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The Masturbate-a-thon is an event in which participants masturbate to raise money for charity and increase the public awareness and dispel the shame and taboos that exist about this form of sexual activity. From 1998 to 2003, the Masturbate-a-thon raised around $25,000 for women's health initiatives and HIV prevention, education and treatment organizations, and has contributed to debates about safer sex and alternative safe methods of sexual expression. The event awards several honors for those who raise the most money as well as for multiple orgasms and endurance.