The American Academy of Emergency Medicine confirms it: Each year, between one and two dozen adult US males are admitted to ERs after having castrated themselves. With kitchen tools, usually sometimes wire cutters. In answer to the obvious question, surviving patients most often report that their sexual urges had become a source of intolerable conflict and anxiety. The desire for perfect release and the real-world impossibility of perfect, whenever-you-want-it release had together produced a tension they could no longer stand.