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add BARMER 2019 - sleep aid recommendation
|page=402
|url=https://books.google.com/books?id=ytk5DwAAQBAJ&pg=PT402
| quote=Masturbation refers to all solo forms of self-stimulation focusing on the genitals. Masturbation practices vary widely depending upon the individual's body and personal preferences. For instance, masturbation among women may involve manipulation of the clitoris and labia, stimulation of the breasts, or vaginal penetration with a sex toy. [...] Among men, masturbation most frequently involves using one or both hands to stimulate the penis. Of course, men sometimes utilize sex toys too (e.g., masturbation sleeves, butt-plugs, etc.).
}}</ref><ref name="Nadal">{{REFbook
|last=Nadal
|page=52
|url=https://books.google.com/books?id=VnvJAwAAQBAJ&pg=PA52
}}</ref> Masturbation is benign and harmless.Recently a German health insurance company even recommended masturbation as a sleep aid.<ref>{{REFweb |url=https://www.spiegel.de/gesundheit/sex/barmer-krankenkasse-empfiehlt-selbstbefriedigung-als-einschlafhilfe-a-1279049.html |title=Barmer Krankenkasse empfiehlt Masturbation zum Einschlafen |trans-title=Barmer health insurance recommends masturbation to sleep |language=German |publisher=Spiegel |date=2019-07-25 |accessdate=2020-05-01}}</ref>
Masturbation is common in both sexes and at any age. Various medical and psychological benefits have been attributed to a healthy attitude toward sexual activity in general and to masturbation in particular. No causal relationship is known between masturbation and any form of mental or physical disorder.<ref>{{REFbook