Is Masturbation Considered Sexual Activity? Gynecological Insights - Obstetrics and Gynecology

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I would like to ask the doctor: Is invasive masturbation considered a form of sexual activity? What kind of examinations will be performed by a gynecologist for dysmenorrhea? Can a gynecologist determine if someone has masturbated? Is it okay to masturbate before seeing a gynecologist?

Niming, 20~29 year old female. Ask Date: 2021/02/17

Dr. Huang Zifei reply Obstetrics and Gynecology


Dear Anonymous,
Invasive masturbation is considered a form of sexual activity.
For physiological pain, an ultrasound is usually recommended.
If there has been no male-female sexual intercourse, an abdominal ultrasound can be performed for bladder distension; if necessary, a transvaginal ultrasound may be conducted.
A gynecological examination cannot reveal the act of masturbation, so it is permissible to masturbate before your appointment.
If you have further questions, please discuss them with your obstetrician-gynecologist.

Dr.
Huang Tzu-Fei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2021/02/17

More Info


Masturbation is indeed considered a form of sexual activity. It is a natural and common behavior among individuals of all genders and sexual orientations. Masturbation involves self-stimulation of the genitals for sexual pleasure, and it can be a healthy part of sexual expression. It is important to note that masturbation can vary in technique and intensity, and some individuals may engage in more invasive forms of self-stimulation, which can still be classified as masturbation.

From a gynecological perspective, masturbation does not typically have negative health implications unless it leads to physical injury or discomfort. It is a normal part of sexual health and can even have benefits such as relieving stress, improving sleep, and enhancing sexual function. However, if someone experiences pain during masturbation or has concerns about their sexual health, it is advisable to consult a healthcare professional.

When it comes to gynecological examinations, if a patient presents with symptoms such as pelvic pain or discomfort, the gynecologist may perform a variety of assessments. These could include a pelvic exam, ultrasound, or other imaging tests to evaluate the reproductive organs. The healthcare provider may also inquire about the patient's sexual history, including masturbation habits, as part of a comprehensive assessment. However, it is important to understand that gynecologists do not have the means to determine if someone has masturbated based solely on physical examinations.

Regarding the question of whether one can masturbate before a gynecological appointment, it is generally acceptable to do so unless specifically advised otherwise by a healthcare provider. However, if a patient is experiencing discomfort or pain, it may be beneficial to refrain from masturbation prior to the appointment to ensure that any symptoms can be accurately assessed.

In summary, masturbation is a recognized form of sexual activity and is generally considered a normal part of sexual health. If there are concerns about pain or other symptoms related to sexual activity, including masturbation, it is important to seek medical advice. Gynecological examinations can help identify underlying issues, and open communication with healthcare providers can lead to better understanding and management of sexual health.

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