Once, twice, three times a lady. But four times with a teddy bear?

Charles Marshall of Cincinnati is accused of having sex with a teddy bear for the fourth time in the past two years, according to the Smoking Gun.

Marshall was arrested Wednesday after employees at a health clinic saw him masturbating with a teddy bear in an alley, according to a police report obtained by the Smoking Gun.

Marshall has three previous convictions for either public indecency or disorderly conduct with a teddy bear. This latest time he was hit with a disorderly conduct charge.

The Daily Mail notes that it's unclear whether Marshall used the same teddy bear on each occasion.

Cracked explains that people who are aroused by teddy bears can be diagnosed with Ursusagalmatophilia.

"This is also known as Plushophilia in some circles, although this term includes any stuffed animal and is not specific to teddy bears," Cracked notes.