“…Accordingly, among men, SEM use may be understood as a coping mechanism used in relationships characterized by low or reduced emotional intimacy. As emotional intimacy may be related to both sexual desire and sexual satisfaction (Basson, 2001(Basson, , 2005Ferreira et al, 2014;Sevi c et al, 2015;Stulhofer et al, 2014), low levels of emotional intimacy may result in less frequent and less satisfying coupled sexual activity, leading to more frequent solitary sexual activities, such as masturbation, involving the use of SEM (Carvalheira, Traeen, & Stulhofer, 2014). Taking into account that SEM use is more integral to men's than to women's solitary sexual activities (Hald, 2006;Hald et al, 2014), the above-mentioned studies help to qualify our finding that the association between SEM use and relationship satisfaction was observed only among men with lower levels of emotional intimacy.…”