The goal of this systematic review was to explore whether pornography consumption, which is constantly increasing, is associated with sexual dysfunction problems. A comprehensive literature search was conducted in two databases (Scopus and PubMed) to identify appropriate studies published from 2013 to 2023. Following the PRISMA guidelines and exclusion criteria, 11 articles were finally included in this review. Mixed findings exist in the literature concerning pornography viewing. While some studies showed significant associations between pornography watching and experience of sexual problems, others showed either no association at all or even beneficial effects. Frequency of pornography consumption did not seem to be a predictor factor for sexual dysfunctions as much as problematic use of pornography. Findings suggest that mere watching of pornography is not a significant risk factor for developing a sexual dysfunction. The association of pornography and sexual problems seems to be more complex and indirect, with problematic use, body dissatisfaction, and insecurities playing a significant role.