Abstract
Genital self-image (GSI) involves subjective perceptions, experiences, and feelings of individuals regarding their genitalia. A negative GSI contributes to lower sexual esteem and, consequently, negative sexual experiences and sexual dysfunction. In men, self-perception may be influenced by several factors, including penis size or shape, personal experiences, body image, general health status, sex education, and even the media they consume. This study aimed to understand the reasons that lead to dissatisfaction with GSI among Brazilian men. With a mixed approach, we present male perceptions regarding dissatisfaction with GSI captured from the following question: “If you are dissatisfied with your genitals, tell us for what reason(s)? (Optional),” which integrated the last questionnaire element of the original survey. Brazilian men over 18 years of age from different Brazilian states were eligible. In this analysis, 376 responses were obtained. The data were analyzed using thematic content analysis. The participants expressed the reasons for dissatisfaction, which were grouped into two categories: (1) anatomical aspects and beliefs in the construction of GSI and (2) functional aspects. The results offer an understanding of men’s perceptions of their genitals and may aid in clinical practice and research on how Brazilian men perceive their genitals. It is possible to improve knowledge about sexual health and increase positivity regarding genital perception by providing information about the reasons that lead to dissatisfaction with the genitals.
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Data will be made available upon reasonable request.
References
Arruda, G. T., Silva, E. V., & Braz, M. M. (2021). Male Genital Self-Image Scale (MGSIS): Cutoff point, cultural adaptation and validation of measurement properties in Brazilian men. Journal of Sexual Medicine, 18, 1759–1767. https://doi.org/10.1016/j.jsxm.2021.07.016
Bauer, M. W., & Gaskell, G. (2004). Pesquisa qualitativa com texto, imagem e som: um manual prático (7th edn.). Vozes.
Berg, B. L., & Lune, H. (2012). Qualitative research methods for the social sciences (8th ed.). Pearson Education.
Bonino, S., Ciairano, S., Rabaglietti, E., & Cattelino, E. (2006). Use of pornography and self-reported engagement in sexual violence among adolescents. European Journal of Developmental Psychology, 3, 265–288. https://doi.org/10.1080/17405620600562359
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Brewster, M. E., Velez, B. L., Breslow, A. S., & Geiger, E. F. (2019). Unpacking body image concerns and disordered eating for transgender women: The roles of sexual objectification and minority stress. Journal of Counseling Psychology, 66(2), 131–142. https://doi.org/10.1037/cou0000333
Cranney, S. (2015). Internet pornography use and sexual body image in a Dutch sample. International Journal of Sexual Health, 27, 316–323. https://doi.org/10.1080/19317611.2014.999967
Cusack, C. E., Iampieri, A. O., & Galupo, M. P. (2022). “I’m still not sure if the eating disorder is a result of gender dysphoria”: Trans and nonbinary individuals’ descriptions of their eating and body concerns in relation to their gender. Psychology of Sexual Orientation and Gender Diversity, 9(4), 422–433. https://doi.org/10.1037/sgd0000515
Davis, S. N., Binik, Y. M., Amsel, R., & Carrier, S. (2013). The Index of Male Genital Image: A new scale to assess male genital satisfaction. Journal of Urology, 190, 1335–1339. https://doi.org/10.1016/j.juro.2013.03.121
DeMaria, A. L., Meier, S. J., & Dykstra, C. (2019). “It’s not perfect but it’s mine”: Genital self-image among women living in Italy. Body Image, 29, 140–148. https://doi.org/10.1016/j.bodyim.2019.03.011
Eccel, C. S., Saraiva, L. A. S., & Carrieri, A. P. (2015). Masculinidade, autoimagem e preconceito em representações sociais de homossexuais. Revista Pensamento Contemporâneo em Administração, 9, 1–15. https://doi.org/10.12712/rpca.v9i1.465
Eljawad, M. A., Se’eda, H., Ghozy, S., El-Qushayri, A. E., Elsherif, A., Elkassar, A. H., Atta-Allah, M. H., Ibrahim, W., Elmahdy, M. A., & Islam, S. M. S. (2021). Pornography use prevalence and associated factors in Arab countries: A multinational cross-sectional study of 15,027 individuals. Journal of Sexual Medicine, 18, 539–548. https://doi.org/10.1016/j.jsxm.2020.12.011
Gaither, T. W., Allen, I. E., Osterberg, E. C., Alwal, A., Harris, C. R., & Breyer, B. N. (2017). Characterization of genital dissatisfaction in a national sample of U.S. men. Archives of Sexual Behavior, 46, 2123–2130. https://doi.org/10.1007/s10508-016-0853-9
Gomes, R. (2008). Sexualidade Masculina, Gênero e Saúde. SciELO-Editora FIOCRUZ.
Grov, C., Parsons, J. T., & Bimbi, D. S. (2010). The association between penis size and sexual health among men who have sex with men. Archives of Sexual Behavior, 39, 788–797. https://doi.org/10.1007/s10508-008-9439-5
Johnston, L., McLellan, T., & McKinlay, A. (2014). (Perceived) size really does matter: Male dissatisfaction with penis size. Psychology of Men & Masculinity, 15, 225–228.
Jones, B. A., Pierre Bouman, W., Haycraft, E., & Arcelus, J. (2019). Gender congruence and body satisfaction in nonbinary transgender people: A case control study. International Journal of Transgenderism, 20(2–3), 263–274. https://doi.org/10.1080/15532739.2018.1538840
King, B. M., Duncan, L. M., Clinkenbeard, K. M., Rutland, M. B., & Ryan, K. M. (2019). Social desirability and young men’s self-reports of penis size. Journal of Sex & Marital Therapy, 45, 452–455. https://doi.org/10.1080/0092623X.2018.1533905
Komarnicky, T., Skakoon-Sparling, S., Milhausen, R. R., & Breuer, R. (2019). Genital self-image: Associations with other domains of body image and sexual response. Journal of Sex & Marital Therapy, 45, 524–537. https://doi.org/10.1080/0092623X.2019.1586018
Korkes, F., Silva, J. L., II., & Pompeo, A. C. L. (2012). Circuncisão por motivos médicos no sistema público de saúde do Brasil: Epidemiologia e tendências. Einstein, 10, 342–346. https://doi.org/10.1590/S1679-45082012000300015
Loos, S., De Wil, P., Delcarte, L., Serefoglu, E. C., Van Renterghem, K., & Ward, S. (2022). The effect of penis size on partner sexual satisfaction: A literature review. International Journal of Impotence Research, 35, 519–522. https://doi.org/10.1038/s41443-022-00636-7
Massey, C. J., Keener, E., & McGraw, J. S. (2021). The role of masculinity and femininity in body objectification: Comparison of heterosexual and gay communities. Gender Issues, 38(2), 180–199. https://doi.org/10.1007/s12147-020-09263-2
Milhausen, R. R., Buchholz, A. C., Opperman, E. A., & Benson, L. E. (2015). Relationships between body image, body composition, sexual functioning, and sexual satisfaction among heterosexual young adults. Archives of Sexual Behavior, 44, 1621–1633. https://doi.org/10.1007/s10508-014-0328-9
Nascimento, M. A. F., & do., Uziel, A. P., & Hernández, J. de G. (2018). Young men in juvenile detention centers in Rio de Janeiro, Brazil: Gender, sexuality, masculinity and health implications. Cadernos de Saúde Pública, 34(2), e00177916. https://doi.org/10.1590/0102-311X00177916
Peplau, L. A., Frederick, D. A., Yee, C., Maisel, N., Lever, J., & Ghavami, N. (2009). Body image satisfaction in heterosexual, gay, and lesbian adults. Archives of Sexual Behavior, 38, 713–725. https://doi.org/10.1007/s10508-008-9378-1
Richburg, A., & Stewart, A. J. (2022). Body image among sexual and gender minorities: An intersectional analysis. Journal of Homosexuality. https://doi.org/10.1080/00918369.2022.2114399
Rohden, F. (2021). A divulgação da cirurgia íntima no Brasil: Normas de gênero, dilemas e responsabilidades no campo da cirurgia plástica estética. Cadernos de Saúde Pública, 37, e00178021. https://doi.org/10.1590/0102-311X00178021
Saffari, M., Pakpour, A. H., & Burri, A. (2016). Cross-cultural adaptation of the Male Genital Self-Image Scale in Iranian men. Sexual Medicine, 4, e34–e42. https://doi.org/10.1016/j.esxm.2015.12.005
Sanches, B. C., Laranja, W. W., Alonso, J. C., Rejowski, R. F., Simões, F. A., & Reis, L. O. (2018). Does underestimated penile size impact erectile function in healthy men? International Journal of Impotence Research, 30, 158–162. https://doi.org/10.1038/s41443-018-0039-1
Sharp, G., & Oates, J. (2019). Sociocultural influences on men’s penis size perceptions and decisions to undergo penile augmentation: A qualitative study. Aesthetic Surgery Journal, 39, 1253–1259. https://doi.org/10.1093/asj/sjz154
Silva, E. V., Arruda, G. T., & Braz, M. M. (2023). Factors associated with satisfaction with male genital self-image in Brazil. Archives of Sexual Behavior, 52, 3113–3122. https://doi.org/10.1007/s10508-023-02656-w
Silva, G. S. N. (2007). Masculinidades e saúde do homem: a construção de vulnera (ha) bilidades. Revista Brasileira de Sexualidade Humana, 18, 431–440. https://doi.org/10.35919/rbsh.v18i2.395
Smith, N. K., Butler, S., Wagner, B., Collazo, E., Caltabiano, L., & Herbenick, D. (2017). Genital self-image and considerations of elective genital surgery. Journal of Sex & Marital Therapy, 43, 169–184. https://doi.org/10.1080/0092623X.2016.1141820
Terry, G., Hayfield, N., Clarke, V., & Braun, V. (2017). Thematic analysis. In C. Willing & W. Stainton Rogers (Eds.), The SAGE handbook of qualitative research in psychology (2nd ed., pp. 17–37). Sage Publications.
Valentine, S. E., & Shipherd, J. C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24–38. https://doi.org/10.1016/j.cpr.2018.03.003
Veale, D., Miles, S., Bramley, S., Muir, G., & Hodsoll, J. (2015). Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15,521 men. BJU International, 115, 978–986. https://doi.org/10.1111/bju.13010
Wilcox, S. L., Redmond, S., & Davis, T. L. (2015). Genital image, sexual anxiety, and erectile dysfunction among young male military personnel. Journal of Sexual Medicine, 12, 1389–1397. https://doi.org/10.1111/jsm.12880
Youn, G. (2016). Psychosocial perspectives on penile size. In N. Park, S. Kim, & D. Moon (Eds.), Penile augmentation (pp. 41–46). Springer. https://doi.org/10.1007/978-3-662-46753-4_5
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Erisvan V. da Silva was involved in conceptualization, methodology, investigation, formal analysis, and writing—original draft. Melissa M. Braz was involved in conceptualization, supervision, formal analysis, and writing—review and editing. Hedioneia M. F. Pivetta was involved in conceptualization, methodology, and writing—review and editing.
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da Silva, E.V., Braz, M.M. & Pivetta, H.M.F. Reasons for Genital Dissatisfaction in a Sample of Brazilian Men. Arch Sex Behav 53, 1463–1471 (2024). https://doi.org/10.1007/s10508-024-02818-4
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DOI: https://doi.org/10.1007/s10508-024-02818-4