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Fracture penis is an uncommon urological emergency, which often results from sexual trauma. Diagnosis remains clinical, and early surgical management is advocated. However, the timing of the repair may have a bearing on the outcomes. Herein, we share our experience of 17 such cases and compare the complications and the sexual function in relation to the timing of the surgery. The records of all patients with a penile fracture who had presented to our hospital between 1st Mar 2015 and 28th Feb 2021 were reviewed. All patients were managed surgically. The patients were divided into three groups based on the time elapsed between the injury and the surgery. All patients were followed up for 6 months and the development of complications was recorded. The sexual function was assessed with International Index of Erectile Function (IIEF) at the end of 6 months. A total of 17 patients were included in the study. Coital trauma was the most common cause, followed by masturbation. 15 out of the 17 patients were operated on within 48 h of the injury. There were no long-term complications except for one patient having a palpable painless nodule at the site of the repair. At 6 months follow-up all patients who had an immediate surgical repair on presentation, had a normal sexual function, and there was no difference between those who presented early or after 48 h of injury. Immediate surgical intervention should be the treatment of choice for all patients with a penile fracture, even if they present late, to prevent complications and erectile dysfunction. [ABSTRACT FROM AUTHOR]

Studies assessing the relationship between religiosity and sexual behaviors in youth are limited by their use of single‐aspect measures of religiosity, assumption of linearity, and focus on coital behaviors. This study assessed how multidimensional latent profiles of religiosity were associated both with sexual risk behaviors and noncoital sex. Data were gathered using a national sample of emerging adults in Croatia (N = 1,210; Mage = 21.74, 48.0 percent female). Latent profile analysis provided a three‐profile model as the most robust solution, differentiating among the low, moderate, and high religiosity groups. The gradient pattern (differences among all profiles) was observed only in the association between religiosity and the frequency of masturbation and experiencing oral sex. The relationship between religiosity and other sexual behaviors either was nonlinear or not found. Overall, religiosity was associated with a more limited sexual repertoire. Its protective effect in sexual risk taking was small but relevant for the most religious youth. [ABSTRACT FROM AUTHOR]

Masturbation – self-sexual stimulation of the genitalia – literature is underdeveloped, especially in terms of non-Western samples. More importantly, there remains very little or no research about how masturbation as a sexual practice contributes to understanding the gender dynamics of sexual choices in Africa. Using the African feminist resistance framework of 'radical rudeness', developed by the Ugandan feminist Stella Nyanzi, this paper, through a scoping review of twenty-five studies, aims to review and synthesise the literature on masturbation discourse by identifying the socio-demographic dynamics of masturbators, their understanding of masturbation and its rationale, and the agentic and innovative ways of masturbation as reflected in existing works. The author argues that masturbation offers a space to experience one's own sexual pleasure, as they push for a conceptually nuanced viewpoint about African sex. The analysis thus makes a clarion call to rethink the sex discourse in order to better appreciate and promote the sexual diversity of Africa. [ABSTRACT FROM AUTHOR]

Individuals with autism require sex education more than others. In particular, mothers provide timely sexual education and safety orientation. However, since parents and caregivers do not understand their children's sexual requirements, children with autism and other impairments generally get less comprehensive education. Training and assistance lessen the risk of sexual exploitation or abuse. It aimed to discover how much Jordanian mothers know about the sexual abuse of their children with autism and how a training program has helped them learn more. Also, a training program will be used to see how Jordanian mothers' education level affects their children's knowledge and development. The research instrument was administered to a random sample of 91 mothers of children with autism in the Ajloun governorate (Jordan). 56 paragraphs cover five dimensions of mothers' level of knowledge. 12 mothers were trained to understand sexual assault. The awareness scale examined before and after the impact of the training program. The training boosted mothers' comprehension of sexual abuse statistically. The research sample's arithmetic means on each dimension of the mothers' knowledge scale concerning sexual abuse and together owing to the mother's educational qualification variable were statistically significant. Mothers with bachelor's or postgraduate degrees learn more than those with secondary education. This study suggests that children with autism may benefit from sex education to lessen sexual assault risks, as well as opportunity to understand healthy sexuality. Parents and schools should provide sex education programs for specific interventions to assist children with autism in understanding their sexual needs. [ABSTRACT FROM AUTHOR]

The relationship between body appreciation and sexual satisfaction in cisgender heterosexual women is established, but little is known about sexual and gender minorities assigned female at birth (SGM-AFAB). Additionally, most studies focus primarily on partnered sexual experience, while sexual satisfaction from masturbation remains understudied. We addressed these gaps by examining, among SGM-AFAB, the relationship between body appreciation and sexual satisfaction from both partnered sex and masturbation, as well as how perceived social support and gender identity (cisgender vs. gender minority) moderated this relationship. Participants (N = 287, Mage = 25.74, 79.1% cisgender) responded to an online survey assessing their sexual satisfaction from partnered sex and from masturbation. We found that higher body appreciation was associated with higher sexual satisfaction both from partnered sex and from masturbation. Exploratory moderation analysis revealed that, for gender minority AFAB (but not sexual minority cisgender women), the positive relationship between body appreciation and sexual satisfaction from masturbation only existed in those with low levels of social support. Taken together, the findings highlight the critical role of body appreciation in sexual satisfaction for SGM-AFAB, especially gender minority (e.g., transgender and non-binary) individuals who lack social support. [ABSTRACT FROM AUTHOR]

Copyright of Antik Tanulmanyok is the property of Akademiai Kiado and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Personality disorders may influence sexual behaviours and sexual dysfunction. Aim: Our main objective was to analyse the influence of personality disorders (PDs) in patients with erectile dysfunction (ED) of psychological origin that fail to respond to andrological treatment with Phosphodiesterase-5 inhibitors (IPDE5), assessing whether there are differences in sexual behaviours and response to psychosexual treatment. Methods: The research is designed as an ex post facto retrospective study with two groups. A control group of 23 men with ED without personality disorders and a group of 51 men with both ED and PDs. Results: In the case sample, 34.30% of the participants presented more than one personality disorder. No significant differences were found in sexual behaviours except for heteromasturbation (men without PDs masturbated their partners more to satisfy them than men with PDs), and men with PDs considered themselves less premature ejaculators than the control group. Finally, 82.14% of the control group did well with psychosexual therapy compared to 53.85% of the PDs group. Conclusion: Psychosexual treatment of ED has a worse outcome if the men also have PDs. Strengths and Limitations: from a clinical standpoint, it is important to assess the presence of personality disorders in men with ED and to implement psychosexual strategies to improve the response to treatment in these cases. Confirmation of the results with a much larger sample becomes necessary. [ABSTRACT FROM AUTHOR]

This article provides a review and visualization of findings over the last 30 years related to the orgasm gap between men and women in heterosexual encounters. We describe and compare techniques commonly used for measuring orgasm occurrence and frequency patterns, and we summarize the contrast in orgasm rates shown in these studies across different behavior sets and social contexts. Of central importance, women's orgasm rates increase dramatically with the inclusion of behaviors that provide specific stimulation to the clitoris, revealing this gap is largely driven by social dynamics rather than strictly biological mechanisms. Disparities between men and women are especially pronounced in contexts with low levels of partnered sexual experience, partner familiarity, and relationship commitment. Women are also more likely to experience orgasm when masturbating or partnered with women than when partnered with men. Ultimately, we echo calls for a biopsychosocial approach to sexual enjoyment and well-being, and we provide recommendations for future research, including increased precision in measurement and reporting, diversifying sampling concentrations, and assessing life course trajectories. [ABSTRACT FROM AUTHOR]

Introduction: Primary intravaginal anejaculation (PIAJ) is a relatively uncommon male sexual dysfunction characterized by an inability to achieve intravaginal ejaculation during all sexual intercourse. Effective treatment options for this condition are lacking. We aimed to explore the clinical effect of the sexual therapy combined with vacuum negative pressure hydropneumatic/pneumatic bubble massage (VNPHP/PBM) on primary intravaginal anejaculation, and its possible mechanism. Methods: A total of 95 PIAJ patients were randomly divided into three groups, including group A with 32 patients treated with the sexual therapy combined with VNPHP/PBM, group B with 32 patients treated with the sexual therapy and group C with 31 patients treated with VNPHP/PBM. The efficacy of therapeutic regimes, latency of the somatosensory evoked potentials of dorsal nerve (DNSEP), glans penis (GPSEP) and penile shaft sensory threshold (PSST), measures of sexual behavior of patients, as well as the self‐rating anxiety scale (SAS) sores of patients and their partners, were compared before and after treatment among three groups. Results: The total effective rate of group A (84.38%) was higher than those of groups B and C (53.13% and 41.94%), however, no differences were found between groups B and C. The ratios of patients and their partners with anxiety, frequency of observing erotic films of patients, ratios of patients with special self‐masturbation and frequency of masturbation decreased significantly in the three groups after the treatment. The decrease in the ratios of patients and their partners with anxiety, frequency of observing erotic films of patients in groups A and B were higher than those of group C, however, no differences were identified between groups A and B. The decrease in the ratios of patients with special self‐masturbation and frequency of masturbation in group A were higher than those of group B, however, no differences were found between groups A and C, B and C. There were no differences in the latency of DNSEP, GPSEP, and PSST among the three groups before and after treatment. Conclusion: The sexual therapy combined with VNPHP/PBM has good therapeutic effects on PIAJ, which might be achieved by reducing the anxiety level of patients and their partners, improving sexual behavioral patterns, rather than increasing the sensitivity of penis including dorsal nerve and glans penis. [ABSTRACT FROM AUTHOR]

The article discusses the concept of bodily communication in psychotherapy, specifically focusing on the ways in which the body can be used as a mode of communication in therapy. The author explores various examples, such as the use of smell, physical actions, and eating disorders, to express psychological distress. The article also addresses the challenges and complexities of working with bodily communication, including the initial disgust that therapists may experience. The author highlights the importance of recognizing and understanding the embodied experiences of patients, particularly those who are marginalized or have little voice. Overall, the article emphasizes the need for therapists to engage with the embodied patient and consider the connections between the body and mind in therapy. [Extracted from the article]

Pornography use is a common sexual activity for many individuals including those in a romantic relationship. Some studies have shown that violent content depicted in pornography is a risk factor for perpetration of violence in real life. Even if most of these studies examined perpetration of violent behaviors in general, not specifically toward the intimate partner, some studies have shown that pornography use frequency is related to a greater perpetration of intimate partner violence (IPV), while other studies have found that it is not significantly related. However, most previous studies were cross-sectional, sampled individuals rather than couples, and did not include separately forms of IPV (e.g., physical, psychological, and sexual). The present study examined the associations between pornography use frequency and the perpetration of physical and psychological IPV, and sexual coercion among young adult couples. A convenience sample of 113 couples aged between 16 and 29 years old completed self-reported online questionnaires two times over a 2-year period. The results of autoregressive cross-lagged models showed that a person's pornography use frequency at Time 1 was related to their own higher sexual coercion perpetration 2 years later and that a person's sexual coercion perpetration was related to their partner's lower pornography use frequency 2 years later. However, no significant association between pornography use frequency and physical and psychological IPV emerged. In line with previous studies, our results suggest that pornography use represents an important risk factor for the perpetration of sexual coercion. Findings support the need to include education around pornography use in sexual violence prevention programs to avoid that young adults reproduce pornographic scripts in their sexuality. [ABSTRACT FROM AUTHOR]

Recent years have seen a surge in research related to compulsive, excessive, or out-of-control sexual behaviors. Yet, little is known about which behaviors people might experience as compulsive. Using YouGov America, a non-probability sample was collected, matched to U.S. representative norms, stratified, and weighted based on sample characteristics to ensure representativeness (N = 2,806; Mean Age = 48.9, SD = 17.3). Participants reported if they had experienced any concerns about their sexual behaviors being either "out of control" or "an addiction." Participants who endorsed such concerns were then asked to indicate which behaviors had led to such concerns, using a checklist of 11 potentially overlapping sexual behaviors (e.g. frequent casual sexual encounters, using apps to find sexual partners). Men—both heterosexual and gay/bi/other–were more likely to report concerns that their sexual behaviors were an addiction, relative to heterosexual women. Relative to heterosexual women, men of any sexual orientation were more likely to report pornography use as a specific behavior of concern, and less likely to report partnered sexual behaviors. More religious participants were more likely to endorse masturbation as a behavior of concern and less likely to endorse frequent casual sexual encounters. [ABSTRACT FROM AUTHOR]

Purpose: This narrative review explores the intersection of Autism Spectrum Disorders (ASD) and Problematic Pornography Use (PPU), focusing on sexual behaviors and relationship challenges. It aims to elucidate how ASD symptoms and comorbid ADHD contribute to sexual compulsivity. Methods: The study synthesizes literature from Hancock et al. and Schöttle et al., among others, to analyze sexual behaviors and relationship dynamics in individuals with ASD. It examines the high prevalence of ADHD in this population and its role in communication and emotional regulation issues that exacerbate PPU. Results: Individuals with ASD exhibit sexual behaviors similar to neurotypical individuals but face unique challenges. Autism-related social communication variances and sensory sensitivities contribute to atypical sexual behaviors. Comorbid ADHD further complicates these issues, leading to increased social difficulties and isolation. The use of masturbation and pornography as coping mechanisms in the absence of developed social communication skills can lead to compulsive behaviors. Conclusion: Tailored interventions are crucial for individuals with ASD, especially those with comorbid ADHD. Professional guidance and inclusive research are essential to promote healthier sexual behaviors and overall well-being. The review underscores the need for neuro-inclusive sexuality education to mitigate the risks associated with PPU and neurodiversity. [ABSTRACT FROM AUTHOR]

Introduction: Understanding the impact of external stressors on human sexuality, especially during war, remains a complex and understudied area. The study's goals were to observe and understand shifts in sexual behavior during the 2023 Israel–Hamas War, with a focus on gender differences. The primary goal is to explore the anticipated decline in sexual activity during wartime, while remaining open to unexpected findings. Methods: Utilizing a cross-sectional retrospective design, an online survey was distributed to Israeli adults. Participants (N = 1207) met specific inclusion criteria, and the survey, conducted from October 31 to November 7, 2023, assessed changes in individual and partnered sexual behaviors attributed to the war experience. Results: Approximately 50% reported stability in pornography and masturbation habits, while 40% reported a decrease in all sexual behaviors. Gender differences were notable, with women more likely to report no change in individual sexual behaviors, and men displaying varied responses. Factor analysis identified Emotional Reasons and Disturbances as key factors influencing decreased sexual behavior, with women attributing greater relevance to these factors than men. Finally, ANOVA tests indicated that age, religiousness, spirituality, and exposure to war-related stress differentiated changes in sexual behavior frequency in various ways. Conclusion: This study offers nuanced insights into the complex interplay between war-induced stress and human sexuality. Gender differences highlight the need for gender-sensitive interventions. The findings challenge assumptions about a universal decline in sexual activity during wartime, recognizing potential unexpected increases. Overall, the study deepens our understanding of how individuals navigate intimate relationships amid challenging circumstances. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate whether the presence of sexual problems in men (i.e., erectile dysfunction, premature ejaculation, or delayed ejaculation) is associated with differential sexual behavior during masturbation and partnered sex. Methods: Cisgender participants (n = 2,807) completed an internet-based, cross-sectional questionnaire about sexual interest, behavior, and functioning. Results: Men with premature ejaculation were less likely to engage in foreplay-type behaviors, whereas men with erectile dysfunction or delayed ejaculation were more likely to include self-stimulation and/or other stimulation strategies during partnered sex. Conclusions: Different behavioral patterns among dysfunctional men represent potential strategies for modulating sexual arousal levels. [ABSTRACT FROM AUTHOR]

Relationships and sexuality education is a key strategy for promoting safe sex and respectful relationships during adolescence. Understanding the ways in which young people define sex is critical to ensuring a shared understanding between sexual health educators and students. Young people aged 14–18 years (N = 6,043) who participated in a large-scale cross-sectional Australian study were asked to indicate whether various sexual practices (e.g. vaginal, anal or oral sex, genital rubbing, mutual masturbation) were included in their definition of ‘sex’. Associations between demographic characteristics, sexual experiences, and definitions of sex were identified using multiple logistic regression. Content analysis further examined open-text responses from 63 participants who expanded on their definitions. Almost all participants (99.1%) included vaginal sex in their definition of sex, 83.7% included anal sex and 59.7% included oral sex. Young people also included a diverse range of sexual practices that did not consistently align with common definitions used in sexuality education and sexual health promotion campaigns. Definitions of sex differed by gender and sexuality suggesting that when discussing sex with young people, educators and health professionals need to consider sexuality and gender diversity and take care to check common understanding of terminology. [ABSTRACT FROM AUTHOR]

The unresolved problematic at the center of Evelynn Hammonds's "Black (W)holes and the Geometry of Black Female Sexuality" is that of representation. The importance of representation, she argues, lies in its ability to highlight alternative modes of being and thinking. Though Hammonds is ambivalent about queer studies, it is the queerness of black lesbian sexualities that might offer the representational fullness and disruption to norms that she seeks. This essay takes the silence around the black, queer cancer patient to think about how to expand Hammonds's ideas. It works toward considerations of erotic autonomy in the context of illness by way of thinking with Audre Lorde and masturbation. [ABSTRACT FROM AUTHOR]

Solo masturbation is prevalent across adulthood. However, there are conflicting findings regarding how masturbation is associated with well-being. Understanding individuals' motives for masturbating might help disentangle these conflicting findings; yet, existing measures are suboptimal for assessing motives for solo masturbation. In this study, 2960 adults (18-84 years old, Mage = 32.62, SDage = 11.36, 60.2% men, 36.8% women) who had engaged in solo masturbation within the past year responded to items, written based on existing literature, reflecting a wide range of motives for masturbating. Exploratory factor analysis revealed eight factors that warranted retention (Fantasy, Pleasure/Arousal, Compulsion, Improvement, Sexual Dissatisfaction, Coping, Efficiency, and Avoidance of Risky Sex), and this structure was confirmed using confirmatory factor analysis. Measurement invariance was established across men and women, and individuals in and not in a sexually active romantic relationship. The resultant measure comprises 24 items assessing eight distinct motives. Fit indices and scale reliabilities suggest this new measure of masturbation motives is psychometrically sound. Correlations with related constructs (e.g., sex drive, dissatisfaction with partnered sex, religiosity, depression, anxiety, and attitudes toward masturbation) provide preliminary evidence of validity. Suggestions for future investigations and further development of this new measure are discussed. [ABSTRACT FROM AUTHOR]

The subjective orgasm experience (SOE) refers to the perception, sensation and/or evaluation of orgasm from a psychological point of view, representing an important construct of sexual functioning rarely studied under a dyadic approach. This study analyzed SOE in the contexts of sexual relationships and solitary masturbation in 179 different-sex and same-sex couples. The results indicated the absence of differences in intradyadic discrepancies in SOE dimensions in both sexual contexts, varying according to the type of couple. Besides, the study also highlights the influence of some of these discrepancies of SOE in solitary masturbation on SOE discrepancies in sexual relationships among the members of male-female and female-female couples. Furthermore, the study revealed that the intensity of partners' orgasm experience during solitary masturbation influences the intensity of SOE during sexual relationships, with variations observed based on the type of couple. These findings highlight the importance of considering SOE from a dyadic approach, with the association of orgasmic experience in both sexual contexts gaining relevance, differing according to the couple type. The results also point to the clinical implications of the dyadic effects of such an individual practice as solitary masturbation on shared sexual experiences. [ABSTRACT FROM AUTHOR]

Until December 2020, Spanish primary schools were not required to provide any kind of sexuality education, and most teachers did not receive training to carry it out. However, sexuality is clearly present in children's daily lives in school. We carried out qualitative research with teachers from four primary schools in Catalonia (Spain), aiming to explore how teachers without specific training in sexuality approach the issues in the classroom. Our analysis shows that teachers in the four schools governed children's sexuality in a gendered manner, using communicative vigilance and surveillance to regulate how children touched their own genitals. Findings suggest the need for continuing professional development and training to ensure teachers (re)think what adults may communicate to children about sexuality and gender when they have not received training in relationships and sex education. [ABSTRACT FROM AUTHOR]

Sexually transmitted diseases (STDs) as a concept was introduced at the end of the 1970s and covers diseases such as typical venereal diseases, as well as chlamydia infections, viral hepatitis B, hepatitis C and subsequently acquired immune deficiency syndrome, etc. The name of venereal diseases is derived from Venus, the goddess of love, beauty and fertility since Roman times. In India, formal training of venereologists started in 1910. The source of infection is a human. Clinical manifestations have a similar mechanism of transmission - through sexual contact, vertical transmission of pathogens and blood. STDs occur most often in the time of sexual maturation of individuals, which is getting extended at earlier age. The children are not prepared and aware with the risks of this new stage of their lives, and hence the prevention, which reveals the actuality of the topic. The aim of the present article is to study the need to introduce educational programs in sexology classes for the relevant age development - Primary schools and Secondary schools. There for an active members are needed such as health professionals (school nurses), child psychologists, teachers, parents and social workers. Results: The total number of respondents from two Secondary schools in the city of Burgas is 114 learners from grade 9th, 10th and 11th where the percentage of girls is predominant (72%). Of those who filled out the questionnaires, only 32 of all learners filled in some of the symptoms of STDs. As methods of protection they indicate a condom, medication, antibiotics, chastity, monogamy, vaccination, prevention, personal hygiene, contraceptives, gloves, masks, masturbation, toys. Among the STDs they know, the highest percentage is: AIDS, HIV, followed by gonorrhea and syphilis. During the discussion part followed by the thematic video the learners freely expressed their thoughts, the awareness of the problem and their desire to be informed through such an educational meetings and discussions with health professionals in the future. Materials and methods: Sociological, documentary and statistical methods were used. Conclusion: The obtained results show that the learners have a serious lack of knowledge on the subject, as well as on the methods of prevention and treatment. This determines the need to form multidisciplinary teams to increase health education among adolescents. [ABSTRACT FROM AUTHOR]

Copyright of Revista Electrónica de Psicología Iztacala is the property of Facultad de Estudios Superiores Iztacala and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We investigate sexual behaviours as a means of coping with negative emotions during the first covid19-related lockdown in France. We hypothesize that sexual behaviours have been used by the most psychologically fragile individuals to cope with the constraints, pressures, and threats associated with the health situation. We are interested in the overall use of sexual behaviours for coping purposes. We also distinguish dual relationships (with partners) from masturbatory behaviours. 2234 participants (mean age: 31.4yo, Female: 68.3%) participated to an on-line non-interventional survey during the first French covid-related lockdown. We assessed frequency of sexual behaviours in order to cope with stress, depression and anxiety. Main results show an increase in the use of sexuality as way of coping with negative emotions for 17.1% of the subjects (n = 382). Masturbatory behaviours were the most impacted (+12%, n = 269). Women differed from men both in the overall use of sexual behaviours as a coping strategy and in the more specific use of partnered sex. In line with our hypotheses, increasing use of sexual behaviours as a coping strategy during lockdown is more important when subjects present psychological vulnerabilities, such as anxiety symptoms or depressive symptoms. We investigate sexual behaviours as a way to coping with negative emotions during the first French covid19-related lockdown. We found an increase in coping with sex for one out of 6 participants. Increasing use of sexual behaviours as a coping strategy is more important when subjects present psychological vulnerabilities [ABSTRACT FROM AUTHOR]

Background: Although sexual life and its knowledge are still taboo in many cultures, especially for women, it can negatively affect women's sexual health. Aim: The aim of this study was to examine the relationship between the frequency and duration of masturbation and the sexual health literacy among young Muslim women of reproductive age between 18 and 25 years living in western Turkey. Methods: The cross-sectional descriptive study was conducted with 921 young women in western Turkey between March and December 2023. Participants were included in the study per the snowball method. The data consisted of attitudes, beliefs, and behaviors regarding masturbation, sexual life, and sexual health literacy. Data were obtained on an online platform and analyzed with SPSS (version 24; IBM). Difference, correlation, and regression analyses were performed. The significance level for statistical analyses was accepted as P < .05. Outcomes: The outcomes of the study are the attitudes, beliefs, and behaviors regarding masturbation, orgasm, sexual health literacy, and sexual function in women. Results: The participants were young Muslim women aged 21.00 ± 1.89 years (mean ± SD). The frequency of masturbation was 5.06 ± 2.03 times per month, and the duration was 3.47 ± 1.77 minutes per day. Masturbation frequency and duration were significantly associated with sexual health literacy and sexual function (P < .001). According to regression analysis, sexual function increased and sexual health literacy increased as masturbation frequency and duration increased (P < .001). Clinical Implications: This study presents results on the current situation regarding the sexual health literacy and sexual lives in women from different geographies and cultures, and it serves as a source for future studies on areas that need to be improved. Strengths and Limitations: The limitation of the study is that it was conducted only with Muslim and Turkish women who use smartphones and are sexually active, so it cannot be generalized to all women. The strengths of the study are that it was conducted with a sample of 921 women, it was based on self-report and addressed many dimensions related to masturbation and female sexuality, and the results were reached through exploratory analysis. Conclusion: The study found that the higher the duration and frequency of masturbation in young women, the better their sexual function and higher their sexual literacy. [ABSTRACT FROM AUTHOR]

This study aimed to provide epidemiological information on drug-facilitated sexual assault in Spanish youth partying, with a focus on prevalence rates and associated sociodemographic factors. Cross-sectional study. Quota sampling was used to recruit 1601 young people aged 18–35 years in Spain from a digital panel. A validated questionnaire on drug-facilitated sexual assault was used to assess five types of lifetime victimisation experiences while partying. Chi-square and the exact Fisher tests were used to describe the prevalence of victimisation, drug use patterns, and perpetrator profiles. Generalised ordered logistic regression was used to explore factors associated with victimisation, analysed by gender. Half of young women and one-quarter of young men had experienced drug-facilitated sexual assault in their lifetime. Female victimisation due to touching and kissing was notably high, whereas men comprised almost half of the victims of more invasive DFSA experiences involving masturbation, penetration, and oral sex. Opportunism prevailed as the assault tactic, consisting of taking advantage of the victims' incapacity derived from voluntary alcohol use. Among women, risk of victimisation was associated with a lower education level, foreign-born status, and being non-heterosexual. Male victimisation risk was highest among non-heterosexual men. Drug-facilitated sexual violence in youth nightlife contexts is a serious public health issue in Spain, which requires urgent action. Most assaults involve taking advantage of victims who are incapacitated by the effects of voluntary alcohol consumption. This sexual violence primarily affects women with lower educational levels or those who are foreign-born and non-heterosexual men and women. [ABSTRACT FROM AUTHOR]

We aimed to establish the prevalence of atypical masturbation in the general population and explore the association between atypical masturbation and male sexual dysfunction in heterosexual males. Atypical masturbation refers to stimulation significantly distinct from that encountered during partnered sexual activity. We posted questionnaires that contained the abridged International Index of Erectile Function (IIEF-6) and the premature ejaculation diagnostic tool on social media in China. We collected 2743 valid questionnaires from December 9, 2020, to April 18, 2021. We found that the prevalence of atypical masturbation in the general population was 10.97%. Men with atypical masturbation had lower IIEF-6 scores and higher rates of erectile dysfunction (ED) than men with typical masturbation. The prevalence of premature ejaculation and estimated intravaginal ejaculatory latency time were not significantly different among men with different patterns of masturbation. Our study demonstrated that atypical masturbation is associated with ED, and a clinician dealing with sexual issues should inquire more fully about masturbation patterns than has been done to date. [ABSTRACT FROM AUTHOR]

Copyright of Question (1669-6581) is the property of Universidad Nacional de La Plata and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The goal of this study was to explore the sexual activities that older adults consider as having had sex and to examine correlates of the ways that older men and women define sex. A sample of 286 men and women aged 60 years and older who were involved in a romantic relationship were recruited online from Prolific and Facebook advertisements. Participants were presented a list of 19 different sexual activities and asked whether they would think they had sex if they engaged in each one of those activities. Results showed that penetrative sexual activities were found to be the most likely endorsed as having had sex, followed by genital non-penetrative activities, masturbation activities, and non-genital contact. Greater sexual frequency for a sexual activity was associated with endorsing that same activity as having had sex. A cluster analysis revealed five different groups of individuals based on the activities that they considered as having had sex. Only small differences in sexual wellbeing were found among these groups of individuals. The way older men and women define sex is complex and shows great variability. Our results have important implications for the operationalization and assessment of sexual activity. Other implications for healthcare and future research are discussed. [ABSTRACT FROM AUTHOR]

Background: Limited gender-based research has compared sexual health among pornography users (PUs) and non-users, including non-problematic pornography users (non-PPUs) and problematic pornography users (PPUs), particularly in non-Western cultures. Methods: A 2022 cross-sectional study involving 450 Iranian university students categorized participants as PUs or non-users based on 12 months of use. PUs were further classified as non-PPUs or PPUs using the 'Problematic Pornography Use Scale' cutoff point, with comparisons of demographic and sexual variables made between these groups. Results: Pornography use was reported among 39.6% of students, including 51.7% of men and 33.6% of women. In general, 9.5% of participants were PPUs, including 17.4% of men and 5.6% of women. PUs were mainly men, had fewer children, shorter marriages, lower religiosity, and lower levels of education. Compared with non-users, PUs reported earlier sexual relationships, lower satisfaction with sex frequency and communication, and greater rates of extramarital relationships, masturbation, sexual desire, and sexual distress. PPUs reported more sexual desire, pornography use, masturbation, and extramarital affairs than non-PPUs. Similar patterns in demographics, sexual history, and health were observed in pornography use across genders. The regression indicated being male (OR: 2.42, 95% CI: 1.44–4.06), having lower education (OR: 0.89, 95% CI: 0.81–0.97), fewer children (OR: 0.64, 95% CI: 0.48–0.86), higher masturbation (OR: 1.31, 95% CI: 1.14–1.49), more extramarital relationship (OR: 1.69, 95% CI: 1.07–2.67), less religiosity (OR: 0.87, 95% CI: 0.82–0.93), more sexual excitement (OR: 0.79, 95% CI:0.62–1), and more sexual distress (OR: 1.20, 95% CI: 1.02–1.32) were associated with pornography use. Two-way ANOVA found no significant effects of gender or pornography use on sexual satisfaction. Women had worse sexual function regardless of usage. Pornography users, regardless of gender, experienced higher sexual distress. [ABSTRACT FROM AUTHOR]

Objectives: Recent findings suggest that individuals tend to engage in masturbation more frequently when experiencing elevated levels of psychological stress, and there appears to be distinguishable effects on stress response based on clitoral and vaginal stimulation. In this concurrent mixed-method study, we aimed to investigate this association in more detail using a convenience sample of 370 women. Methods: Quantitative data were used to examine whether higher psychological distress was associated with higher levels of masturbation frequency depending on the mode of stimulation, while qualitative data gave further insight into this association. Results: In regression analysis, higher levels of general and subscale-specific psychological distress were significantly associated with higher clitoral, but not combined clitoral and vaginal masturbation frequency. Qualitative content analysis showed that masturbation was used as a reliable coping strategy and self-care strategy which induced positive affective states, such as happiness and relaxation. Very few women reported negative feelings associated with masturbation. Mixed-method analysis revealed that women who indicated to use of masturbation for coping or self-care or who reported negative feelings did not differ in their level of psychological distress from women who did not report using it. The positive effects of masturbation were not related to the mode of stimulation. Conclusions: Results showed the complexity of how psychological distress is related to sexual activity and point to the potential benefits of masturbation for dealing with psychological distress and for enhancing general well-being. Our results have various implications for researchers, clinicians, and society. [ABSTRACT FROM AUTHOR]

This study investigates the significance of sexuality education for individuals with disabilities in Taiwan. It highlights the importance of understanding sexuality as a fundamental aspect of identity, encompassing intimate relationships and connection to others. Since the implementation of the Gender Equity Education Act in 2004, Taiwan has made efforts to include comprehensive sexuality education in the school curriculum and integrate disabled students into mainstream education. However, disabled individuals still face barriers due to ableism and heteronormativity, which impede their access to sexual and reproductive health services, including sexuality education. To address this issue, we conducted a qualitative investigation using narrative and policy data, drawing on Scott's phenomenology of nothingness and crip theory to explore the intersection of sexualities and disabilities in educational contexts. Our findings reveal that individuals with disabilities in Taiwan often rely on pornography and other erotic materials as informal sources of sex education. Hand Angels, a volunteer-based group established in 2013, has been actively promoting sexual rights within disability rights organisations, advocating for a comprehensive, sex-positive, pleasure-focused, and rights-based approach to sexuality education. However, there are still gaps in knowledge production and policy implementation, which systematically deny people with disabilities their right to sexual agency. [ABSTRACT FROM AUTHOR]

Sexual health education should meet the needs of all students. One strategy educators can use to ensure instruction meets students' needs is to encourage the submission of anonymous questions, allowing students to gain information without fear of instructor or peer reactions. We investigated anonymous questions submitted by middle school (7th-grade, ages 12-13) students during a sexual health education curriculum in Ohio, USA. Questions (n=893) were organised into 12 categories: reproductive anatomy (n=186), LGBTQ+ topics (n=130), sexual behaviour (n=120), class-related questions (n=99), pregnancy (n=78), slang (n=52), STIs (n=44), protection/birth control (n=33), relationships (n=19), consent (n=14), health services (n=9), abstinence (n=1), and unrelated questions/comments (n=108). After categorising questions, we conducted thematic analysis with the three largest categories (reproductive anatomy, LGBTQ+ topics, sexual behaviour). Results revealed students wanted to know about the normality of the processes and functions of their bodies. Students also expressed concern and had internalised social norms about LGBTQ+ topics. Student questions about sexual behaviour suggested they wanted to learn more about the purposes and processes of sex, e.g., how people have intercourse. Findings underscore the need for inclusive, comprehensive and medically accurate sexual health education for early adolescents. We discuss implications for student health/well-being, educator development, and school staff. [ABSTRACT FROM AUTHOR]

The current study investigated the correlates of post-coital dysphoria (PCD) in men and women. Moreover, the study explored the PCD prevalence in the sexual contexts of a relationship, casual sex, and masturbation. An online survey was completed by 156 participants, 51 males and 105 females. All participants were over 18 and have had sex in and out of relationships, as well as having engaged in masturbation. Results showed that PCD was prevalent in each of the three sexual contexts, for both males and females. Furthermore, some previously identified correlates were replicated and found to be statistically significant predictors of PCD. A previously unexplored variable that was also found to significantly predict PCD were negative attitudes toward masturbation. The current research established that PCD occurs in multiple sexual contexts – something previously unknown. Prevalence rates of PCD after sex within a relationship, casual sex, and masturbation, for males were 21.6, 49 and 72.5, respectively. For females, prevalence rates were 11.4, 77.1 and 51.4%, respectively. Additionally, it identified which factors predict the experience of PCD for each of the different sexual contexts for each gender. This has potentially huge implications in formulating a focus for the treatment of PCD, dependent upon the gender and sexual context it is experienced in. [ABSTRACT FROM AUTHOR]

Introduction: Adolescent North Korean defectors are vulnerable due to harmful environments during defection, limited access to sex education in North Korea, and exposure to different sexual norms in South Korea. The purpose of this study was to investigate the sexual knowledge, attitudes, and sex education needs of North Korean refugee adolescents. Methods: A cross-sectional, descriptive survey was administered to 102 North Korean refugee adolescents. Results: The correct answer rate for questions on genital anatomy, physiology, masturbation, and contraception was less than 20%. The participants exhibited conservative attitudes toward female contraception, masturbation, and having friends of the opposite sex. A significant positive correlation was found between knowledge and the need for sex education. Discussion: These results highlight the importance of tailored sex education in providing accurate information, improving sexual knowledge, fostering positive attitudes, and enabling healthy behaviors among adolescent North Korean defectors. [ABSTRACT FROM AUTHOR]

Inappropriate sexual behaviors may be observed in individuals with intellectual disabilities (ID), especially during adolescence. There are several undesired consequences of exhibiting such behaviors in public spaces, such as schools. The competencies and attitudes of special education teachers, who are responsible for the education of individuals with ID, are of significant influence. This study was conducted to investigate the views of special education teachers working with adolescents with ID on inappropriate sexual behaviors exhibited in educational settings. Accordingly, semi-structured interviews were conducted with 12 special education teachers. The phenomenological research design, one of the qualitative research methods, and thematic analysis were used in this study. Five themes were identified after the analysis of the findings of the study, namely, common behaviors, teacher attitudes, teacher competencies, teacher interventions, and educational content. The findings were discussed on the basis of the relevant studies in the literature and a number of conclusions were reached. Accordingly, the inappropriate sexual behaviors that special education teachers encounter the most frequently are masturbation, undressing, and touching, and when these behaviors are exhibited aggressively, teachers have difficulty in intervening. Participants regard themselves to be incompetent in terms of sexual education and consider relevant educational content inadequate. [ABSTRACT FROM AUTHOR]

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Objectives: The saliva of individuals with oropharyngeal gonorrhoea can contain viable Neisseria gonorrhoeae. This study examined if using saliva as a lubricant for masturbation is a risk factor for urethral gonorrhoea among men who have sex with men (MSM). Methods: In this cross-sectional study, MSM aged ≥18 years attending the Melbourne Sexual Health Centre between February 2021 and December 2023 were surveyed. Data were collected on sexual activities in the past 7 days, including receiving fellatio, condomless insertive anal sex, docking, and using saliva for masturbation. Multivariable logistic regression examined associations between these exposures and urethral gonorrhoea. Results: The median age of the 3114 men was 32 (IQR: 27-40), with 4.7% (n = 145) testing positive for urethral gonorrhoea. Urethral gonorrhoea was independently associated with an increasing number of partners for condomless insertive anal sex (P < 0.001). It was not significantly associated with receiving fellatio (P = 0.613), docking (P = 0.207), or using saliva for masturbation (P = 0.117). However, of the 110 men who only used saliva for masturbation, two (1.8%) had urethral gonorrhoea, and one (0.9%) had both urethral and oropharyngeal gonorrhoea. Conclusion: Condomless insertive anal sex is the leading risk factor for urethral gonorrhoea and not using saliva as a lubricant for masturbation.

This paper analyses the relationship between masturbation and literary creation, taking as a reference the memoirs and some poems by Carlos Barral. For this purpose, it also considers texts by other authors, who lived through Franco's repression just like Barral or simply gave their own meaning to the search for intimate pleasure implied by autoeroticism. The essay aims to study the ways in which literary and sexual subjectivity feed back into each other, in an era marked by censorship and silence.

Background: Childhood gratification syndrome (CGS) refers to self-stimulatory or masturbatory behaviors in children, which may have an onset as early as in infancy (IGS). Aim: The aim of this review is to understand the various clinical manifestations of CGS/IGS and their clinical differentiation from commonly misdiagnosed neurological and physical illnesses and to formulate a preliminary approach to their diagnosis and management. Methods: This narrative review is based on a search of literature over the past 50 years (1972--2022) in three online databases (PubMed/Medline, Embase, and Google Scholar). Results: The behaviors are episodic, occurring for brief periods, involving posturing, stereotypical limb movements, pubic pressure with autonomic hyperactivity, and postepisodic lethargy. They mimic seizures, movement disorders, abdominal pain, and tics. The paper also highlights the gap in the current knowledge to guide future research in the area. CGS usually represents nonpathological "pleasure-seeking" habits of childhood, but at times, it may become problematic for the child and his family. A careful history and videotape analysis of the events confirms the diagnosis and behavioral therapy with parental reassurance as the mainstay of treatment. Conclusion: A better understanding and clinical awareness of the CGS are necessary to prevent misdiagnosis and delay in appropriate intervention. [ABSTRACT FROM AUTHOR]

College students represent a unique population in terms of reasons for engaging and not engaging in masturbation given that they may have more expansive ideas about masturbation while also (for some) being limited in experience engaging in masturbation. Survey data were collected from 531 college students at a Western university in the United States. Lifetime masturbation, masturbation frequency, reasons for engaging in masturbation (or not engaging in masturbation), and body satisfaction were examined. Results indicated that only women (n = 55; 12%) and one transgender/gender non-conforming student reported never engaging in masturbation. Eighteen reasons for engaging in masturbation were identified with women reporting more nuanced reasons for engaging in masturbation. The most cited reason for engaging in masturbation was for "pleasure." Results indicated that citing pleasure as a reason for masturbation was associated with more frequency of masturbation for women (not for men). Seven reasons for not engaging in masturbation were identified (by women). Results also indicated significant differences in masturbation frequency between men and women. However, no differences were observed in body satisfaction between women that had ever masturbated and those that had not and there were no significant correlations between body satisfaction and masturbation frequency. Findings have implications of sexuality education among college students and sex research on masturbation behaviors. [ABSTRACT FROM AUTHOR]

Based on three-month online participant observation in "Jie Se Ba," a male-dominated pornography abstinence forum with 6 million users, this article explores how low-status men in China recode the requirements of Chinese individualisation by using China's traditional ethics in order to make individualisation accessible to themselves. I examine their aspirations as desiring selves, their means of self-mastery and the community culture they have established. Due to a lack of financial power, educational background, and cultural resources, members of this group disengage from mainstream desires for financial success and middle-class-style self-fashioning practices. Instead, by appropriating traditional Chinese sexual ethics, they set more modest family-centred aspirations and adopt jiese, or masturbation abstinence, as a means of practicing self-mastery to build their striving selves. In their efforts to integrate themselves into Chinese individualisation, they accept and express a set of conservative gender-sex and familial ethics. This article argues that such a situation is caused, at root, by a social mechanism within Chinese individualisation that restricts, excludes and stigmatises low-status groups. [ABSTRACT FROM AUTHOR]

NoFap is a community of mostly heterosexual men abstaining from what they see as an addictive cycle of pornography, masturbation, and orgasm, induced by the exploitation of innate male urges by the pornography industry. In the general population, increased masturbation and consumption of pornography are associated with psychological factors including low affect, loneliness, and boredom, all of which may be exacerbated by the lockdown/social distancing measures adopted in response to the Covid-19 pandemic. The present study explores how the NoFap community has responded to the pandemic through discourse analysis of an online message board. We identify four key themes: i) I let go in lockdown, ii) the opportunity of lockdown, iii) testing the parameters of NoFap, and iv) community cohesion. Each is defined and discussed. Combined they illustrate a digital community struggling to honor its meritocratic masculine ideals in the face of challenging circumstances. [ABSTRACT FROM AUTHOR]

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The purpose of this study was to expand the empirical research on Black women's sexualities by exploring differences in heterosexual and queer Black women's sexual experiences including sexual pleasure, orgasms, masturbation, number of sex partners, and sexual desire through a Black queer feminist lens. This study used survey data from n = 295 Black cisgender women from phase one of the triphasic Big Sex Study. Results showed that Black queer women had more sexual partners and reported masturbating at earlier ages compared to heterosexual women. Black queer women also reported higher pleasure ratings in sexual activities, sexual intimacy, and sexual intercourse. Finally, there were differences in correlates of sexual desire between heterosexual and queer women; however, no factors were correlated with desire to engage in sexual intercourse for power and control for both groups of women. Implications for advancing sex positive research on sexually diverse Black women are included. Black women's sexology has often focused on sexual risks and heterosexual women. This study focuses on sex positive aspects including sexual pleasure, orgasms, and desire among Black heterosexual and queer women. Results showed that queer women were more likely to have higher pleasure rankings and had different correlates of desire. [ABSTRACT FROM AUTHOR]