Self-exploration and masturbation are a normal part of development but are not discussed often because they are challenging topics for parents and pediatricians. Most children will engage in some sexual behavior before puberty, and after puberty the practice is even more common. In one report, 90% to 94% of males and 50% to 60% of females recalled masturbating at some point during their childhood. Given that this behavior is so common, it is essential that pediatricians be able to distinguish normal behavior from pathologic behavior, including behavior that is suggestive of an alternative medical diagnosis or abuse.
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