Intervention Strategies of Excessive Masturbation for a 19-Years Youth: Experience of Counseling Intervention

Introduction: Excessive masturbation has for long been reported to affect youths with intervention strategies to intervene with this problem remaining unclear. This study aimed at determining the underlying factors for excessive masturbation, its effects and intervention strategies used. Methods: This was a case study design for a youth aged 19 years;affected by excessive masturbation. Data were collected through individual counseling and intervention. It involved 15 counseling sessions which were run in nine months in a three weeks interval. The sessions involved narration and exploration of the causes and effects of masturbation. Counseling intervention was built in a vicious circle. Results: Several factors, effects and intervention strategies were identified, reported and discussed in this study. Main causes were such as stories from friends and pornographic videos. Effects were multiple risk behaviors and health problems. Counseling model for individual was developed. Conclusion: The study indicates that there are multiple causes and effects of excessive masturbation. Since masturbation is secretly done, the effects are not widely known to many people. Most of these effects are long-term which affects a person psychologically, physically, socially and morally.

Common Childhood Masturbation, But Different Sexual Attitudes in Three Male-at-Birth Adolescents: Possible Implications for Sexual Development

Although the child masturbation is recognized as not uncommon behavior, our understanding of normative sexual development in humans is fairly limited. To investigate the possible relationship between early childhood masturbation and subsequent sexual cognition, we retrospectively researched three adolescents who had been reared male and who masturbated in early childhood in similar ways, but had different subsequent sexual cognition. The three young people all recalled primary sexual pleasure from masturbation at age 4 or 5. Their distinctive sexual attitudes could be discerned at age 15 to 20. One was transgender, one was homosexual, and one was heterosexual. Combining recent findings of the neural mechanisms of sexual pleasure and cognition, it can be inferred that the early sexual pleasure in preschoolers might have little significance for the development of sexual cognition in adolescence.

Short‐term effect of the prone masturbation training on premature ejaculation

Background:Whether conventional behavioral therapies for premature ejaculation can significantly improve the intravaginal ejaculatory latency time is still controversial.Prone masturbation is rare and observed in some patients with delayed ejaculation.Therefore,we tried to verify whether the regular prone masturbation training method had a therapeutic effect on premature ejaculation.Methods:From July to December 2018,a total of 21 patients met the enrollment criteria and volunteered to participate.Participants were diagnosed with premature ejaculation with an intravaginal ejaculatory latency time of less than 3min and a Premature Ejaculation Diagnostic Tool score greater than 9.Participants performed 12‐week prone masturbation training.Results:Ten patients completed the entire treatment regimen.The mean age of the 10 participants was 30.4±6.1 years,the mean frequency of sexual intercourse was 1.9±0.83 times a week,and the median duration of premature ejaculation was 1.5 years.After 3 months of prone masturbation training,the median self‐reported intravaginal ejaculatory latency time significantly increased from 60 to 105 s(p=0.011),and the mean Premature Ejaculation Diagnostic Tool scores decreased from15.0±3.7 to 12.7±3.7 points(p=0.119).Conclusions:The regular prone masturbation training method,as a novel behavioral therapy,probably has a therapeutic effect on premature ejaculation.

偏离性手淫与性行为异常(附14例报告)

In the past 30 years few reports appeared on foreign bodies artificially introduced into urethra,urinary bladder and rectum,and the literature available on this subject failed to probe into the etiology ofthe condition which is closely related to the sexual behavior and personality disturbance of the patient.FromOctober,1972 to May,1996 a total of 14 cases with foreign bodies artificially introduced into urethra,blad-der and rectum were admitted in this hospital.Etiogical study suggests that the real cause of the introduc-tion of foreign bodies into the organs is attributed to deviant masturbation and abnormal sexual behavior.

Application of pudendal evoked potentials in diagnosis of erectile dysfunction

Aim: Extensive neurophysiological investigations were carried out in 100 healthy subjects and 84 patients with penileerectile dysfunction. Methods: Following examinations were performed, spinal and scalp somatosensory evoked poten-tials (SEPs) to stimulation of the dorsal nerve of penis, motor evoked potentials (MEPs) from bulbocavernosus (BC) inresponse to scalp and spinal root stimulation, and measurement of sacral reflex latency (SRL) from anal sphincter (AS).Results: In the healthy subjects, the mean sensory total conduction time (sensory TCT), as measured at the peak of thescalp P1 (P40) wave was 39.73 ms. The mean sensory central conduction time (sensory CCT = spinal-to-scalp conductiontime) was 28.98 ms. The mean peripheral conduction time (PCP) was 9.40 ins. Transcranial brain stimulation was per-formed by using a magnetic stimulator during voluntary contraction of the examined muscle. Spinal root stimulation wasperformed at rest. Motor total conduction time (motor TCT) to BC muscles was 20.48 ms. Motor central conductiontime (motor CCT) to sacral cord segments controlling BC muscles was 14.42 ms at rest. The mean SRL was 35.13 ms.Conclusion: Combined or isolated abnormalities of SEPs, MEPs, and SRL were found in patients with erectile dysfunc-tion. (Asian J Androl 1999 Sep; 1 : 145 - 150)

How Do the Chinese Make Love? A Community Based Survey in China

Aims: To investigate how the Chinese make love. Methods: From Jan. 2009 to Dec. 2009, a survey was carried out of 600 adults (300 male and 300 female adults) in Tianhe community (Guangzhou, China). Information included masturbation, sexual foreplay, oral sex, intercourse, coordination with sexual partner, self-evaluation of one’s sexual function. Results: 255 females and 229 males fulfilled the questionnaires. 48.8% females and 68.7% males admitted of masturbation experiences. 59.9% women reported some passionate touch before sex, and 63.2% men reported some moderate touch. One third of the women could accept oral intercourse, while two thirds of the men couldn’t accept oral intercourse. The frequency of sexual intercourse per month is less than 10 times in 72.5% women and 77.7% men. 72.9% men and 54.9% women would like to frequently change the position in sexual intercourse. Still, 72.9% men and 54.9% women would like to coordinate with the sexual partner when she/he had sexual requirement. 74.1% women thought her sexual function as general level. Conclusions: The results of the present study indicated that most men and women in China could enjoy their sex lives through the most common way: sexual intercourse. Although masturbation and oral sex are two of the common sex activities, part of the adults still had a negative attitude towards the two activities, especially women.

Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature

Introduction: Headache associated with sexual activity (HSA) is the painful event of head and neck precipitated only by sexual activity. The negative impact of sexuality is expected to be more severe in HSA patients and their partners than other headache disorder. In addition, social and cultural taboo may conceal sexual problem or hinder seeking counseling for sexual perplexity. A sufficient scientific evidence is therefore needed to clarify the misunderstanding and schedule appropriate education in clinical practice. Methods: A systematic review of literature was completed to elucidate the sexual behavior, function and satisfaction in HSA patients and their partners. Results: A total of 97 publications are eligible after careful screening. However, most of the studies focus on the etiopathogenesis or treatment. Sexual change was mentioned in 23 publications. Orgasmic headache is the most frequent type of HSA. The HSA occurs more frequent in dyadic than extradyadic sexual activity. Intercourse is the leading sexual act for HSA occurrence, following by masturbation. A few patients suffer HSA under specific sexual position, like kneeling, and trigger, such as cannabis. Pain can be rapidly ceased in half of patients when sexual activity was halted. Sexual function and sexual satisfaction may decrease in HSA patient and partner but improve after pain reversal. Conclusions: A shortage of sexuality data of HSA is documented in literature but that still clarifies the extradyadic and masturbatory effect on HSA occurrence. Nevertheless, HSA disturbs sexual function and satisfaction in patients and their partners. The pathogenesis of pain includes two components, the hypersympathetic status and exertional action. Therefore, physician can schedule their education and counseling for HSA according to these findings. Further investigation for sexual function and satisfaction is warranted.