I don't use it but my friend does. He's married but not living with his wife steadily because of work travels and all. It's not even a Blow up doll he makes use of but high quality silicone doll. It's so real when you feel the texture.
And some of others like me don't or can't even succeed in doing it for just 5 minutes. It looks funny but that's how it's been with me for ages. Mediation isn't for me and it's why I can't have it in my morning routine.
I also forget adding how good and lucky it always feels whenever you get to win a match with the last kick of the ball in FIFA games. There's no joy better than that especially when you have been through hell in the match.