"It's not a double standard," Dr. Saltz says. "Forty-three percent of women have some sort of sexual dysfunction—they have trouble with desire or they have trouble with arousal. And this is a tool to use if you need help feeling more desirous, feeling more aroused, or something to increase the pleasure of your sexuality, which is extremely important to women. And it can be useful to men as well. The problem is, it can be a double-edged sword in that anything really pleasurable can become kind of addictive."
And Dr. Schwartz agrees with Janee that erotica has changed. "A lot of [filmmakers] have gotten really smart about putting together pornographic, explicit films that are not denigrating to women. None of us are going to get excited about seeing something where we feel bad for the woman."
Dr. Saltz says that she will sometimes prescribe erotic films to her sex therapy patients to help enhance arousal and help couples feel more comfortable with their bodies.