause people to risk their own safety or the safety of others. In the international press, however, there are also articles that classify increased pornography consumption during the COVID-19 pandemic as a danger, mainly because it is expected to foster sexualized violence (Quek & Tyler, 2020; Schilling, 2020). From a clinical point of view, it is predicted that in people who already have problems with their pornography consump- tion and self-regulation, these problems will increase under https://pornhub.com/stayhome https://pornhub.com/stayhome 2771Archives of Sexual Behavior (2020) 49:2765–2778 1 3 the conditions of the pandemic (Mestre-Bach et al., 2020). Hence, target-group-specific healthcare is necessary, for example, via online self-help forums (e.g., NoFap, Reboot Nation, or 12-step forums focusing on sex and love addiction) according to pornography addiction experts (Mestre-Bach et al., 2020). Again, special attention should be paid to young people who may be consuming more pornography during the pan- demic and at the same time have less direct contact with peers and sexual educators. They may need target-group-specific online sexual education during the pandemic. Moreover, pos- itive effects are also possible, for example, in the form that the increased use of pornography may help in the exploration of one’s own sexual fantasies and desires, in self-validation and in open partner communication (Kohut, Fisher, & Campbell, 2017). Instead of playing opportunities and risks against each other in a pro and con pornography discourse, according to the differential susceptibility to media effects model (DSMM; Valkenburg & Peter, 2013), we must identify the specific predictors that in individual cases can lead to predominantly positive, predominantly negative, ambivalent, or even no effects of pornography use. The Rise of Coronavirus Porn as a New Genre of Pornography The media has reported not only about a general increase in pornography use but also about the rise of coronavirus porn as a new genre of pornography. In so-called coronavi- rus porn, the action takes place in a hospital or supposedly in the Chinese city of Wuhan, where COVID-19 originally broke out. The protagonists wear masks, gloves, and protec- tive suits and interact with doctors and nurses, as described in detail by the magazine VICE (Cole, 2020). In fact, at the beginning of April 2020, more than 1000 videos were found on the pornography platform Pornhub.com under the search term “Corona” and more than 100 videos were found on the platform XHamster.com. What has often been declared by the media to be an alleg- edly “extreme” or at least “strange” sex trend is actually quite normal: current events are reflected in people’s sexual fantasies and thus also become the subject of pornography. Coronavirus fantasies and porn probably have very different functions: fear defense, eroticization of the threat, curiosity about the bizarre, desire to cross borders, hopes of recovery, etc. (Lehmiller, 2020). Moreover, the motifs of coronavirus porn are partly connectable to existing fetishes and kinks (e.g., latex masks and gloves, clinic sex/white sex). While Forbes Magazine has emphasized the normality of eroticiz- ing the novel coronavirus (Cookney, 2020), the Independent has criticized that an irresponsible pornography industry is capitalizing on the topic of coronavirus in a harmful way (Austin & Boyd, 2020). Pornhub.com provided platform statistics that demonstrate increased interest in coronavirus porn in March 2020 (Porn- hub, 2020a). These statistics were often quoted in the relevant media reports, which in turn may have helped to raise the popularity of the Pornhub brand. To date, there are no sys- tematic content analyses of the new coronavirus pornography genre nor are there any empirical user studies on actual usage patterns and their possible effects. COVID‑19 Effects on Sexual and Reproductive Health Issues in Vulnerable Groups Both academic publications and the media point out that under the conditions of the COVID-19 pandemic, serious negative effects on sexual and reproductive health are to be predicted in the form of increased social and health inequali- ties. Particularly strong negative effects are expected among disadvantaged and neglected groups, including adoles- cents, those in humanitarian settings, people who identify as LGBTQ+, people experiencing gender-based violence, those living with HIV, incarcerated populations, individuals with disabilities, people of lower socioeconomic status, and people in low- and middle-income countries (Riley et al., 2020). As gender, class, and race are relevant factors, an intersectional perspective of sexuality-related COVID-19 effects is important (Hall et al., 2020). Some negative effects are classified as direct pandemic consequences (e.g., increas- ing sexualized domestic violence) and others are classified as indirect pandemic consequences (e.g., poorer medical care for pregnant women and newborns due to general overloading of the healthcare system). More Sexualized Domestic Violence The prediction of the narrative of more sexualized domestic violence is that violence will escalate in domestic corona- virus isolation and that those affected find it even more dif- ficult than usual to seek and receive help. The police, child protection associations, women’s shelters, and the media have issued warnings, published telephone hotline num- bers and online contact points, and called for more room in women’s shelters (e.g., Bettinger-Lopez & Bro, 2020; Talmazan, Sirna, Ratto, & Ing, 2020). The WHO (2020b) has provided answers to central questions on violence against women in the COVID-19 pandemic. To provide care and protection for victims of sexualized domestic violence under pandemic conditions, it is also important to offer alternative violence reporting mechanisms and to avoid disruptions to the criminal justice system (Bettinger-Lopez & Bro, 2020): 2772 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 “Countries have shifted to virtual court hearings, facilitated online methods for obtaining protection orders, and commu- nicated their intentions to continue to provide legal protection to survivors.” The improved sensitization to the long-tabooed issue of sexualized domestic violence expressed in the media narra- tive of more sexualized domestic violence is very gratifying. At the same time, it is striking (and surprising in view of the extensive #MeToo debate on sexual assaults in educa- tional and work contexts as well as in public) that the possible effects of the COVID-19 pandemic on sexualized violence in nondomestic contexts have hardly been discussed so far. Will more home offices, more home schooling, and more social distancing protect many children, adolescents, and adults—at least temporarily—from unwanted sexualized body contact in various abuse relationships (e.g., at school and at work) and from strangers (e.g., on the street and on public trans- portation)? Could coronavirus contact bans possibly make it easier for these individuals to get away from the perpetrator long enough to get help? What prevention and intervention services do we need to address these possible opportunities to end abusive relationships during the pandemic with its enforced contact bans? At the same time, we must expect an increase in sexual- ized violence (mostly against women and children) in digital contexts due to the increased use of online communication and counteract it with appropriate prevention and interven- tion measures (Parks et al., 2020; UN News, 2020). More Barriers to Family Planning and Abortion The media narrative of more barriers to family planning and abortion indicates that under the conditions of the COVID- 19 pandemic with curfews and limited medical care, there is sometimes insufficient access to contraception and abor- tion. This applies to high-income countries such as Germany, where during the COVID-19 pandemic, access to manda- tory offline abortion counseling was difficult. To alleviate this problem, for the first time, online counseling has been allowed in this field. However, the demand of pro-choice activists to enable telemedical-accompanied medical abor- tion at home, which is already being practiced in other countries and has also been positively evaluated scientifi- cally (Raymond et al., 2019), has not been met politically in Germany (Döring & Walter, 2020). In middle- and low-income countries, the shortcomings in the supply of contraceptives and in access to abortion are even greater. A model calculation for 132 low- and middle-income countries showed that a deterioration in the two areas mentioned by only 10% within 1 year will lead to more than 15 million additional unintended pregnancies and more than 3 million additional unsafe abortions, with more than 1000 additional maternal deaths (Riley et al., 2020). From the experience with the Ebola epidemic in West Afr ica (Bietsch, Williamson, & Reeves, 2020; Camara et al., 2017; Sochas, Channon, & Nam, 2017), it can be concluded that the reproductive healthcare problems caused by the COVID-19 pandemic in low- and middle- income countries will be serious and long term. The professional community therefore calls for sexual and reproductive healthcare to be defined as essential, for support programs to be set up and for care facilities and care measures to be adapted (e.g., distribution of contra- ceptives without a prescription and telemedically assisted medical abortion; Hall et al., 2020; Riley et al., 2020). More Health Risks During Pregnancy and Birth The existential experiences surrounding pregnancy and birth are generally accompanied by fears and uncertain- ties. Under the conditions of a pandemic, these are even more intense: the risk of infection, supply bottlenecks in clinics, and the question of whether a personal compan- ion may be taken into the delivery room although contact restrictions are common worries. The mass media reports in high-income countries have displayed such worries and fears, reporting on anxiety and desperation among pregnant women. “Strained hospitals and isolation: How coronavirus made giving birth even harder” was the title of an article in the British Guardian (Graves, 2020). However, the press has also reported on new help services such as Facebook groups by and for pregnant women, online birth preparation courses, and virtual midwifery support (Döring & Walter, 2020). In middle- and low-income countries, the provision of essential pregnancy-related and newborn care has become even more problematic during the COVID-19 pandemic. According to model calculations, a decline in care by only 10% would lead to more than 4 million additional seri- ous complications for mothers and children and to almost 200,000 additional deaths of mothers and newborns (Riley et al., 2020). Here, too, it is therefore necessary to coun- teract the feared and presumably already occurring sup- ply bottlenecks with rapid and sustainable measures (Hall et al., 2020). There are additional risks of SARS-CoV-2 infection for pregnant women and newborns (Rasmussen et al., 2020); however, the first case studies found no evi- dence for vertical transmission in late pregnancy (Chen et al., 2020). For HIV-uninfected pregnant and breastfeed- ing women at risk of HIV acquisition, continued PrEP pro- vision and HIV risk reduction counseling are explicitly recommended by experts from South Africa, even if vis- its to possibly crowded healthcare facilities may increase their risk of contracting SARS-CoV-2 (Joseph Davey et al., 2020). 2773Archives of Sexual Behavior (2020) 49:2765–2778 1 3 More Health Risks and Economic Hardships in Sex Work A relatively large number of media reports point to existence- threatening situations for prostitutes and other sex workers resulting from brothel closures and bans on body-related services, which, due to the lack of reserves in most cases, lead to acute poverty and homelessness (Döring & Walter, 2020). Interestingly, the media reports presenting the narra- tive of more economic hardships in sex work often not only speak “about” sex workers but actually with them: sex work organizations and individual sex workers have their say in detail. In view of the polarized debates on prostitution, which are often conducted without the people concerned and mor- ally condemn the offering and/or demand of sexual services (see Benoit, Smith, Jansson, Healey, & Magnuson, 2019), it is remarkable that in relation to the COVID-19 impact, the human and labor rights of sex workers have often been so vis- ibly placed on the media agenda (e.g., in Germany) (Döring & Walter, 2020). However, the coronavirus pandemic is also used by the anti-prostitution movement to campaign for fur- ther criminalization of prostitution. The novel coronavirus has already been called the “Abolitionist virus” because it prevents men from paying for sex (Smith, 2020). UNAIDS (2020) has explicitly demanded the protection of the health and rights of sex workers during the COVID-19 pandemic and the involvement of sex workers in emergency public health planning groups. Meanwhile, sex work organizations worldwide have demonstrated resourcefulness in responding to the pandemic by engaging in mutual help, building emer- gency hardship funds, and organizing undisrupted sexual health care (Kimani et al., 2020; Smith, 2020). In addition to sex workers offering in-person services for clients, pornography performers have also been severely affected by COVID-19 as porn production studios have closed. To stay in business, some sex workers and pornog- raphy performers now market phone sex and online sex or sell solo sex recordings (Lehmiller, 2020) and additional products (e.g., worn underwear and other fetish items). The international survey on the perceptions of sex workers and sex work organizations of COVID-19 effects (https ://www. nswp.org/news/nswp-launc h-covid -19-impac t-surve y), run by the Global NSWP, will provide the first empirical data on those issues. According to media reports, the existence of small sex shops without online distribution is also threatened. More Disadvantages for LGBTQ+‑Identifying Populations In two open letters, more than 100 LGBTQ + organizations in the U.S. have pointed out that LGBTQ + communities are being severely affected by the negative consequences of the COVID-19 pandemic (National LGBT Cancer Network, 2020; Whitman-Walker Health et al., 2020). This is attrib- uted to the fact that LGBTQ + communities are vulnerable due to increased rates of smoking, cancer, and HIV and thus belong to COVID-19 risk groups. Furthermore, the open let- ters stress that LGBTQ + people experience discrimination, unwelcoming attitudes, and lack of understanding from pro- viders and staff in many healthcare settings and, as a result, many are reluctant to seek medical care. LGBTQ + people are disproportionately low income or live in poverty according to the open letters. Consequently, there is a demand to investi- gate the support needs of LGBTQ + populations more closely and to provide nondiscriminatory healthcare and economic support during the pandemic. Scientific contributions address, among other things, the importance of HIV, PEP, and PrEP care during the COVID-19 pandemic (Alpalhão & Filipe, 2020; Junejo et al., 2020; Sun et al., 2020). They point to the discrimination of transgender and gender nonconforming (TGNC) people by national COVID-19 measures (e.g., in Peru) (Perez-Brumer & Silva-Santisteban, 2020) and explain the multiple (mental) health challenges of TGNC individuals when their gender- affirming treatment is deferred during COVID-19 (van der Miesen, Raaijmakers, & van de Grift, 2020). Another impor- tant research topic is the new COVID-19 stigma and how to combat it (Logie & Turan, 2020). Press reports have indicated that coronavirus is also discussed in xenophobic and racist frames (“China virus” or “Wuhan virus”) and in homophobic and transphobic frames (“Homo virus”; Browning, 2020). Coronavirus tracking measures can be problematic if they contribute to stigmatization of LGBTQ + persons, such as in South Korea (Borowiec, 2020). COVID‑19 Effects on Sexual and Reproductive Healthcare and Sexual Education Looking at the sexuality-related COVID-19 effects from the perspective of sexual healthcare provision, the follow- ing four aspects are particularly relevant, as mentioned in some of experts’ comments (e.g., Hall et al., 2020; Joseph Davey et al., 2020; Mestre-Bach et al., 2020; National LGBT Cancer Network, 2020; Rasmussen et al., 2020; Riley et al., 2020; Thorne et al., 2020; UNAIDS, 2020; Whitman-Walker Health et al., 2020). They are not very visible in media report- ing, though. 1. Sexual and reproductive healthcare that requires per- sonal consultation and treatment (e.g., sexual health- related surgeries, safe delivery, contraception and abor- tion services) must be guaranteed in times of pandemics and even expanded as needed (e.g., because of possibly increasing pregnancy rates), while infection protection https://www.nswp.org/news/nswp-launch-covid-19-impact-survey https://www.nswp.org/news/nswp-launch-covid-19-impact-survey 2774 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 measures are taken. Here, especially in low- and middle- income countries, support programs and infrastructure measures are necessary. 2. Wherever possible, sexual and reproductive healthcare services and sexual education should be transferred from offline settings to infection-proof online settings accessi- ble during curfews and contact bans in times of pandem- ics. Corresponding online platforms, mobile apps, and virtual therapy and counseling services must be devel- oped, implemented, and evaluated. In its recent position statement, the European Society for Sexual Medicine (ESSM) emphasized the great potential of e-sexual health (Kirana et al., 2020); however, using telemedicine in sexual health comes with diverse challenges (Shindel & Rowen, 2020). Nonetheless, good practice examples are already available (e.g., for the provision of compre- hensive HIV PrEP service via telehealth for adolescent MSM and TGW in Brazil: Dourado et al., 2020; for the prevention of consumption of child sexual abuse mate- rial via online cognitive behavioral therapy: Parks et al., 2020). 3. In addition to the development of new digital delivery formats, sexual and reproductive healthcare services and sexual education are required to incorporate pandemic- specific topics such as coping with domestic isolation for couples experiencing increased domestic estrangement or conflicts, coping with domestic isolation for singles experiencing increased loneliness, and dealing with technology-mediated sexual interactions and relation- ships among adolescents, adults, and seniors. Appropri- ate target-group-specific content, which is rights-based, inclusive, pleasure-friendly, and simultaneously focuses on risk reduction, must be developed, implemented, and evaluated. Some authors suggest that pandemic-related health interventions should include positive sexual health and even promote safe and consensual sexual activ- ity in sexually inactive people to mitigate some of the detrimental consequences of self-isolation and social distancing (Jacob et al., 2020). The assumed reduction in the number of sex partners and in sexual risk taking during the pandemic creates a good opportunity for STI and HIV prevention to find undiagnosed people (Junejo et al., 2020). Hence, pandemic-specific social media campaigns that encourage testing are recommended and already implemented in the UK (e.g., https ://www.testn owsto phiv.com/), using claims like “Been going solo recently? Time to test. Lockdown has broken the HIV chain.” 4. To meet these new challenges (e.g., the implementa- tion of infection control in face-to-face service settings, development of new digital delivery formats, and the development of new target-group-focused pandemic- specific content and services), professionals in the field of sexual and reproductive healthcare and sexual edu- cation, for their part, need appropriate (virtual) train- ing courses, concepts, tools, and economic support. For example, sexual education professionals and institutions are currently facing existential problems, even in high- income countries, because they have been unable to hold their usual face-to-face events, seminars, and workshops for months. An important prerequisite for appropriate measures is the recognition of sexual and reproductive healthcare and sexual education as being essential in times of a pandemic. Discussion and Outlook This overview of current media narratives and scientific observations and predictions on sexuality-related COVID-19 effects shows how many different aspects of sexual behavior and sexual and reproductive health can be affected. Looking at the public and professional discourse, it is gratifying that questions of sexual and reproductive health and rights have moved so quickly onto the agenda. It is also gratifying that underserved groups and their demands are so clearly visible in the discussion and that their voices are being heard. It is also remarkable that technology-mediated sexual interactions and masturbation with pornography and toys under condi- tions of a pandemic with contact restrictions have suddenly been normalized to such a degree that they are even officially recommended by the media and health authorities as health prevention behaviors. As with any change, we probably tend to accentuate either positive or negative effects, neglecting the possibility of only small effect sizes and the possibility of ambivalent effects. This can be assumed, for example, for the pandemic effects on partnered sex and solo sex: since relationship sex and mas- turbation are in part strongly habitualized, the pandemic can have only a temporary, limited, and often ambivalent impact. Other consequences of the pandemic, however, appear to be clearly negative, serious, and long term, such as the lack of access to family planning and abortion, poorer care during pregnancy and birth, or the rise of a racist and homophobic coronavirus stigma. Overall, it is important to empirically test the common media narratives and research hypotheses that have been put forward and to develop intervention measures that will help to better protect and strengthen sexual and reproductive health in future epidemics and pandemics. It is particularly important to keep in mind the feared worsening of inequali- ties in sexual and reproductive healthcare at national and international levels and to initiate rapid and sustainable coun- termeasures. Questions of resilience and coping in connec- tion with sexual and reproductive health under the conditions https://www.testnowstophiv.com/ https://www.testnowstophiv.com/ 2775Archives of Sexual Behavior (2020) 49:2765–2778 1 3 of a pandemic are also worth investigating, both on the side of sexual healthcare providers and on that of their patients and clients. The question of a possible long-term cultural change is also relatively open at this point in time. Will technology- mediated forms of sex remain more common and more recognized after they have been used during the pandemic contact bans in broader sections of the population and were recognized as preventive behaviors? Will the rules of social distancing be more firmly anchored in everyday life in the long term, or will a return to the former status quo occur relatively soon? This commentary provides a first overview of media narra- tives and research hypotheses on the sexuality-related effects of the COVID-19 pandemic. The main limitations of the pre- sent commentary are that only German and English language media contributions and academic papers were included and that the number of empirical studies in this field is still very small. The planned special issue of Archives of Sexual Behav- ior on the impact of COVID-19 on sexual health and behavior will help to close the diverse research gaps (Scott-Sheldon, Mark, Balzarini, & Welling, 2020). Acknowledgments Open Access funding provided by Projekt DEAL. Compliance with Ethical Standards Conflict of interest The author declares that she has no conflicts of in- terest. Open Access This article is licensed under a Creative Commons Attri- bution 4.0 International License, which permits use, sharing, adapta- tion, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creat iveco mmons .org/licen ses/by/4.0/. References Ait Addi, R., Benksim, A., & Cherkaoui, M. (2020). Sexuality and fertil- ity in the time of COVID-19. Journal of Clinical and Experimental Investigations, 11(4), em00741. https ://doi.org/10.5799/jcei/8211. Alpalhão, M., & Filipe, P. (2020). The impacts of isolation measures against SARS-CoV-2 infection on sexual health. AIDS and Behav- ior. https ://doi.org/10.1007/s1046 1-020-02853 -x. ASHA—American Sexual Health Association. (2020). Sex in the time of COVID-19. Retrieved May 30, 2020 from http://www.ashas exual healt h.org/sex-in-the-time-of-covid -19/. Attitude. (2020). 3,000 guys join online sex party after coronavirus forces closure of London venue. Retrieved May 30, 2020 from https ://attit ude.co.uk/artic le/3000-guys-join-onlin e-sex-party -after -coron aviru s-force s-closu re-of-londo n-venue /23126 /. Austin, D., & Boyd, H. (2020). Coronavirus porn is the latest violent and disturbing internet trend. Independent. Retrieved May 30, 2020 from https ://www.indep enden t.co.uk/voice s/porn-pornh ub-coron aviru s-covid 19-xnxx-xvide os-youtu be-a9485 521.html. BBC. (2020). Love in the time of Corona. Retrieved May 30, 2020 from https ://www.bbc.co.uk/bites ize/artic les/z6kx6 v4. Benoit, C., Smith, M., Jansson, M., Healey, P., & Magnuson, D. (2019). “The prostitution problem”: Claims, evidence, and policy out- comes. Archives of Sexual Behavior, 48(7), 1905–1923. https :// doi.org/10.1007/s1050 8-018-1276-6. Bettinger-Lopez, C., & Bro, A. (2020). A double pandemic: Domestic violence in the age of COVID-19. Council on Foreign Relations. Retrieved May 30, 2020 from https ://www.cfr.org/in-brief /doubl e-pande mic-domes tic-viole nce-age-covid -19. Bietsch, K., Williamson, J., & Reeves, M. (2020). Family planning during and after the West African Ebola crisis. Studies in Family Planning, 51(1), 71–86. https ://doi.org/10.1111/sifp.12110 . Borowiec, S. (2020). How South Korea’s nightclub outbreak is shin- ing an unwelcome spotlight on the LGBTQ community. Time. Retrieved May 30, 2020 from https ://time.com/58366 99/south -korea -coron aviru s-lgbtq -itaew on/. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wes- sely, S., Greenberg, N., & Rubin, G. J. (2020). The psychologi- cal impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920. https ://doi. org/10.1016/S0140 -6736(20)30460 -8. Browning, B. (2020). Evangelical Christians are linking LGBTQ peo- ple to the coronavirus now. LGBTQNATION. Retrieved May 30, 2020 from https ://www.lgbtq natio n.com/2020/03/evang elica l-chris tians -linki ng-lgbtq -peopl e-coron aviru s-now/. Brunvand, J. H. (1993). The baby train and other lusty urban legends. New York: Norton. Camara, B. S., Delamou, A., Diro, E., Béavogui, A. H., El Ayadi, A. M., Sidibé, S., … Zachariah, R. (2017). Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural dis- trict of Guinea: An ecological study. Transactions of the Royal Society of Tropical Medicine and Hygiene, 111(1), 22–29. https ://doi.org/10.1093/trstm h/trx00 9. Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., … Zhang, Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine preg- nant women: A retrospective review of medical records. The Lancet, 395(10226), 809–815. https ://doi.org/10.1016/S0140 -6736(20)30360 -3. Cheok, A. D., & Zhang, E. Y. (2020). Electrical machine for remote kissing, and engineering measurement of its remote communica- tion effects, including modified Turing test. Journal of Future Robot Life, 1(1), 111–134. https ://doi.org/10.3233/FRL-20000 6. Cipriano, M., Giacalone, A., & Ruberti, E. (2020). Sexual behaviors during COVID-19: The potential risk of transmission. Archives of Sexual Behavior, 49, 1431–1432. https ://doi.org/10.1007/ s1050 8-020-01757 -0. Cohan, C. L., & Cole, S. W. (2002). Life course transitions and natu- ral disaster: Marriage, birth, and divorce following Hurricane Hugo. Journal of Family Psychology, 16(1), 14–25. https ://doi. org/10.1037//0893-3200.16.1.14. Cole, S. (2020). Coronavirus porn is going viral on Pornhub. Vice. Retrieved May 30, 2020 from https ://www.vice.com/en_us/artic le/xgq5e w/coron aviru s-porn-going -viral -pornh ub-xhams ter. Coleman, E. (2003). Masturbation as a means of achieving sexual health. Journal of Psychology & Human Sexuality, 14(2–3), 5–16. https ://doi.org/10.1300/J056v 14n02 _02. Cookney, F. (2020). In a global pandemic, the surge in ‘Coronavi- rus porn’ is no surprise. Forbes. Retrieved May 30, 2020 from http://creativecommons.org/licenses/by/4.0/ https://doi.org/10.5799/jcei/8211 https://doi.org/10.1007/s10461-020-02853-x http://www.ashasexualhealth.org/sex-in-the-time-of-covid-19/ http://www.ashasexualhealth.org/sex-in-the-time-of-covid-19/ https://attitude.co.uk/article/3000-guys-join-online-sex-party-after-coronavirus-forces-closure-of-london-venue/23126/ https://attitude.co.uk/article/3000-guys-join-online-sex-party-after-coronavirus-forces-closure-of-london-venue/23126/ https://www.independent.co.uk/voices/porn-pornhub-coronavirus-covid19-xnxx-xvideos-youtube-a9485521.html https://www.independent.co.uk/voices/porn-pornhub-coronavirus-covid19-xnxx-xvideos-youtube-a9485521.html https://www.bbc.co.uk/bitesize/articles/z6kx6v4 https://doi.org/10.1007/s10508-018-1276-6 https://doi.org/10.1007/s10508-018-1276-6 https://www.cfr.org/in-brief/double-pandemic-domestic-violence-age-covid-19 https://www.cfr.org/in-brief/double-pandemic-domestic-violence-age-covid-19 https://doi.org/10.1111/sifp.12110 https://time.com/5836699/south-korea-coronavirus-lgbtq-itaewon/ https://time.com/5836699/south-korea-coronavirus-lgbtq-itaewon/ https://doi.org/10.1016/S0140-6736(20)30460-8 https://doi.org/10.1016/S0140-6736(20)30460-8 https://www.lgbtqnation.com/2020/03/evangelical-christians-linking-lgbtq-people-coronavirus-now/ https://www.lgbtqnation.com/2020/03/evangelical-christians-linking-lgbtq-people-coronavirus-now/ https://doi.org/10.1093/trstmh/trx009 https://doi.org/10.1093/trstmh/trx009 https://doi.org/10.1016/S0140-6736(20)30360-3 https://doi.org/10.1016/S0140-6736(20)30360-3 https://doi.org/10.3233/FRL-200006 https://doi.org/10.1007/s10508-020-01757-0 https://doi.org/10.1007/s10508-020-01757-0 https://doi.org/10.1037//0893-3200.16.1.14 https://doi.org/10.1037//0893-3200.16.1.14 https://www.vice.com/en_us/article/xgq5ew/coronavirus-porn-going-viral-pornhub-xhamster https://www.vice.com/en_us/article/xgq5ew/coronavirus-porn-going-viral-pornhub-xhamster https://doi.org/10.1300/J056v14n02_02 2776 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 https ://www.forbe s.com/sites /frank icook ney/2020/04/30/in-a- globa l-pande mic-the-surge -in-coron aviru s-porn-is-no-surpr ise/#2cd82 f3a27 34. Courtice, E. L., & Shaughnessy, K. (2017). Technology-mediated sexual interaction and relationships: A systematic review of the literature. Sexual and Relationship Therapy, 32(3–4), 269–290. https ://doi.org/10.1080/14681 994.2017.13979 48. Die Bild. (2020). Warum Orgasmen jetzt besonders wichtig sind [Why orgasms are especially important now]. Retrieved May 30, 2020 from https ://www.bild.de/unter haltu ng/eroti k/eroti k/ selbs tbefr iedig ung-solo-sex-gegen -coron a-orgas men-sind-jetzt -beson ders-wicht ig-69515 138.bild.html. Döring, N. (2000). Feminist views of cybersex: Victimization, lib- eration, and empowerment. CyberPsychology & Behavior, 3(5), 863–884. https ://doi.org/10.1089/10949 31005 01918 45. Döring, N. (2009). The Internet’s impact on sexuality: A critical review of 15 years of research. Computers in Human Behavior, 25(5), 1089–1101. https ://doi.org/10.1016/j.chb.2009.04.003. Döring, N. (2014). Consensual sexting among adolescents: Risk preven- tion through abstinence education or safer sexting? Cyberpsychol- ogy: Journal of Psychosocial Research on Cyberspace. https ://doi. org/10.5817/CP201 4-1-9. Döring, N., & Mohseni, M. R. (2018). Are online sexual activities and sexting good for adults’ sexual well-being? Results from a national online survey. International Journal of Sexual Health, 30(3), 250–263. https ://doi.org/10.1080/19317 611.2018.14919 21. Döring, N., Mohseni, M. R., & Walter, R. (in press). Design, use, and effects of sex dolls and sex robots: A scoping review. Journal of Medical Internet Research. Döring, N., & Poeschl, S. (2019). Experiences with diverse sex toys among German heterosexual adults: Findings from a national online survey. Journal of Sex Research. https ://doi. org/10.1080/00224 499.2019.15783 29. Döring, N., & Pöschl, S. (2018). Sex toys, sex dolls, sex robots: Our under-researched bed-fellows. Sexologies, 27(3), e51–e55. https ://doi.org/10.1016/j.sexol .2018.05.009. Döring, N., & Walter, R. (2020). Wie verändert die COVID19-Pan- demie unsere Sexualitäten? Eine Übersicht medialer Narrative im Frühjahr 2020 [How is the COVID-19 pandemic chang- ing our sexualities? An overview of media narratives in spring 2020]. Zeitschrift für Sexualforschung, 33(2), 65–75. https ://doi. org/10.1055/a-1165-7760. Dourado, I., Magno, L., Soares, F., Massa, P., Nunn, A., Dalal, S., & Grangeiro, A. (2020). Adapting to the COVID-19 pandemic: Con- tinuing HIV prevention services for adolescents through zelem- onitoring, Brazil. AIDS and Behavior, 24, 1994–1999. https ://doi. org/10.1007/s1046 1-020-02927 -w. Dvorak, P. (2020). Will coronavirus intimacy lead to a baby boom? Or a divorce tsunami? The Washington Post. Retrieved May 30, 2020 from https ://www.washi ngton post.com/local /will- coron aviru s-intim acy-lead-to-a-baby-boom-or-adivo rce-tsuna mi/2020/03/23/9583a eda-6cfa-11ea-a3ec-70d74 79d83 f0_story .html. Evans, R. W., Hu, Y., & Zhao, Z. (2010). The fertility effect of catas- trophe: U.S. hurricane births. Journal of Population Economics, 23(1), 1–36. https ://doi.org/10.1007/s0014 8-008-0219-2. Forgan-Smith, G. (2020). Covid-19, loosening of lockdown, intimacy & moving forward within a pandemic [Video]. YouTube. Retrieved May 30, 2020 from https ://youtu .be/aqEDW h6RBi Q. García Márquez, G. (1988). Love in the time of cholera. New York: Alfred A. Knopf. Graves, L. (2020). Strained hospitals and isolation: How coronavirus made giving birth even harder. Retrieved May 30, 2020 from The Guardian. https ://www.thegu ardia n.com/world /2020/apr/01/givin g-birth -coron aviru s-us-hospi tals-covid -19. Grubbs, J. B. (2020). Porn use is up, thanks to the pandemic: Self-iso- lation can be boring and lonely. The Conversation. Retrieved May 30, 2020 from https ://theco nvers ation .com/porn-use-is-up-thank s-to-the-pande mic-13497 2. Grubbs, J. B., Wright, P. J., Braden, A. L., Wilt, J. A., & Kraus, S. W. (2019). Internet pornography use and sexual motivation: A system- atic review and integration. Annals of the International Communi- cation Association, 43(2), 117–155. https ://doi.org/10.1080/23808 985.2019.15840 45. Gunter, J. (2020). Coronavirus and sex: Questions and answers. New York Times. Retrieved May 30, 2020 from https ://www.nytim es.com/2020/03/30/style /sex-coron aviru s-quest ions-answe rs.html. Hall, K. S., Samari, G., Garbers, S., Casey, S. E., Diallo, D. D., Orcutt, M., … McGovern, T. (2020). Centring sexual and reproductive health and justice in the global COVID-19 response. The Lan- cet, 395(10231), 1175–1177. https ://doi.org/10.1016/S0140 -6736(20)30801 -1. Hough, S. (2020). From the editor of sexuality and disability: The impact of COVID-19 on sexuality and disability—Are we closer or more isolated? Sexuality and Disability, 38, 189–190. https :// doi.org/10.1007/s1119 5-020-09634 -3. Hussein, J. (2020). Covid-19: What implications for sexual and repro- ductive health and rights globally? Sexual and Reproductive Health Matters, 28(1), 1746065. https ://doi.org/10.1080/26410 397.2020.17460 65. ISSM—International Society for Sexual Medicine. (2020). Is it safe to have sex during the coronavirus (COVID-19) pandemic? Retrieved May 30, 2020 from https ://www.issm.info/sexua l-healt h-qa/is-it- safe-to-have-sex-durin g-the-coron aviru s-covid -19-pande mic/. ISSWSH—International Society for the Study of Women’s Sexual Health. (2020). ISSWSH releases updated position statement on sexual activity and COVID-19 [Press release]. Retrieved May 30, 2020 from https ://www.issws h.org/news/349-issws h-relea ses- updat ed-posit ion-state ment-on-sexua l-activ ity-and-covid -19. Izenman, A. J., & Zabell, S. L. (1981). Babies and the blackout: The genesis of a misconception. Social Science Research, 10(3), 282–299. https ://doi.org/10.1016/0049-089X(81)90018 -1. Jacob, L., Smith, L., Butler, L., Barnett, Y., Grabovac, I., McDer- mott, D., … Tully, M. A. (2020). COVID-19 social distancing and sexual activity in a sample of the British public. Journal of Sexual Medicine. https ://doi.org/10.1016/j.jsxm.2020.05.001. Joseph Davey, D., Bekker, L.-G., Coates, T. J., & Myer, L. (2020). Contracting HIV or contracting SAR-CoV-2 (COVID-19) in pregnancy? Balancing the risks and benefits. AIDS and Behav- ior. https ://doi.org/10.1007/s1046 1-020-02861 -x. Junejo, M., Girometti, N., McOwan, A., Whitlock, G., & Dean Street Collaborative Group. (2020). HIV postexposure prophylaxis dur- ing COVID-19. The Lancet HIV. https ://doi.org/10.1016/S2352 -3018(20)30146 -6. Kimani, J., Adhiambo, J., Kasiba, R., Mwangi, R., Were, V., Mathenge, J., … Lorway, R. (2020). The effects of COVID- 19 on the health and socio-economic security of sex workers in Nairobi, Kenya: Emerging intersections with HIV. Global Public Health, 15, 1073–1082. https ://doi.org/10.1080/17441 692.2020.17708 31. Kirana, P.-S., Gudeloglu, A., Sansone, A., Fode, M., Reisman, Y., Corona, G., & Burri, A. (2020). E-sexual health: A position statement of the European Society for Sexual Medicine. Journal of Sexual Medicine. https ://doi.org/10.1016/j.jsxm.2020.03.009. Kohut, T., Fisher, W. A., & Campbell, L. (2017). Perceived effects of pornography on the couple relationship: Initial findings of open- ended, participant-informed, “bottom-up” research. Archives of Sexual Behavior, 46(2), 585–602. https ://doi.org/10.1007/s1050 8-016-0783-6. Lehmiller, J. J. (2020). How the pandemic is changing pornography. Psychology Today. Retrieved May 30, 2020 from https ://www. https://www.forbes.com/sites/frankicookney/2020/04/30/in-a-global-pandemic-the-surge-in-coronavirus-porn-is-no-surprise/#2cd82f3a2734 https://www.forbes.com/sites/frankicookney/2020/04/30/in-a-global-pandemic-the-surge-in-coronavirus-porn-is-no-surprise/#2cd82f3a2734 https://www.forbes.com/sites/frankicookney/2020/04/30/in-a-global-pandemic-the-surge-in-coronavirus-porn-is-no-surprise/#2cd82f3a2734 https://doi.org/10.1080/14681994.2017.1397948 https://www.bild.de/unterhaltung/erotik/erotik/selbstbefriedigung-solo-sex-gegen-corona-orgasmen-sind-jetzt-besonders-wichtig-69515138.bild.html https://www.bild.de/unterhaltung/erotik/erotik/selbstbefriedigung-solo-sex-gegen-corona-orgasmen-sind-jetzt-besonders-wichtig-69515138.bild.html https://www.bild.de/unterhaltung/erotik/erotik/selbstbefriedigung-solo-sex-gegen-corona-orgasmen-sind-jetzt-besonders-wichtig-69515138.bild.html https://doi.org/10.1089/10949310050191845 https://doi.org/10.1016/j.chb.2009.04.003 https://doi.org/10.5817/CP2014-1-9 https://doi.org/10.5817/CP2014-1-9 https://doi.org/10.1080/19317611.2018.1491921 https://doi.org/10.1080/00224499.2019.1578329 https://doi.org/10.1080/00224499.2019.1578329 https://doi.org/10.1016/j.sexol.2018.05.009 https://doi.org/10.1016/j.sexol.2018.05.009 https://doi.org/10.1055/a-1165-7760 https://doi.org/10.1055/a-1165-7760 https://doi.org/10.1007/s10461-020-02927-w https://doi.org/10.1007/s10461-020-02927-w https://www.washingtonpost.com/local/will-coronavirus-intimacy-lead-to-a-baby-boom-or-adivorce-tsunami/2020/03/23/9583aeda-6cfa-11ea-a3ec-70d7479d83f0_story.html https://www.washingtonpost.com/local/will-coronavirus-intimacy-lead-to-a-baby-boom-or-adivorce-tsunami/2020/03/23/9583aeda-6cfa-11ea-a3ec-70d7479d83f0_story.html https://www.washingtonpost.com/local/will-coronavirus-intimacy-lead-to-a-baby-boom-or-adivorce-tsunami/2020/03/23/9583aeda-6cfa-11ea-a3ec-70d7479d83f0_story.html https://www.washingtonpost.com/local/will-coronavirus-intimacy-lead-to-a-baby-boom-or-adivorce-tsunami/2020/03/23/9583aeda-6cfa-11ea-a3ec-70d7479d83f0_story.html https://doi.org/10.1007/s00148-008-0219-2 https://youtu.be/aqEDWh6RBiQ https://www.theguardian.com/world/2020/apr/01/giving-birth-coronavirus-us-hospitals-covid-19 https://www.theguardian.com/world/2020/apr/01/giving-birth-coronavirus-us-hospitals-covid-19 https://theconversation.com/porn-use-is-up-thanks-to-the-pandemic-134972 https://theconversation.com/porn-use-is-up-thanks-to-the-pandemic-134972 https://doi.org/10.1080/23808985.2019.1584045 https://doi.org/10.1080/23808985.2019.1584045 https://www.nytimes.com/2020/03/30/style/sex-coronavirus-questions-answers.html https://www.nytimes.com/2020/03/30/style/sex-coronavirus-questions-answers.html https://doi.org/10.1016/S0140-6736(20)30801-1 https://doi.org/10.1016/S0140-6736(20)30801-1 https://doi.org/10.1007/s11195-020-09634-3 https://doi.org/10.1007/s11195-020-09634-3 https://doi.org/10.1080/26410397.2020.1746065 https://doi.org/10.1080/26410397.2020.1746065 https://www.issm.info/sexual-health-qa/is-it-safe-to-have-sex-during-the-coronavirus-covid-19-pandemic/ https://www.issm.info/sexual-health-qa/is-it-safe-to-have-sex-during-the-coronavirus-covid-19-pandemic/ https://www.isswsh.org/news/349-isswsh-releases-updated-position-statement-on-sexual-activity-and-covid-19 https://www.isswsh.org/news/349-isswsh-releases-updated-position-statement-on-sexual-activity-and-covid-19 https://doi.org/10.1016/0049-089X(81)90018-1 https://doi.org/10.1016/j.jsxm.2020.05.001 https://doi.org/10.1007/s10461-020-02861-x https://doi.org/10.1016/S2352-3018(20)30146-6 https://doi.org/10.1016/S2352-3018(20)30146-6 https://doi.org/10.1080/17441692.2020.1770831 https://doi.org/10.1080/17441692.2020.1770831 https://doi.org/10.1016/j.jsxm.2020.03.009 https://doi.org/10.1007/s10508-016-0783-6 https://doi.org/10.1007/s10508-016-0783-6 https://www.psychologytoday.com/us/blog/the-myths-sex/202003/how-the-pandemic-is-changing-pornography 2777Archives of Sexual Behavior (2020) 49:2765–2778 1 3 psych ology today .com/us/blog/the-myths -sex/20200 3/how-the- pande mic-is-chang ing-porno graph y. Levin, R. J. (2007). Sexual activity, health and well-being-the ben- eficial roles of coitus and masturbation. Sexual and Relationship Therapy, 22(1), 135–148. https ://doi.org/10.1080/14681 99060 11491 97. Li, W., Li, G., Xin, C., Wang, Y., & Yang, S. (2020). Changes in sexual behaviors of young women and men during the coronavirus dis- ease 2019 outbreak: A convenience sample from the epidemic area. Journal of Sexual Medicine. https ://doi.org/10.1016/j. jsxm.2020.04.380. Liberati, N. (2017). Teledildonics and new ways of “being in touch”: A phenomenological analysis of the use of haptic devices for intimate relations. Science and Engineering Ethics, 23(3), 801–823. https ://doi.org/10.1007/s1194 8-016-9827-5. Logie, C. H., & Turan, J. M. (2020). How do we balance tensions between COVID-19 public health responses and stigma mitiga- tion? Learning from HIV research. AIDS and Behavior, 24, 2003– 2006. https ://doi.org/10.1007/s1046 1-020-02856 -8. Menaker, W. (1970). Evidence for a drop in conceptions in the Big Blackout. American Journal of Obstetrics and Gynecology, 107(5), 804–806. https ://doi.org/10.1016/S0002 -9378(16)34001 -7. Mestre-Bach, G., Blycker, G. R., & Potenza, M. N. (2020). Pornography use in the setting of the COVID-19 pandemic. Journal of Behavioral Addictions, 9, 181–183. https ://doi.org/10.1556/2006.2020.00015 . Micelli, M., Cito, G., Cocci, A., Polloni, G., Russo, G. I., Minervini, A., … Coccia, M. E. (2020). Desire for parenthood at the time of COVID-19 pandemic: An insight into the Italian situation. Journal of Psychosomatic Obstetrics & Gynecology. https ://doi. org/10.1080/01674 82X.2020.17595 45. National LGBT Cancer Network. (2020). Open letter about Corona- virus and the LGBTQ + communities [Press release]. Retrieved May 30, 2020 from https ://cance r-netwo rk.org/wp-conte nt/uploa ds/2020/04/Press -Relea se-Open-Lette r-LGBTQ -Covid 19-17.pdf. New York City Health Department. (2020). Sex and Coronavirus dis- ease 2019 (COVID-19). Retrieved May 30, 2020 from https :// www1.nyc.gov/asset s/doh/downl oads/pdf/imm/covid -sex-guida nce.pdf. Parks, A., Sparre, C., Söderquist, E., Arver, S., Andersson, G., Kaldo, V., … Rahm, C. (2020). Illegal online sexual behavior during the COVID-19 pandemic: A call for action based on experiences from the ongoing Prevent It research study [Letter to the Editor]. Archive of Sexual Behavior, 49, 1433–1435. https ://doi.org/10.1007/s1050 8-020-01750 -7. Parmar, D., Stavropoulou, C., & Ioannidis, J. P. A. (2016). Health outcomes during the 2008 financial crisis in Europe: Systematic literature review. British Medical Journal, 354, i4588. https ://doi. org/10.1136/bmj.i4588 . Perez-Brumer, A., & Silva-Santisteban, A. (2020). Covid-19 policies can perpetuate violence against transgender communities: Insights from Peru. AIDS and Behavior. https ://doi.org/10.1007/s1046 1-020-02889 -z. Pornhub. (2020a). Coronavirus insights. Retrieved May 30, 2020 from https ://www.pornh ub.com/insig hts/coron a-virus . Pornhub [@PornHub]. (2020b). Tweet [Twitter profile]. Twitter. Retrieved May 24, 2020, from https ://twitt er.com/Pornh ub/statu s/12422 64770 07146 5984. Pringels, D. (2020). How sex workers are dealing with Coronavirus. Vice. Retrieved May 30, 2020 from https ://www.vice.com/en_uk/ artic le/bvg3q q/sex-worke rs-share -how-coron aviru s-is-affec ting- their -livel ihood . Quek, K., & Tyler, M. (2020). When staying home isn’t safe: COVID- 19, pornography and the pandemic of violence against women. ABC. Retrieved May 30, 2020 from https ://www.abc.net.au/relig ion/coron aviru s-porno graph y-and-the-pande mic-of-viole nce- again st-wo/12131 020. Rasmussen, S. A., Smulian, J. C., Lednicky, J. A., Wen, T. S., & Jamie- son, D. J. (2020). Coronavirus disease 2019 (COVID-19) and pregnancy: What obstetricians need to know. American Jour- nal of Obstetrics and Gynecology, 222(5), 415–426. https ://doi. org/10.1016/j.ajog.2020.02.017. Raymond, E., Chong, E., Winikoff, B., Platais, I., Mary, M., Lotarevich, T., … Priegue, E. (2019). TelAbortion: Evaluation of a direct to patient telemedicine abortion service in the United States. Con- traception, 100, 173–177. https ://doi.org/10.1016/j.contr acept ion.2019.05.013. Riley, T., Sully, E., Ahmed, Z., & Biddlecom, A. (2020). Estimates of the potential impact of the COVID-19 pandemic on sexual and reproductive health in low- and middle-income countries. Interna- tional Perspectives on Sexual and Reproductive Health, 46, 73–76. https ://doi.org/10.1363/46e90 20. Robbins, C. L., Schick, V., Reece, M., Herbenick, D., Sanders, S. A., Dodge, B., & Fortenberry, J. D. (2011). Prevalence, frequency, and associations of masturbation with partnered sexual behaviors among US adolescents. Archives of Pediatrics and Adolescent Medicine, 165(12), 1087–1093. https ://doi.org/10.1001/archp ediat rics.2011.142. Rodgers, J. L., St John, C. A., & Coleman, R. (2005). Did fertility go up after the Oklahoma City bombing? An analysis of births in met- ropolitan counties in Oklahoma, 1990–1999. Demography, 42(4), 675–692. https ://doi.org/10.1353/dem.2005.0034. Sanchez, T. H., Zlotorzynska, M., Rai, M., & Baral, S. D. (2020). Char- acterizing the impact of COVID-19 on men who have sex with men across the United States in April, 2020. AIDS and Behavior, 24, 2024–2032. https ://doi.org/10.1007/s1046 1-020-02894 -2. Sandford, A. (2020). Coronavirus: Half of humanity now on lockdown as 90 countries call for confinement. Euronews. Retrieved May 30, 2020 from https ://www.euron ews.com/2020/04/02/coron aviru s-in-europ e-spain -s-death -toll-hits-10-000-after -recor d-950-new- death s-in-24-hou. Schilling, T. (2020). How big porn is making the Coronavirus crisis even worse. The Federalist. Retrieved May 30, 2020 from https :// thefe deral ist.com/2020/04/03/how-big-porn-is-makin g-the-coron aviru s-crisi s-even-worse /. Scott-Sheldon, L. A. J., Mark, K. P., Balzarini, R. N., & Welling, L. L. M. (2020). Call for proposals: Special issue of Archives of Sexual Behavior on the impact of COVID-19 on sexual health and behav- ior [Guest Editorial]. Archives of Sexual Behavior, 49, 1393–1394. https ://doi.org/10.1007/s1050 8-020-01725 -8. Shindel, A. W., & Rowen, T. S. (2020). Challenges in the practice of sexual medicine in the time of COVID-19. Journal of Sexual Medi- cine, 17, 1216–1219. https ://doi.org/10.1016/j.jsxm.2020.05.011. Smith, M. (2020). Anti-prostitution “feminism” has no place in a pan- demic. People are in danger. Huck. Retrieved May 30, 2020 from https ://www.huckm ag.com/persp ectiv es/opini on-persp ectiv es/ anti-prost ituti on-femin ism-has-no-place -in-a-pande mic/. Sochas, L., Channon, A. A., & Nam, S. (2017). Counting indirect crisis- related deaths in the context of a low-resilience health system: The case of maternal and neonatal health during the Ebola epidemic in Sierra Leone. Health Policy and Planning, 32(Suppl. 3), iii32– iii39. https ://doi.org/10.1093/heapo l/czx10 8. Streitmatter, R. (2004). Sex sells! The media’s journey from repression to obsession. Boulder, CO: Westview Press. Sun, S., Hou, J., Chen, Y., Lu, Y., Brown, L., & Operario, D. (2020). Challenges to HIV care and psychological health during the COVID-19 pandemic among people living with HIV in China. AIDS and Behavior. https ://doi.org/10.1007/s1046 1-020-02903 -4. Talmazan, Y., Sirna, L., Muñoz Ratto, H., & Ing, N. (2020). European countries develop new ways to tackle domestic violence during coronavirus lockdowns. NBCnews. Retrieved May 30, 2020 from https ://www.nbcne ws.com/news/world /europ ean-count ries-devel https://www.psychologytoday.com/us/blog/the-myths-sex/202003/how-the-pandemic-is-changing-pornography https://www.psychologytoday.com/us/blog/the-myths-sex/202003/how-the-pandemic-is-changing-pornography https://doi.org/10.1080/14681990601149197 https://doi.org/10.1080/14681990601149197 https://doi.org/10.1016/j.jsxm.2020.04.380 https://doi.org/10.1016/j.jsxm.2020.04.380 https://doi.org/10.1007/s11948-016-9827-5 https://doi.org/10.1007/s11948-016-9827-5 https://doi.org/10.1007/s10461-020-02856-8 https://doi.org/10.1016/S0002-9378(16)34001-7 https://doi.org/10.1556/2006.2020.00015 https://doi.org/10.1080/0167482X.2020.1759545 https://doi.org/10.1080/0167482X.2020.1759545 https://cancer-network.org/wp-content/uploads/2020/04/Press-Release-Open-Letter-LGBTQ-Covid19-17.pdf https://cancer-network.org/wp-content/uploads/2020/04/Press-Release-Open-Letter-LGBTQ-Covid19-17.pdf https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-sex-guidance.pdf https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-sex-guidance.pdf https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-sex-guidance.pdf https://doi.org/10.1007/s10508-020-01750-7 https://doi.org/10.1007/s10508-020-01750-7 https://doi.org/10.1136/bmj.i4588 https://doi.org/10.1136/bmj.i4588 https://doi.org/10.1007/s10461-020-02889-z https://doi.org/10.1007/s10461-020-02889-z https://www.pornhub.com/insights/corona-virus https://twitter.com/Pornhub/status/1242264770071465984 https://twitter.com/Pornhub/status/1242264770071465984 https://www.vice.com/en_uk/article/bvg3qq/sex-workers-share-how-coronavirus-is-affecting-their-livelihood https://www.vice.com/en_uk/article/bvg3qq/sex-workers-share-how-coronavirus-is-affecting-their-livelihood https://www.vice.com/en_uk/article/bvg3qq/sex-workers-share-how-coronavirus-is-affecting-their-livelihood https://www.abc.net.au/religion/coronavirus-pornography-and-the-pandemic-of-violence-against-wo/12131020 https://www.abc.net.au/religion/coronavirus-pornography-and-the-pandemic-of-violence-against-wo/12131020 https://www.abc.net.au/religion/coronavirus-pornography-and-the-pandemic-of-violence-against-wo/12131020 https://doi.org/10.1016/j.ajog.2020.02.017 https://doi.org/10.1016/j.ajog.2020.02.017 https://doi.org/10.1016/j.contraception.2019.05.013 https://doi.org/10.1016/j.contraception.2019.05.013 https://doi.org/10.1363/46e9020 https://doi.org/10.1001/archpediatrics.2011.142 https://doi.org/10.1001/archpediatrics.2011.142 https://doi.org/10.1353/dem.2005.0034 https://doi.org/10.1007/s10461-020-02894-2 https://www.euronews.com/2020/04/02/coronavirus-in-europe-spain-s-death-toll-hits-10-000-after-record-950-new-deaths-in-24-hou https://www.euronews.com/2020/04/02/coronavirus-in-europe-spain-s-death-toll-hits-10-000-after-record-950-new-deaths-in-24-hou https://www.euronews.com/2020/04/02/coronavirus-in-europe-spain-s-death-toll-hits-10-000-after-record-950-new-deaths-in-24-hou https://thefederalist.com/2020/04/03/how-big-porn-is-making-the-coronavirus-crisis-even-worse/ https://thefederalist.com/2020/04/03/how-big-porn-is-making-the-coronavirus-crisis-even-worse/ https://thefederalist.com/2020/04/03/how-big-porn-is-making-the-coronavirus-crisis-even-worse/ https://doi.org/10.1007/s10508-020-01725-8 https://doi.org/10.1016/j.jsxm.2020.05.011 https://www.huckmag.com/perspectives/opinion-perspectives/anti-prostitution-feminism-has-no-place-in-a-pandemic/ https://www.huckmag.com/perspectives/opinion-perspectives/anti-prostitution-feminism-has-no-place-in-a-pandemic/ https://doi.org/10.1093/heapol/czx108 https://doi.org/10.1007/s10461-020-02903-4 https://www.nbcnews.com/news/world/european-countries-develop-new-ways-tackle-domestic-violence-during-coronavirus-n1174301 2778 Archives of Sexual Behavior (2020) 49:2765–2778 1 3 op-new-ways-tackl e-domes tic-viole nce-durin g-coron aviru s-n1174 301. Thorne, J. G., Buitendyk, M., Wawuda, R., Lewis, B., Bernard, C., & Spitzer, R. F. (2020). The reproductive health fall-out of a global pandemic. Sexual and Reproductive Health Matters, 28. https :// doi.org/10.1080/26410 397.2020.17635 77. Turban, J. L., Keuroghlian, A. S., & Mayer, K. H. (2020). Sexual health in the SARS-CoV-2 era. Annals of Internal Medicine. https ://doi. org/10.7326/M20-2004. Udry, J. R. (1970). The effect of the great blackout of 1965 on births in New York City. Demography, 7(3), 325–327. UN News. (2020). Online predators put millions of children at risk dur- ing COVID-19 pandemic lockdown. Retrieved May 30, 2020 from https ://news.un.org/en/story /2020/04/10617 42. UNAIDS. (2020). COVID-19 responses must uphold and protect the human rights of sex workers. Retrieved May 30, 2020 from https ://www.unaid s.org/en/resou rces/press centr e/featu resto ries/2020/ april /20200 424_sex-work. Valkenburg, P. M., & Peter, J. (2013). The differential susceptibility to media effects model. Journal of Communication, 63(2), 221–243. https ://doi.org/10.1111/jcom.12024 . van der Miesen, A. I. R., Raaijmakers, D., & van de Grift, T. C. (2020). “You have to wait a little longer“: Transgender (mental) health a risk as a consequence of deferring gender-affirming treatments dur- ing COVID-19 [Guest Editorial]. Archives of Sexual Behavior, 49, 1395–1399. https ://doi.org/10.1007/s1050 8-020-01754 -3. Wardle, P. F. (2018). Avatar sex-the joy of the not-real. Journal for Virtual Worlds Research, 11(1), 1–14. https ://doi.org/10.4101/ jvwr.v11i1 .7292. Withman-Walker Health, National LGBT Cancer Network, GLMA: Health professionals advancing LGBTQ equality, National Queer Asian Pacific Islander Alliance, New York Transgender Advocacy Group, SAGE. (2020). Second Open Letter About COVID-19 and LGBTQ + Communities. Retrieved May 30, 2020 from https :// cance r-netwo rk.org/wp-conte nt/uploa ds/2020/04/Secon d-Open- Lette r-LGBTQ -COVID -19-Final -1.pdf. World Health Organization. (2020a). Coronavirus disease (COVID- 19) pandemic. Retrieved May 30, 2020 from https ://www.who. int/emerg encie s/disea ses/novel -coron aviru s-2019. World Health Organization. (2020b). Q&A: Violence against women during COVID-19. Retrieved May 30, 2020 from https ://www. who.int/emerg encie s/disea ses/novel -coron aviru s-2019/quest ion- and-answe rs-hub/q-a-detai l/viole nce-again st-women -durin g-covid -19. Yuksel, B., & Ozgor, F. (2020). Effect of the COVID-19 pandemic on female sexual behavior. International Journal of Gynaecology and Obstetrics, 150, 98–102. https ://doi.org/10.1002/ijgo.13193 . Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. https://www.nbcnews.com/news/world/european-countries-develop-new-ways-tackle-domestic-violence-during-coronavirus-n1174301 https://www.nbcnews.com/news/world/european-countries-develop-new-ways-tackle-domestic-violence-during-coronavirus-n1174301 https://doi.org/10.1080/26410397.2020.1763577 https://doi.org/10.1080/26410397.2020.1763577 https://doi.org/10.7326/M20-2004 https://doi.org/10.7326/M20-2004 https://news.un.org/en/story/2020/04/1061742 https://www.unaids.org/en/resources/presscentre/featurestories/2020/april/20200424_sex-work https://www.unaids.org/en/resources/presscentre/featurestories/2020/april/20200424_sex-work https://www.unaids.org/en/resources/presscentre/featurestories/2020/april/20200424_sex-work https://doi.org/10.1111/jcom.12024 https://doi.org/10.1007/s10508-020-01754-3 https://doi.org/10.4101/jvwr.v11i1.7292 https://doi.org/10.4101/jvwr.v11i1.7292 https://cancer-network.org/wp-content/uploads/2020/04/Second-Open-Letter-LGBTQ-COVID-19-Final-1.pdf https://cancer-network.org/wp-content/uploads/2020/04/Second-Open-Letter-LGBTQ-COVID-19-Final-1.pdf https://cancer-network.org/wp-content/uploads/2020/04/Second-Open-Letter-LGBTQ-COVID-19-Final-1.pdf https://www.who.int/emergencies/diseases/novel-coronavirus-2019 https://www.who.int/emergencies/diseases/novel-coronavirus-2019 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/violence-against-women-during-covid-19 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/violence-against-women-during-covid-19 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/violence-against-women-during-covid-19 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/violence-against-women-during-covid-19 https://doi.org/10.1002/ijgo.13193 How Is the COVID-19 Pandemic Affecting Our Sexualities? An Overview of the Current Media Narratives and Research Hypotheses Sexuality-Related Effects of the COVID-19 Pandemic COVID-19 Effects on Partnered Sex More Relationship Sex and a Coronavirus Baby Boom Less Relationship Sex and the Rise in Divorce Rates Less Casual Sex More Telephone and Online Sex COVID-19 Effects on Solo Sex More Masturbation More Sex Toy Use More Pornography Use The Rise of Coronavirus Porn as a New Genre of Pornography COVID-19 Effects on Sexual and Reproductive Health Issues in Vulnerable Groups More Sexualized Domestic Violence More Barriers to Family Planning and Abortion More Health Risks During Pregnancy and Birth More Health Risks and Economic Hardships in Sex Work More Disadvantages for LGBTQ+-Identifying Populations COVID-19 Effects on Sexual and Reproductive Healthcare and Sexual Education Discussion and Outlook Acknowledgments References