Purpose of Review <p>This systematic review aimed to synthesize recent empirical research (2020–2024) on compulsive sexual behavior disorder (CSBD) and problematic pornography use (PPU) among women, addressing persistent gender gaps in the literature. Sixty-two studies were included, predominantly cross-sectional and based on non-clinical samples, with relatively few studies focusing exclusively on women.</p> Recent Findings <p>CSBD and PPU are less prevalent and less severe in women than men, though the gender gap is smaller than previously assumed. Risk factors for women include trauma history, impulsivity, emotional dysregulation, and certain personality traits, with high comorbidity rates observed for mood, anxiety, and eating disorders. While assessment tools are increasingly validated, the review underscores ongoing challenges.</p> Summary <p>The review highlights the need for more gender-sensitive, clinically focused research. Although less common, CSBD and PPU in women can cause significant distress and impairment, warranting targeted prevention and intervention strategies.</p>