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PubMed1993

Performance demand and sexual arousal in women.

Up to now, no experimental studies have inquired into the possible role of performance demand in female sexuality. The objective of this study is to investigate the effects of performance demand on sexual arousal in functional women, using explicit instructions. Forty-eight female subjects were asked to respond with maximum sexual arousal within 2 min, both during sexual fantasy and while watching an erotic film excerpt. Photoplethysmographic pulse amplitude was continuously recorded and self-report ratings of sexual arousal and affective reactions were collected after each erotic condition. Subjects were also instructed to continuously indicate their subjective sexual excitement during the conditions by means of a lever. Performance demand resulted in higher genital responses and was most effective in the fantasy condition. These results corroborate the findings for functional men. Although for both measures of subjective experience of sexual arousal performance demand yielded significantly higher ratings, this was conditioned by the order in which subjects were exposed to conditions. Women who masturbate with a mean frequency of 4 times a month reported higher subjective sexual arousal during performance demand conditions as compared with women who masturbate substantially more or who do not masturbate. Genital vasocogestion did not differ between masturbation-groups. Continuous subjective monitoring yielded lower correlations with vasocongestion than discrete ratings of sexual arousal and appears to be more sensitive to order effects.

Adult↗
PubMed1985

Sexual activity and sleep in humans.

Polysomnographic recordings were obtained in 10 subjects (5 men and 5 women) for three conditions: following masturbation with orgasm, following masturbation without orgasm, and after reading neutral material. The analysis of several sleep parameters did not reveal any effect of masturbation on sleep. These results suggest that physiological changes that occur during masturbation, with or without orgasm, have no major effect on sleep organization. Other factors associated with sexual activity and potentially responsible for sleepiness after orgasm are discussed, and further strategies to study the interrelationship of sexual activity and sleep are proposed.

Adult↗
PubMed2001

Addressing semen loss concerns: towards culturally appropriate HIV/AIDS interventions in Gujarat, India.

A situation analysis of sexual networking and sexual health in an industrial area of Gujarat, India, identified anxiety about masturbation and other semen loss concerns as major preoccupations among young men. This paper describes how the Deepak Charitable Trust addressed these concerns in their HIV prevention programme for young men aged 15 to 30. Flowcharts were used as participatory learning tools and to obtain data on the perceived consequences of masturbation, both before and after intervention activities. Research was also done on the relation between semen-related anxieties and sexual risk behaviour by DCT and two other NGOs among young men engaging in unsafe sexual behaviour. DCT advocates addressing masturbation and other semen loss concerns in all sexual health campaigns in South Asia, based on the magnitude of these concerns, their potential to confound syndromic management of STIs and their significance as an idiom of psychosocial distress. Masturbation and associated anxieties about sexual performance are seen as health issues and discussed as such by the programme. There is immediate identification among young men, whether or not they are already sexually active, and it provides an excellent entry point for sexual health and safer sex education. The community response to these efforts has been entirely positive.

Adolescent↗
PubMed1999

Role of ejaculation in the treatment of chronic non-bacterial prostatitis.

BACKGROUND: Chronic non-bacterial prostatitis (NBP) is the most common prostatitis syndrome. Prevention and cure are not possible because the cause of NBP is unknown. However, patients may benefit from supportive measures. The impact of the frequency of ejaculation alone on the course of NBP was evaluated in the present study. METHODS: Thirty-four single male patients who avoided masturbation and extramarital sexual intercourse for personal and/or religious beliefs and who did not respond to a clinical trial of doxycycline hydrochloride therapy (200 mg daily for 4 weeks) directed against mycoplasmas, chlamydiae and ureaplasmas were enrolled in the study. They were encouraged to masturbate regularly at least twice a week and were re-evaluated at the end of a 6 month period, including a complete inquiry regarding their sexual function during this time. Response was assessed by a symptom severity index. RESULTS: Clinical and laboratory re-evaluation could be performed in 28 patients. Of 18 patients who adhered to the recommendations, two (11%) experienced complete relief of symptoms, whereas six (33%) had marked improvement, six had moderate improvement and four (22%) did not benefit. In contrast, three of seven patients who masturbated less frequently reported partial improvement. Three patients who did not ejaculate other than during wet dreams had a worse prognosis. CONCLUSIONS: Young men who are single and suffering from NBP must be informed about their illness in detail and, if they are not doing so, they should be encouraged to ejaculate regularly, for example by masturbation in the absence of a sexual relationship with a partner. We believe that normal sexual activity decreases the incidence of NBP in some cases.

Adolescent↗
PubMed1985

Sexual fantasy and activity patterns of males with inhibited sexual desire and males with erectile dysfunction versus normal controls.

The fantasy patterns of patients with sexual difficulties have only recently received attention. Research has shown that females with inhibited sexual desire fantasize less than normal controls during foreplay and coitus, masturbation, and general daydreaming. This study is a continuation of the investigation of sexual fantasy and activity patterns and specific sexual dysfunctions. A fantasy questionnaire was completed by 37 men reporting a satisfying sex life and 35 males who came to a sexual dysfunction clinic complaining of either erectile dysfunction or inhibited sexual desire. This study indicates the frequency of sexual fantasy during foreplay and/or coitus, during general daydreaming and during masturbation is significantly less in the inhibited sexual desire males than in the control group and/or the erectile dysfunction group. The erectile dysfunction group and the control group were virtually identical in their frequency of fantasy during foreplay and/or coitus. The content of fantasies in all three groups is similar. The frequency of fantasy during masturbation was greatest in the erectile dysfunction group. The frequency of masturbation was greatest in the inhibited sexual desire males.

Coitus↗
PubMed2000

An unmanly vice: self-pollution, anxiety, and the body in the eighteenth century.

The campaign against masturbation offers one of the outstanding success stories in the history of medical popularization. This paper seeks to identify the reasons for this success, focusing on the campaign's early stages, from the late seventeenth century onwards. It first identifies a series of often quite explicit political, ideological, and economic motives such as religious notions of 'uncleaniness', bourgeois concerns about self-control, marriage, and population growth, and the financial interests of the London veneral trade. Drawing, in particular, on the 'confessions of self-declared victims of masturbation in eighteenth-century patient letters, it then shows that the physical and mental symptoms attributed to masturbation very successfully addressed some of the deepest anxieties in contemporary society, anxieties about virility, gender identity, and physical selfhood. Finally, applying Bourdieu's notion of 'habitus', the central role of a new, implicitly male, more solid, closed and self-contained dominant body image is underlined. Framing the interpretation and the very experience of the body among the proponents and the recipients of anti-onanist discourse alike, it helped to make the dangers of masturbation an almost irrefutable, objective truth.

Anxiety↗
PubMed1995

Sexual behaviour of male inmates of a detention facility in Singapore: risks of intraprison human immunodeficiency virus transmission.

Sexual urges and needs do not cease merely upon the incarceration of an individual. They continue to exist in varying degrees in different individuals. This study looks into the sexual behaviour of all the male inmates of a detention facility in Singapore, both before and during their incarceration. In the advent of acquired immune deficiency syndrome (AIDS), high risk behaviours are investigated with the view to applying the results towards the formulation of policies on prevention of intraprison transmission of human immunodeficiency virus (HIV). Taking masturbation as an expression of the degree of sexual needs, the three high risk groups for HIV infection--the promiscuous heterosexuals, the homosexuals/bisexuals and the intravenous drug users--had higher in-detention masturbation rates than the others. In addition, those incarcerated for 180 to 360 days up to the day of the study had higher masturbation rates than those incarcerated for less than 180 days and longer than 360 days. In-detention homosexual behaviour was also demonstrated in this study. Recommendations include health education programmes on AIDS and risk reduction and removal of the prohibition on masturbation. Mandatory HIV testing and segregation of high risk or HIV-positive inmates are not recommended.

Adult↗
PubMedDate not supplied

Heterosexual genital sexual activity among adolescent males: 1988 and 1995.

CONTEXT: Researchers have paid little attention to adolescents' experience with genital sexual activity other than vaginal intercourse, even though oral and anal intercourse expose youth to the risk of sexually transmitted diseases. METHODS: Males aged 15-19 interviewed in 1988 and 1995 as part of the National Survey of Adolescent Males were asked questions about whether they had ever engaged in a series of genital sexual activities. These data were collected in a self-administered questionnaire that respondents completed at the end of the interview. RESULTS: In 1995, 55% of males aged 15-19 reported that they had ever engaged in vaginal intercourse, 53% that they had ever been masturbated by a female, 49% that they had ever received oral sex, 39% that they had ever given oral sex and 11% that they had ever engaged in anal sex. More than three-quarters of males who had had vaginal intercourse reported experience with masturbation or oral sex by a female. Moreover, one in five males who had never had vaginal intercourse reported having been masturbated by a female, and one in seven said they had received oral sex. Between 1988 and 1995, the proportion of males who reported having ever been masturbated by a female increased significantly, from 40% to 53%. There were less sizable shifts in the proportions who had received oral sex: Overall proportions were similar in both years, although levels more than doubled among black teenagers, an increase that brings them in line with levels of oral sex reported by white and Hispanic adolescent males in 1995. CONCLUSIONS: Evidence from the National Survey of Adolescent Males showing that a substantial share of male teenagers engage in genital sexual activity beyond vaginal sexual intercourse underlines the importance of monitoring a broad spectrum of sexual behaviors among teenagers. More detailed data with larger samples of both males and females are needed to determine the frequency and timing of these behaviors. Measuring risk for STD infections among teenagers requires attention to all forms of genital sexual activity.

Adolescent↗
PubMed1996

The sexual experience of women diagnosed with anorexia nervosa or bulimia nervosa.

OBJECTIVE: Women with bulimia nervosa generally have reported greater sexual activity and experience relative to women with anorexia nervosa. However, past research has been based on small samples and has not controlled for potential confounding variables or symptom severity. We further investigated sexual experience among women diagnosed with an eating disorder. METHODS: Women evaluated in an outpatient eating disorders program, and subsequently diagnosed with either anorexia nervosa (n = 131) or bulimia nervosa (n = 319), completed the Diagnostic Survey for Eating Disorders-Revised (DSED-R) at intake. Sexual experience variables (masturbation, coitus, sexual satisfaction), as well as control variables (age, weight, and menarche) and measures of symptom severity, were derived from the DSED-R. Logistic regression analyses were used to predict sexual experience. RESULTS: After controlling for relevant covariates, bulimics were more likely than anorexics to have engaged in sexual intercourse. Masturbation experience, as well as self-ratings of current sexual satisfaction, were inversely related to degree of restriction of caloric intake, particularly among women with anorexia nervosa. When compared to anorexics, bulimics reported greater sexual interest and earlier age of first coitus. DISCUSSION: Coitus (sexual activity involving a partner) was related to eating disorder diagnosis independent of symptoms, whereas masturbation (self-focused sexual activity) was related to caloric restriction for the sample as a whole and anorexia nervosa patients in particular. These relationships between sexual experience and eating disorder symptoms and diagnosis may illuminate the personality features of women with anorexia nervosa versus bulimia nervosa as well as the functional role of caloric restriction.

Adolescent↗
PubMed1979

Models of female orgasm.

Self-report instruments concerning personality and subjective responses to sexual orgasm were filled out by 281 female university undergraduates. Exploratory and confirmatory factor analyses were used to evaluate the dimensionality of women's subjective responsiveness to orgasm. The results did not support the concept of a unidimensional orgasm process; separate coital and masturbatory factors of orgasmic experience were obtained. Highly internally consistent scales were developed to assess the two factors, and both scales were found to be significantly correlated with indices of extraversion, attitudes toward masturbation, and sexual experience. A path-analytic model was developed which is consistent with the hypothesis that heterosexual and monosexual behaviors act as mediators between extraversion, neuroticism, and attitudes toward masturbation, on the one hand, and subjective coital or masturbatory orgasmic responsiveness, on the other. It appears that attitudes toward masturbation may also have a direct influence on masturbatory responsiveness. Various therapeutic implications of the path model are described. Replications and extensions of the study with older, more experienced populations are necessary.

Adult↗
PubMed1975

Sexual experience and sexual responsiveness: sex differences.

Male (30) and female (30) college undergraduate subjects were shown five photographic slides depicting different heterosexual behaviors and one slide depicting solitary masturbation by a person of the same sex as the subject. Subjects rated the extent to which they found each of the slides sexually arousing and pleasant or unpleasant and indicated how many times they had personally engaged in each of the depicted activities. Following exposure to the slides, sexual arousal and emotional reactions were assessed. Contrary to the propositions of Kinsey et al. (1953), female heterosexual experience was equal to or superior to masturbation experience as an indicant of female sexual reactivity to the erotic materials. Among males, masturbation experience was superior to heterosexual experience as an indicant of sexual reactivity. The role of affective reactions to sexual experiences as determinants of sexual responsiveness is discussed.

Adolescent↗
PubMed1988

Effects of antiandrogen-estrogen treatment on sexual and endocrine parameters in hirsute women.

Sexual activity was evaluated in 51 women with hirsutism associated with increased levels of circulating androgens before and while on combined treatment with the antiandrogen cyproterone acetate (CA) and ethinyl estradiol (EE2) and compared to a reference group of 52 subjects. The percentage of unbound testosterone (T) was higher (p less than 0.001), the coital frequency lower (p less than 0.05), and the masturbation frequency higher (p less than 0.04) in hirsute women. Mean frequency of total activity (coitus plus masturbation) was similar in the two groups. Treatment with combination of CA and EE2 resulted in a decline of unbound T (p less than 0.001). There was no change of total sexual activity, but coital frequency increased (p less than 0.05) and masturbation frequency declined (p less than 0.04). It is concluded that raised levels of circulating androgens, as judged by free T concentration, are not of crucial importance in the expression of sexual behavior in hirsute women.

Adolescent↗
PubMed2006

Gender differences in pornography consumption among young heterosexual Danish adults.

The aims of the study were (1) to investigate gender differences in pornography consumption among Danish adults aged 18-30 and (2) to examine gender differences in situational, interpersonal, and behavioral characteristics of pornography consumption. A national survey study was conducted using a representative sample of 688 young heterosexual Danish adult men and women. The study found large gender differences in prevalence rates of pornography consumption and consumption patterns. Compared to women, men were exposed to pornography at a younger age, consumed more pornography as measured by time and frequency, and used pornography more often during sexual activity on their own. Gender differences in the interpersonal context of use were also evident, with women using pornography more often with a regular sexual partner than men. In turn, men were found to use pornography more often on their own or with friends (non-sexual partners) than women. For both men and women, the usual place of use was home and no significant gender difference was found in this regard. Men and women were found to vary in their preferences in pornographic materials, with men both preferring a wider range of hardcore pornography and less softcore pornography than women. Gender differences in sexual behavioral factors were limited to masturbation patterns with men masturbating more than women. Male gender, higher frequency of masturbation, lower age at first exposure, and younger age were found to account for 48.8% of the total variance of pornography consumption. The results were discussed in relation to the sociocultural environment and evolutionary theory. It is argued that gender differences in social acceptability, adherence to gender stereotypes, traditions of gender sexuality, gender norms, and mating strategies are key factors in understanding gender differences in pornography consumption.

Adult↗
PubMed1978

Heterosexual, autosexual and social behavior of adult male rhesus monkeys with medial preoptic-anterior hypothalamic lesions.

Bilateral radiofrequency lesions were made in the medial preoptic-anterior hypothalamic (MP-AH) area of 6 adult male rhesus monkeys; 5 sham-lesioned subjects served as controls. Behavioral analysis consisted of observations on copulatory behavior, yawning, masturbation and some aspects of social behavior. MP-AH lesions reduced or completely eliminated the display of manual contacts of the partner, mounts, intromissions and ejaculations without interfering with masturbation. Yawning, a sexually dimorphic behavior, was not affected either, Measure of several social behaviors indicated no evidence of social withdrawal or other aberrance of social interactions, which might have led to the decline in heterosexual behavior. The results with regard to copulatory behavior were consistent with the effects of MP-AH lesions in rats, cats and dogs. In rhesus monkeys it appears as though the MP-AH region is specifically involved in the mediation of heterosexual copulation and is not vital to the performance of other forms of male sexual activity such as masturbation. Also the MP-AH is not critical for the display of all sexually dimorphic behaviors. The types of behavioral change in MP-AH lesioned subjects differed to some extent from those following castration, indicating that the effects of the lesions cannot be explained as basically that of functional castration.

Animals↗
PubMed2007

Ejaculation latency times and their relationship to penile sensitivity in men with normal sexual function.

PURPOSE: There is a need for objective and validated measurements of ejaculation latency time and penile sensitivity in men with normal sexual function. We determined 1) the normal range and repeatability of ELT in a laboratory vs at home masturbation and intercourse in normal men, 2) the threshold and repeatability of penile sensitivity on 6 penile surface areas measured by 2 vibrometers and 3) whether penile sensitivity correlates with ejaculation latency time. MATERIALS AND METHODS: A total of 58 healthy volunteers between 20 and 40 years old provided ejaculation latency times during 3 procedures and were evaluated with a biothesiometer and SMV-5 vibrometer (Suzuki-Matsuoka, Teknologue, Tokyo, Japan) on 6 penile surface areas. RESULTS: Ejaculation latency time was highest during intercourse (median 8.25 minutes, range 1.32 to 18.31), lower in the laboratory (median 7.22, range 1.37 to 18.79) and lowest during masturbation (median 4.89, range 1.08 to 14.19). The 3 ELT scores were highly reproducible within subjects (ICC 0.88 to 0.93). There was high variability among subjects. Vibrotactile thresholds on 6 penile surface areas were also similar and highly repeatable for the 2 vibrometers (ICC 0.81 to 0.96). However, there was no correlation between penile sensitivity and ELT (R2 less than 8%). CONCLUSIONS: ELT in the laboratory is lower than during intercourse and higher than during masturbation. Vibrometers produce reliable and repeatable penile vibrotactile threshold results. However, penile sensitivity measurements do not correlate with ELT in men with normal sexual function.

Adult↗
PubMed1983

Sexual fantasy and activity patterns of females with inhibited sexual desire versus normal controls.

Until recent years, female sexual fantasy was generally associated with psychopathology or negative qualities. Sexual fantasy is now regarded by the cognitive-behavioral schools as a normal occurrence serving adaptive functions. No investigation has been made comparing the sexual fantasy and activity patterns of women with a specific sexual dysfunction and women with a satisfactory sexual adjustment. This study compared responses to a fantasy questionnaire completed by 30 women reporting a satisfying sex life and 25 women who came to a sexual dysfunction clinic with a complaint of inhibited sexual desire. This study confirms that females with inhibited sexual desire fantasize less during foreplay, coitus, masturbation and general daydreaming than the controls. The content of fantasies in both groups is similar. The females with inhibited sexual desire do not masturbate less often and do not have fewer orgasms through masturbation than the controls. The females with inhibited sexual desire have fewer orgasms through intercourse alone.

Adolescent↗
PubMed2003

Sex in Australia: autoerotic, esoteric and other sexual practices engaged in by a representative sample of adults.

OBJECTIVES: To describe the prevalence of a range of autoerotic and other non-coital sexual practices among Australians. METHOD: Computer-assisted telephone interviews were completed by a representative sample of 10,173 men and 9,134 women aged 16-59 years (response rate 73.1%). Respondents were asked whether in the past year they had: masturbated, engaged in various other autoerotic activities, or engaged in any of six other non-coital or esoteric practices. RESULTS: Half of the respondents (65% men, 35% women) had masturbated in the past year. Nearly half (48%) of the men and 25% of the women had masturbated in the past four weeks, among whom men had done so a mean of 5.8 times and women 3.3 times. About a quarter of all respondents had watched an X-rated film (37% men, 16% women), 12% of men and 14% of women had used a sex toy, and 17% of men and 2% of women had visited an Internet sex site. 17% of men and 14% of women had engaged in digital-anal stimulation with a partner. Phone sex, role play or dressing up, bondage and discipline, sadomasochism or dominance and submission (BDSM-DS), fisting (rectal or vaginal, insertive or receptive) and rimming (oral-anal stimulation) were all engaged in by less than 5% of the sample. CONCLUSION: Most of the practices studied were engaged in by more men than women. A range of autoerotic activities are both substitutes for partnered sex and additional sources of pleasure for people with sexual partners.

Adolescent↗
PubMed2005

The antimasturbation crusade in antebellum American medicine.

The antimasturbation fervor that swept through the English-speaking world during the 19th century raged with particular intensity and unequaled duration in the United States. American medical leaders were convinced that masturbation was the underlying cause of nearly all social problems and diseases. Even after the discovery and general acceptance of the germ theory of disease in the late 19th century, the U.S. medical establishment continued to maintain well into the middle of the 20th century that masturbation was both a pathological act and a cause of mental and physical disease. This article explores the dominant themes in the medical doctrines about masturbation that prevailed in the first half of the 19th century, by examining the case reports of five prominent American physicians: Benjamin Rush, Samuel Bayard Woodward, Alfred Hitchcock, Alonzo Garwood, and Edward H. Dixon.

Attitude of Health Personnel↗