What the science says about masturbation and health

Science library Health and safety

Last reviewed: Written and reviewed by the Loviux Team. 8 studies

We check every summary against the study's original abstract: the quotation is verbatim and the figures match. How we verify our information

This page reports on published research. It is not medical advice and does not replace a healthcare professional.

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On this page
  1. In 30 seconds
  2. What the studies say overall
  3. Where they disagree
  4. Limits of the evidence
  5. The studies, one by one
  6. What this means in practice
  7. Other topics in the library

In 30 seconds

What the studies say
Masturbation is common at any age. Among people aged sixty to seventy-five in four European countries, between four and almost seven in ten men and between three and four in ten women had masturbated in the previous month (Fischer et al., 2022).
The main limitation
Almost all are cross-sectional surveys: they show associations, not causes (Huang et al., 2023; Jacobs et al., 2021; Berger et al., 2019).
In practice
There is no right frequency: what was associated with distress was the gap from what each person wants (Huang et al., 2023).

What kind of studies there are

  • Syntheses of studies 1
  • Descriptive or expert opinion 7

We classify each study by its design. A synthesis of many studies or a randomised trial supports firmer conclusions than a survey or an expert opinion. The design does not tell you whether a result is good or bad.

What the studies say overall

Masturbation is common at any age. Among people aged sixty to seventy-five in four European countries, between four and almost seven in ten men and between three and four in ten women had masturbated in the previous month (Fischer et al., 2022).

What is associated with distress is not masturbating a lot or a little, but the gap from what one would like: in a large Finnish survey, those who masturbated more or less than they wanted had more sexual distress (Huang et al., 2023).

In young men, frequency did not appear to influence erectile dysfunction, whereas problematic pornography use was associated with it (Jacobs et al., 2021), and in a urology clinic, men who preferred to masturbate with pornography over sex with a partner had more sexual dysfunction (Berger et al., 2019).

In a review on long-distance relationships, masturbation helped with sleep and managing stress, although excessive use was associated with more anxiety (Kusuma et al., 2026). And among users of a menstrual tracking app, orgasm was more frequent alone than with a partner (Hewings-Martin et al., 2026).

Beliefs about whether it is healthy carry weight.

In a survey on Reddit, those who wanted to stop masturbating did so mainly because they saw it as unhealthy (Zimmer et al., 2020), and among Black women in the United States, the messages they had received came from religion, family and friends, and were more often mixed than negative (Thorpe et al., 2023).

Where they disagree

Some studies link it to benefits, such as better sleep or reaching orgasm, and others to anxiety or dysfunction (Kusuma et al., 2026; Hewings-Martin et al., 2026; Berger et al., 2019). The difference usually lies in the context: excessive use, problematic pornography or distress about one's own frequency, rather than masturbation itself (Huang et al., 2023; Jacobs et al., 2021).

Limits of the evidence

Almost all are cross-sectional surveys: they show associations, not causes (Huang et al., 2023; Jacobs et al., 2021; Berger et al., 2019). Some samples are very particular, such as users of an online forum or patients at a urology clinic (Zimmer et al., 2020; Berger et al., 2019).

The studies, one by one

We have gathered 8 verified studies. Each summary is our own; the quotation in inverted commas is taken word for word from the original abstract, in English.

Type of study: Systematic review2026

Masturbation as a sexual and psychological coping strategy in long-distance relationships: a systematic review.

What they found: In a systematic review of fourteen studies, masturbation in long-distance relationships served as a way of coping with sleep problems and stress, but excessive use was associated with more anxiety and lower emotional well-being. (Kusuma et al., 2026)

Population People in long-distance relationships Journal J Sex Med

Verbatim quotation from the original abstract (in English)

“Psychologically, it served as a coping strategy for sleep and stress, but excessive engagement increased anxiety and reduced emotional well-being.” Kusuma et al., 2026

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)Sample n = 3,8162022

Prevalence of Masturbation and Associated Factors Among Older Adults in Four European Countries.

What they found: A cross-sectional study of 3816 European adults aged 60 to 75 found that between 41 % and 65 % of men and between 27 % and 40 % of women had masturbated in the previous month. (Fischer et al., 2022)

Population Adults aged 60 to 75 in four European countries Journal Arch Sex Behav

Verbatim quotation from the original abstract (in English)

“Across all countries, between 41% and 65% of men and 27% and 40% of women reported any masturbation in the preceding month.” Fischer et al., 2022

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)Sample n = 12,2712023

Actual and Desired Masturbation Frequency, Sexual Distress, and Their Correlates.

What they found: A cross-sectional survey of 12271 Finns found that, in both sexes, those whose masturbation frequency differed from the desired one suffered more sexual distress. (Huang et al., 2023)

Population Adult men and women in Finland Journal Arch Sex Behav

Verbatim quotation from the original abstract (in English)

“Among both sexes, those whose masturbation frequency did not match with desired frequency experienced more sexual distress.” Huang et al., 2023

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)Sample n = 3,4192021

Associations Between Online Pornography Consumption and Sexual Dysfunction in Young Men: Multivariate Analysis Based on an International Web-Based Survey.

What they found: A cross-sectional study of 3419 men aged 18 to 35 found that masturbation frequency did not appear to be a significant factor for erectile dysfunction, whereas problematic pornography use was associated with it. (Jacobs et al., 2021)

Population Young men aged 18 to 35 from an international web survey Journal JMIR Public Health Surveill

Verbatim quotation from the original abstract (in English)

“Masturbation frequency seemed not to be a significant factor when assessing ED.” Jacobs et al., 2021

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)2019

Survey of Sexual Function and Pornography.

What they found: A cross-sectional survey of men and women aged 20 to 40 at a urology clinic found that men who preferred to masturbate with pornography over sex with a partner had a significantly higher risk of sexual dysfunction. (Berger et al., 2019)

Population Young men and women aged 20 to 40 seen at a urology clinic Journal Mil Med

Verbatim quotation from the original abstract (in English)

“men who prefer masturbation with pornography to partnered sex have a significantly increased risk of sexual dysfunction” Berger et al., 2019

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)Sample n = 1,0632020

Abstinence from Masturbation and Hypersexuality.

What they found: A cross-sectional online survey of 1063 participants recruited on Reddit found that motivation to abstain from masturbating was associated mainly with perceiving masturbation as unhealthy. (Zimmer et al., 2020)

Population Reddit users who answered an online survey Journal Arch Sex Behav

Verbatim quotation from the original abstract (in English)

“motivation for abstinence was mostly associated with attitudinal correlates, specifically the perception of masturbation as unhealthy.” Zimmer et al., 2020

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)Sample n = 2422023

From Sin to Sexual Self-Awareness: Black Women's Reflection on Lifetime Masturbation.

What they found: In 242 Black women, the messages received about masturbation came mainly from religion, family and friends, and were more often mixed than negative. (Thorpe et al., 2023)

Population Black women in the United States Journal Arch Sex Behav

Verbatim quotation from the original abstract (in English)

“The three primary sources of messages were religion, family, and friends.” Thorpe et al., 2023

See the original: DOI · PubMed

Type of study: Survey (cross-sectional study)Sample n = 27,9312026

Sexual Satisfaction and Orgasm Experiences During Partnered and Solo Sex Among 27,931 Users of the Flo App.

What they found: Among users of a menstrual tracking app, when comparing similar sexual activities, the frequency of orgasms was consistently higher alone than with a partner. (Hewings-Martin et al., 2026)

Population Users of the Flo app, mostly women Journal Arch Sex Behav

Verbatim quotation from the original abstract (in English)

“When comparing similar solo and partnered activities, orgasm frequency was consistently higher when solo.” Hewings-Martin et al., 2026

See the original: DOI · PubMed

What this means in practice

  • There is no right frequency: what was associated with distress was the gap from what each person wants (Huang et al., 2023).
  • Frequency was not associated with erectile dysfunction in young men; problematic pornography use was (Jacobs et al., 2021).
  • It can help with sleep and managing stress, but if it becomes excessive or causes anxiety, it is worth paying attention to (Kusuma et al., 2026).
  • If it causes you distress, guilt or sexual problems that do not go away, speak to a healthcare professional.

If you have pain or discomfort, speak to a healthcare professional.

Other topics in the library

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