Characterization of Genital Dissatisfaction in a National Sample of U.S. Men
- 762 Downloads
Male genital satisfaction is an important aspect of psychosocial and sexual health. The Index of Male Genital Image (IMGI) is a new scale that measures perceptions of male genitalia. We aim to characterize genital satisfaction using the IMGI and correlate dissatisfaction with sexual activity. We conducted a nationally representative survey of non-institutionalized adults aged 18–65 years residing in the U.S. In total, 4198 men completed the survey and 3996 (95.2 %) completed the IMGI. Men reported highest satisfaction with the shape of their glans (64 %), lowest satisfaction with the length of their flaccid penis size (27 %), and neutrality with the scent of their genitals (44 %). No demographic characteristics (age, race, sexual orientation, education, location, and income) were significantly associated with genital dissatisfaction. Men who were dissatisfied with their genitals were less likely to report being sexually active (73.5 %) than those who were satisfied (86.3 %). Penetrative vaginal sex (85.2 vs. 89.5 %) and receptive oral intercourse (61.0 vs. 66.2 %) were reported less by dissatisfied men. Overall, most U.S. men were satisfied with their genitals; however, a subset (14 %) report low genital satisfaction, which included men of all ages, races, and socioeconomic groups. Low genital satisfaction is associated with a decrease in sexual activity. These results provide clinicians and health educators a baseline of genital satisfaction to provide education and reassurance.
KeywordsGenital satisfaction Sexual activity Oral sex Penis size Index of Male Genital Image
Compliance with Ethical Standards
Conflict of interest
No competing financial interests exist.
Informed consent was obtained from all individual participants included in the study.
All procedures were in accordance with the ethical standards of the institutional review board at the University of California, San Francisco.
- Dalke, K. A., Fein, L., Jenkins, L. C., Caso, J. R., & Salgado, C. J. (2013). Complications of genital piercings. Anaplastology, 2, 1–5.Google Scholar
- Herbenick, D., Schick, V., Reece, M., Sanders, S., Dodge, B., & Fortenberry, J. D. (2011). The Female Genital Self-Image Scale (FGSIS): Results from a nationally representative probability sample of women in the United States. Journal of Sexual Medicine, 8, 158–166. doi: 10.1111/j.1743-6109.2010.02071.x.CrossRefPubMedGoogle Scholar
- Herbenick, D., Schick, V., Reece, M., Sanders, S. A., & Fortenberry, J. D. (2013). The development and validation of the Male Genital Self-Image Scale: Results from a nationally representative probability sample of men in the United States. Journal of Sexual Medicine, 10, 1516–1525. doi: 10.1111/jsm.12124.CrossRefPubMedGoogle Scholar
- Hudak, S. J., McGeady, J., Shindel, A. W., & Breyer, B. N. (2012). Subcutaneous penile insertion of domino fragments by incarcerated males in southwest United States prisons: A report of three cases. Journal of Sexual Medicine, 9, 632–634. doi: 10.1111/j.1743-6109.2011.02551.x.CrossRefPubMedGoogle Scholar
- Knowledge Panel Design Summary. (2013). Retrieved October 28, 2014, from http://www.knowledgenetworks.com/knpanel/docs/knowledgePanel(R)-design-summary-description.pdf.
- Veale, D., Miles, S., Read, J., Troglia, A., Wylie, K., & Muir, G. (2015b). Sexual functioning and behavior of men with body dysmorphic disorder concerning penis size compared with men anxious about penis size and with controls: A cohort study. Sexual Medicine, 3, 147–155.CrossRefPubMedPubMedCentralGoogle Scholar