When used as an alternative to penile-vaginal penetration, the goal may be to preserve virginity or to avoid risk of pregnancy. Alongside many other factors, such as medical evidence, age-inappropriate sexual knowledge, sexualized play or aggression, and precocious or seductive behavior, excessive masturbation may alternatively be an indicator of sexual abuse. Problems for males A man whose penis has suffered a blunt trauma, severe bend or other injury during intercourse or masturbation may, rarely, sustain a penile fracture    or suffer from Peyronie's disease. The glans itself may widen and lengthen as the stimulation continues, becoming slightly darker in colour, while the gliding action of the foreskin reduces friction. Mutual masturbation foreplay The manual stimulation of each other's genitals where the session eventually leads to sexual intercourse. Men and women can fall prey to this problem. To avoid friction, irritation and soreness from this resulting friction, some may prefer to use a personal lubricant, masturbation cream , or saliva.
It may be used as foreplay , or as an alternative to sexual penetration. A somewhat controversial ejaculation control technique is to put pressure on the perineum, about halfway between the scrotum and the anus, just before ejaculating. This type of stimulation is typically all that is required to achieve orgasm and ejaculation. Sometimes one or more fingers may be inserted into the vagina to stroke its frontal wall where the G-spot may be located. Prostate massage is one other technique used for sexual stimulation, often in order to reach orgasm. Others may also use vibrators and other sexual devices more commonly associated with female masturbation. Terms such as playing with yourself, pleasuring oneself and slang such as wanking,  jerking off,  and frigging are common. However, this benefit may be age related. Assuming a broad range average of between 3 and 5 ejaculations per week for healthy males, this would mean 5 to 7 ejaculations per week. The outer foreskin glides smoothly over the inner foreskin. Some may lay in the prone position and rub their genitals against the bed sheet or other surface, a technique called prone masturbation. The symptoms last for up to a week. Men and women may masturbate until they are close to orgasm , stop for a while to reduce excitement, and then resume masturbating. Many women caress their breasts or stimulate a nipple with the free hand and anal stimulation is also enjoyed by some. Anal masturbation without any prostate stimulation, with fingers or otherwise, is also one other technique which some men enjoy. Non-contact group More than two people masturbating in the presence of each other in a group but not touching each other. Thoughts, fantasies, and memories of previous instances of arousal and orgasm can produce sexual excitation. A small study demonstrated lower blood pressure in persons who had recently masturbated compared to those with no proximate sexual activity. The speed of the hand motion varies throughout the masturbation session. A good quality personal lubricant is advisable to both increase the pleasurable sensation and aid insertion. Some may keep their hand stationary while pumping into it with pelvic thrusts in order to simulate the motions of sexual intercourse. That is, a difference in mortality appeared between any two subjects when one subject ejaculated at around two times per week more than the other. Some men place both hands directly on their penis during masturbation, while others may use their free hand to fondle their testicles , nipples , or other parts of their body. Some people prefer to simply stimulate the outer ring of the anus, while others will follow this by inserting one or more fingers. This is frequently followed closely by drowsiness and sleep — particularly when one masturbates in bed. Like males, common positions for female masturbation include lying on back or face down, sitting, squatting , kneeling , or standing.
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