د. علي آل فرحان

Masturbation: Understanding the Behavior and Related Concerns

Explore masturbation, concerns, personal values and relationships through a careful psychological discussion, with reflection questions and clear limits on interpretation.

Psychological Library → Intimacy and Sexual Health

Educational content for adults · Editorial update: 31 October 2026

A question about masturbation may begin with an unspoken worry: “Does this mean something is wrong with me?” or “What does it mean for my marriage?” Someone else may want to reduce the behavior because it conflicts with their values. These are different questions and deserve to be understood in their own terms.

What can frequency tell us?

The International Society for Sexual Medicine does not prescribe one frequency for everyone. Interference with everyday life, or irritation or pain, is more useful grounds for assessment than comparison with other people’s numbers. [1]

Describe the concern precisely: is it about the behavior itself, the time it takes, difficulty choosing differently, or conflict with your beliefs? Several concerns may coexist. Combining them under a single label such as “addiction” can obscure what actually needs attention.

Does it mean dissatisfaction with a partner?

A large US observational study found that associations between masturbation and partnered sex varied with gender and satisfaction with sexual frequency. Associations were modest and conditional. The findings neither establish one cause nor explain an individual couple’s experience. [2]

If the issue feels hurtful within a marriage, partners can discuss privacy, agreements and honesty without treating the behavior as a direct measure of love or attraction. A partner’s feelings deserve attention; those feelings do not establish the other person’s motives.

A possible psychodynamic reading: what does it mean to this person?

Psychodynamic thinking explores personal meanings, defensive responses and patterns of closeness and distance. The theoretical source here offers a relationship framework; it does not establish a particular cause of masturbation. [3]

Consider a fictional example. Someone notices that they masturbate after arguments in which they feel unwanted. Together, we might explore whether they are seeking comfort, distance or a temporary sense of control. They might instead find that ordinary sexual desire explains the experience better. The question invites exploration rather than prescribing an answer.

This is not a clinical case or a universal explanation. It cannot establish childhood trauma, immaturity or rejection of a partner. Understanding starts with listening to the person, noticing context and timing, and asking what changes across situations.

Respecting values without turning them into a diagnosis

A person may choose abstinence or reduction for religious or personal reasons. Their goal can be respected without labeling them ill or requiring them to abandon their beliefs. This article discusses psychological and health questions; it does not provide a religious ruling.

It may help to distinguish “This behavior does not fit my values, and I want to change it” from “I am a bad person who deserves no respect.” The first identifies a goal to discuss. The second is a harsh judgment of the whole self that does not, by itself, tell us how to help.

Reflection questions, not a test

You might briefly note what happened beforehand, what you wanted from the behavior at that moment, and its effects afterward and during the day. These questions have no score, and no answer provides a diagnosis.

If you want change, connect the goal to your life: protecting sleep, reducing preoccupation or seeking support with a conflict involving your values. A clinician can explore suitable options without promising one solution for everyone or turning treatment into a judgment of your character.

When is assessment useful?

Seek assessment for pain or injury, interference with work, sleep or relationships, or repeated difficulty controlling the behavior that troubles you. Distress deserves attention even if no disorder is identified. Physical symptoms warrant medical consideration rather than an automatic psychological explanation. [1]

A useful opening may be: “I want to explain what happens and what concerns me before we give it a name.”

References and source types

1. International Society for Sexual Medicine. What is the “normal” frequency of masturbation? [Patient education; accessed 31 October 2026]. ISSM.

2. Regnerus, M., Price, J., & Gordon, D. (2017). Masturbation and Partnered Sex: Substitutes or Complements? Archives of Sexual Behavior, 46, 2111–2121. [Observational study]. doi:10.1007/s10508-017-0975-8.

3. Nielsen, A. C. (2017). Psychodynamic Couple Therapy: A Practical Synthesis. Journal of Marital and Family Therapy, 43(4), 685–699. [Theoretical and clinical synthesis; not a study of masturbation]. doi:10.1111/jmft.12236.