Evidence map›Paper›PMID 40709041›Full record

ReviewFrontiers in public health2025

Polydrug use during chemsex: single and intersecting sexual effects of commonly used drugs.

Tom Platteau, Jochen Schrooten, Corinne Herrijgers, Chantal den Daas, Mireia Ventura, Carol Strong, John de Wit

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Chemsex and childhood trauma: evidence from a explorative matched case-control analysis.European archives of psychiatry and clinical neuroscience · 2026
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tom PlatteauDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Jochen SchrootenVAD, Brussels, Belgium.
Corinne HerrijgersDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Chantal den DaasInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom.
Mireia VenturaEnergy Control, Barcelona, Spain.
Carol StrongDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
John de WitDepartment of Interdisciplinary Social Science, Utrecht University, Utrecht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemsex refers to the intentional use of psychoactive substances to enhance, explore, or alter sexual experiences. The use of geolocation apps, and its link with physical, psychological, and social harms for the individual as well as society has been described 'Polydrug use'-combining multiple substances to amplify or diversify effects-is frequently reported across these groups. This article provides a comprehensive overview of the sexual effects of substances commonly used in chemsex contexts. We introduce the Pharmacosex Wheel, a visual tool that categorizes drugs based on their pharmacological properties and their specific effects on sexual experience. Substances are grouped into seven classes: stimulants, empathogens, psychedelics, dissociatives, depressants, opioids, and cannabinoids. Each class is discussed in relation to its typical impact on sexual behavior, desire, sensation, and connection. To further illuminate the dynamics of polydrug use, we present a layered model that maps core and intersecting effects of combined substances. Core effects include stimulation (e.g., from stimulants), disinhibition (e.g., from depressants and dissociatives), and altered sensory perception (e.g., from empathogens, cannabinoids, and psychedelics). When substances with different core effects are combined, intersecting effects emerge-such as euphoria, empathy, or chill-which often result in rich and multifaceted sexual experiences. This model also incorporates user motivations, acknowledging that the choice of substances often aligns with specific desires or anticipated outcomes. Finally, we position the most commonly used substances within this framework, grouping them according to their chemical structure, pharmacological action, and the experiential reports of users. By approaching chemsex from a drug-positive perspective, without neglecting potential negative impacts, this article aims to foster a nuanced understanding of substance use in sexual contexts. Our goal is to support more informed research, destigmatize user experiences, and contribute to the development of tailored care within drug and sexual health services.

Indexed as

Illicit DrugsPsychotropic DrugsSexual BehaviorSubstance-Related DisordersChemsexFemaleHumansMaleIllicit DrugsPsychotropic Drugscare and supportchemsexpolydrug usesexual effectssexualized drug use

Identifiers

PMID40709041
PMCPMC12287032

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.