Sexual Activity: Is Masturbation Considered Sex?

Q: Sexual Activity: Is Masturbation Considered Sex?

Dear Miss Milly： Regarding your inquiry about masturbation potentially affecting the integrity of the hymen, it is also possible that such behavior could lead to a vaginal infection. <br>For an assessment of whether the hymen is intact, you may consult a gynecologist. <br>(Mastur

Questions about sexual activity? Pain on both sides of the lower abdomen?

Hello Doctor: I have a question that I've been hesitant to ask during my appointments, so I would like to inquire here.
The definition of sexual intercourse refers to the union of male and female genitalia, but what if there is no such union, yet there is masturbation (inserting a rod-like object into the vagina)? Does this count as a form of sexual activity? I occasionally engage in masturbation two to three times a month, and recently, after my menstrual period ended, I have been experiencing a dull ache on both sides of my lower abdomen, similar to menstrual cramps, along with white, milky, and yellowish discharge.
I visited a gynecologist yesterday, and when asked about sexual activity, I replied that I had none.
The doctor diagnosed me with a yeast infection based on the external examination and also performed an abdominal ultrasound.
The doctor mentioned that since I had no sexual activity, pelvic inflammatory disease was not a consideration.
However, I really want to ask if my masturbation behavior is also considered a form of sexual activity, and should I go back to the clinic for another check-up? Additionally, if this is considered sexual activity, should I also undergo a Pap smear? Thank you for your guidance.

Milly, 30~39 year old female. Ask Date: 2019/10/16

Dr. Lin Manying reply Obstetrics and Gynecology

Dear Miss Milly: Regarding your inquiry about masturbation potentially affecting the integrity of the hymen, it is also possible that such behavior could lead to a vaginal infection.
For an assessment of whether the hymen is intact, you may consult a gynecologist.
(Masturbation can lead to infections, but it is not classified as sexual intercourse.) The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2019/10/16

More Info

Masturbation is a common and natural behavior that many people engage in, and it often raises questions about its classification as a sexual activity. To address your inquiry, yes, masturbation is indeed considered a form of sexual activity. It involves self-stimulation of the genitals, which can lead to sexual arousal and orgasm, similar to partnered sexual activities. The definition of sexual activity can vary, but it generally encompasses any behavior that leads to sexual arousal or gratification, whether it involves one person or multiple partners.

In your case, using a phallic object for vaginal penetration during masturbation qualifies as a sexual act. It is important to understand that sexual activity does not solely hinge on the presence of another person; self-pleasure is a legitimate expression of sexuality.
Regarding your physical symptoms, such as the abdominal pain and changes in vaginal discharge, it is wise to consult with a healthcare provider. While your doctor may have initially ruled out pelvic inflammatory disease (PID) due to your lack of partnered sexual activity, it is still possible for other conditions to cause similar symptoms. For instance, the presence of a yeast infection, which you mentioned, can lead to discomfort and changes in discharge.
If you are experiencing persistent pain or unusual discharge, it is advisable to seek further evaluation. A follow-up appointment can help clarify whether your symptoms are related to your masturbation practices or if they stem from another underlying issue. Additionally, if you are engaging in any form of sexual activity, including masturbation, it is a good idea to discuss whether routine screenings, such as Pap smears, are appropriate for you.
In summary, masturbation is indeed a form of sexual activity, and your concerns about your symptoms warrant further medical attention. It is crucial to maintain open communication with your healthcare provider about your sexual health and any changes you experience. This will ensure that you receive the best possible care tailored to your individual needs. Remember, sexual health is an important aspect of overall well-being, and addressing any concerns you have is a positive step toward maintaining that health.

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