• Syed Sajid Shah Department of PaediatricsAyub Medical College Abbottabad
  • Bibi Aalia
  • Shehzad Najeeb



Childhood masturbations (CM) is stimulation of genital by pre-adolescent children with accompanying symptoms including sweating, tachycardia, blushing, muscle contraction and increase rate of breathing. We are presenting case series of three patient, who presented with history of vague symptoms and ultimately diagnosed and managed as case of CM. A 2 years old girl presented with history of to and fro movements. A 3 years old girl presented with history of rubbing of inner thighs and 3 years old boy presented with history of holding and rubbing genitalia with forward bending and symptoms of increase breathing, flushing and sweating. Video recording was available with two patients, which helped in making final diagnosis. Parents were counselled and patients referred for behavioural therapy. Conclusion: In young child CM should be considered in differential diagnosis whenever history is not fully suggestive of seizures.


Yang ML, Fullwood E, Goldstein J, Mink JW. Masturbation in Infancy and Early Childhood Presenting as a Movement Disorder: 12 Cases and a Review of the Literature. Pediatrics 2005;116:1427–32.

Doust ZK, Shariat M, Zabandan N, Tabrizi A, Tehrani F. Diagnostic value of the urine mucus test in childhood masturbation among children below 12 years of age: a cross sectional study from Iran. Iran J Med Sci 2016;41(4):283–7.

Ajlouni HK, Daoud AS, Ajlouni SF, Ajlouni KM. Infantile and early childhood masturbation: sex hormones and clinical profile. Ann Saudi Med 2010;30(6):471–4.

Arafat SMY, Khan ST. Childhood Masturbation: A Case Report from Bangladesh. J Psychosexual Health 2019;1(3–4):280–2.

Askari M, Ayoobi F, Sherafat Z, Rashidpour P, Mostafavi SA, Bidaki R. Prevalence of Masturbation and it’s Predisposing Factors in Children Referred to Psychiatric Clinic of Rafsanjan University of Medical Sciences. Mathews J Psychiatry Ment Health 201;6(1):1–7.

Mine AĞ, Çakmak S, Seydaoğlu G, Gürbüz AA, Ayşe AV. Parent attitudes and other comorbid behavioral problems in masturbating children. Cukurova Med J 2020;45(1):257–65.

Still GF. Common Disorders and Diseases of Childhood. London, United Kingdom: Oxford University Press; 1909:336–80.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC, USA; 2013.

Nechay A, Ross LM, Stephenson JB, O’Regan M. Gratifi cation disorder (“infantile masturbation”): A review. Arch Dis Child 2004;89:225–6.

Caspi. Solve child behaviour-problems home. [Internet]. Pediatric Journal, USA, Date of access 23/10/2013. [cited 2021 Feb]. Available from: http://

Strachan E, Staples B. Masturbation. Pediatr Rev 2012;33(4);190–1.

Gerges MAM, Wafaaelsayedouda, Tantawi HR. Behavioral Problems of the Preschool and School Age Children: A Comparative Study. Egypt J Health Care 2017;8(4):1–13.

Kayiran D, Sönmez M. A need analysis study for intimacy program for early childhood education: preschool teachers’ attitudes on masturbation behavior in preschool students. Eur Early Child Educ Res J 2020;28(5):731–42.

Martin J, Riazi H, Firoozi A, Nasiri M. A sex education programme for mothers in Iran: Does preschool children’s sex education influence mothers’ knowledge and attitudes? Sex Educ 2018;18(2):219–30.