This national online survey examined the 12-month prevalence of AI-supported sexual activities (AISA) across six types—AI-generated sexual information, AI-assisted counseling, sexual interactions with AI agents, AI-mediated interpersonal sex, consuming AI-generated pornography, and creating AI-generated pornography—among 2,658 German adults aged 18–75, surveyed November–December 2024. It also assessed how AISA engagement varied by gender, age group, and sexual identity, plus subjective satisfaction.
31.6% of participants reported at least one AISA in the past 12 months (66% of all AI users). The most common types were AI-generated sexual information (20.3%), AI-generated pornography consumption (20.2%), and AI-assisted sexual counseling (19.0%). Men engaged more than women (41.5% vs. 21.7%; V = .21), younger adults (18–39) far more than older adults (54.7% vs. 15.0%; V = .36), and non-heterosexual more than heterosexual participants (43.4% vs. 30.4%; V = .08). Satisfaction was above the scale midpoint across all types (range M = 3.40–3.69 on a 1–5 scale), highest for AI sexual interactions (M = 3.69) and lowest for consuming AI pornography (M = 3.40).
- Quota sample via opt-in online panel may overrepresent digitally literate adults, likely overstating AISA prevalence—especially in older age groups. - All AISA measures are single-item, newly developed tools with unknown reliability and validity. - Gender-diverse individuals could not be included due to panel underrepresentation, limiting generalizability.
One in three German adults already reports some form of AI-supported sexual activity, with highest uptake among younger men and LGBTQ+ individuals—clinicians and sexual health providers should proactively ask about AISA use, especially when discussing digital behavior, sexual health information-seeking, and counseling access. Satisfaction is moderate and consistent, suggesting these tools are being used but not fully meeting users' needs, pointing to a gap where professional guidance could add value.
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