It's also possible for asexual people to want to be romantic and intimate - without having sex - with someone else, whether they're the same sex, opposite sex, transgendered or all of the above. There is debate about whether asexuality is an orientation or even if it's pathological; however, it's not generally thought of as a disorder or disease. Some asexuals eschew any sort of sexual gratification, but some do masturbate. The reasons for a person being asexual don't necessarily involve bad experiences, medical problems or other outside factors. Asexuality sometimes is mistaken for intimacy problems, phobias and other mental disorders, but most asexuals are self-identified - doctors don't have ways of defining it yet. Famous people who identify themselves as asexual include comedian Paula Poundstone, Janeane Garofalo and Tim Gunn.