Abstract：
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.
摘要：
我们旨在确定普通人群中非典型手淫的患病率，并探讨异性恋男性中非典型手淫与男性性功能障碍之间的关系。非典型手淫是指与伴侣性活动中遇到的刺激明显不同的刺激。我们在中国的社交媒体上发布了包含简化的国际勃起功能指数（IIEF-6）和早泄诊断工具的问卷。我们从2020年12月9日至2021年4月18日收集了2743份有效问卷。我们发现普通人群中非典型手淫的患病率为10.97％。与典型手淫的男性相比，非典型手淫的男性的IIEF-6评分较低，勃起功能障碍（ED）的发生率较高。不同自慰方式的男性早泄发生率和估计阴道内射精潜伏期无显著差异。我们的研究表明，非典型手淫与ED有关，处理性问题的临床医生应该比迄今为止更全面地询问手淫模式。
