Masturbation kills up to 100 Germans a year, according to a study which has also uncovered the bizarre ways people have died pleasuring themselves.
One man - wearing pantyhose, a raincoat and a diving suit as well as a plastic bag over his head - died in Hamburg after sitting next to a heater and trying to melt slices of cheese on his body.
Another man in Halle was found dead with Christmas tree lights clamped to his nipples having apparently tried to stimulate himself by electrocution.
Forensic examiner Harald Voss said the most common reason for autoerotic deaths was the desire for the ultimate orgasm through depriving oneself of oxygen.
Between 80 and 100 people across the country accidentally die every year due to risky masturbation practices, his study found.