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Masturbation is the self-stimulation of the genitals to achieve sexual arousal and pleasure, usually to the point of orgasm (sexual climax). It is commonly done by touching, stroking, or massaging the penis or clitoris until an orgasm is achieved. Some women also use stimulation of the vagina to masturbate or use sex toys, such as a vibrator. Masturbation, or onanism, is the stimulation, often manual, of the genitals for sexual gratification. Declared in his classification of mental disorders (1838) that masturbation is recognized. Frequent or rough masturbation can cause minor skin irritation. Forcefully bending an erect penis can rupture the chambers that fill with blood , a rare but gruesome condition called penile fracture. Masturbation is the first sexual act experienced by most males and females. In young children, masturbation is a normal part of the growing childs exploration of his or her body. paraphilias are sexual interests in objects, situations, or individuals that are atypical. Chemical castration is a procedure wherein medications are administered to reduce testosterone levels. This punishment is granted to sexual offenders in some countries. Assessment biopsychology comparative cognitive developmental language individual differences personality philosophy social methods statistics clinical educational industrial professional items world psychology professional psychology debating chamber psychology journals psychologists clinical procedure classification diagnosis classification loinc. case vignettes are provided to illustrate the most common profiles of hypersexuality referral that presented to a large, hospital-based sexual behaviors clinic, including (1) paraphilic hypersexuality, (2) avoidant masturbation, (3) chronic adultery, (4) sexual guilt, (5) the designated patient, and (6) better accounted for as a symptom of.