DOI: 10.36347/sjmcr.2015.v03i06.014

Pages: 491-493

Masturbation is considered as a normal stage of psychosexual development. It becomes abnormal when its frequency indicates a compulsion or sexual dysfunction, or when it is consistently preferred to sex with a partner. This case report describes 23 years old male student presented with penile erythema and skin abrasions due to excessive masturbation. It was diagnosed as specified sexual dysfunction (compulsive masturbation) according to DSM-V. This case treated with SSRI, initially with fluoxetine then shifted to paroxetine because of complaint of side effects. SSRI also used to treat the comorbid generalized anxiety disorder which can help managing the case of compulsive masturbation. There are few trials of different medications have been used to treat compulsive masturbation. This case responded well to paroxetine and combined use of both supportive psychotherapy and behavioral modification. Physical injury and penile inflammation can be a complication of repeated masturbation as in this case.