I was in a former profession where I had frank talks with people in all sorts of roles. This, a priest told me, when I begged him for a good confession that he’d heard: Lots of middle-aged and older women were coming to him for confessions, they felt bad about masturbating. This was in a small town. He talked this over with his buddy, the local gp. During confession, he would encourage these women to visit their family dr. He would diagnose an innocuous rash and prescribe a soothing lotion to be massaged gently into affected area(s).