Sexual Medicine Center, Department of Urology, Sheba Medical Center, Tel-Hashomer, Israel.
J Sex Med. 2014 Jul;11(7):1798-806. doi: 10.1111/jsm.12501. Epub 2014 Mar 28.
Masturbation is a common sexual activity among people of all ages throughout life. It has been traditionally prohibited and judged as immoral and sinful by several religions. Although it is no longer perceived as a negative behavior, masturbation is often omitted in the diagnostic inquiry of patients with sexual problems.
The aims of this study are to increase the awareness of clinicians to the importance of including questions regarding masturbatory habits in the process of sexual history taking, to analyze cases of male sexual dysfunction (SD) associated with unusual masturbatory practices, and to propose a practical tool for clinicians to diagnose and manage such problems.
A clinical study of four cases that include a range of unusual masturbatory practices by young males who applied for sex therapy is described. An intervention plan involving specific questions in case history taking was devised. It was based on detailed understanding of each patient's masturbatory practice and its manifestation in his SD.
Effects of identifying and altering masturbatory practices on sexual function.
The four men described unusual and awkward masturbatory practices, each of which was associated with different kinds of SD. The unlearning of the masturbatory practices contributed notably to improvement of their sexual function.
The four cases in this study indicate that the detailed questioning of masturbatory habits is crucial for a thorough assessment and adequate treatment of sexual problems in men. We propose specific questions on masturbatory behavior as well as a diagnostic and therapeutic flowchart for physicians and sex therapists to address those problems.
自慰是一种在所有年龄段的人群中都普遍存在的性行为。它曾被一些宗教传统禁止，并被视为不道德和有罪的行为。尽管自慰不再被视为一种负面行为，但在诊断有性问题的患者时，它通常被忽略。
本研究旨在提高临床医生对在性病史询问过程中纳入自慰习惯问题的重要性的认识，分析与不寻常自慰习惯相关的男性性功能障碍（SD）病例，并提出一种实用的工具，帮助临床医生诊断和处理此类问题。
描述了四项涉及年轻男性接受性治疗时的不寻常自慰习惯的临床案例研究。设计了一种包括在病史采集时提出特定问题的干预计划。该计划基于对每位患者的自慰习惯及其在 SD 中的表现的详细了解。
识别和改变自慰习惯对性功能的影响。
这四名男性描述了不同的、别扭的自慰习惯，每种习惯都与不同类型的 SD 相关。戒除自慰习惯对改善他们的性功能有显著作用。
本研究中的四个案例表明，详细询问自慰习惯对于全面评估和适当治疗男性性问题至关重要。我们提出了关于自慰行为的具体问题，以及一个诊断和治疗流程图，供医生和性治疗师处理这些问题。
