Male Masturbatory Behaviors and Sexual Function

Defining Normal Masturbatory Function

Men typically maintain at least partial voluntary control over if and when they ejaculate during both partnered sexual encounters and masturbation 1
The median ejaculatory latency time (ELT) in Western countries is 5-6 minutes during partnered sex, providing a reference point for normal function 2
The presence of masturbatory erections is a key indicator assessed during erectile dysfunction evaluation, as their presence suggests preserved erectile capacity 3, 4

The presence of nocturnal and/or morning erections, along with masturbatory erections, helps distinguish psychogenic from organic erectile dysfunction 3, 4
When erectile dysfunction and premature ejaculation coexist, the ED should be treated first, as many men develop secondary PE from anxiety about maintaining erections or requiring intense stimulation 5, 6
Masturbation that interferes with partnered sexual satisfaction or causes distress to the patient or partner warrants clinical attention 1