Postgraduate Program in Movement and Rehabilitation Sciences, Federal University of Santa Maria, Avenida Roraima, 1000, Camobi, Santa Maria, Rio Grande Do Sul, 97105-900, Brazil.
Department of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Santa Maria, Rio Grande Do Sul, Brazil.
Arch Sex Behav. 2024 Apr;53(4):1463-1471. doi: 10.1007/s10508-024-02818-4. Epub 2024 Feb 23.
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.
生殖器自我意象（GSI）涉及个体对其生殖器的主观感知、体验和感受。负面的 GSI 会导致性自尊降低，从而导致负面的性体验和性功能障碍。在男性中，自我认知可能受到多种因素的影响，包括阴茎的大小或形状、个人经历、身体形象、整体健康状况、性教育，甚至是他们所接触的媒体。本研究旨在了解导致巴西男性对 GSI 不满的原因。我们采用混合方法，展示了男性对 GSI 不满的看法，这些看法是从以下问题中捕捉到的：“如果您对自己的生殖器不满意，请告诉我们原因是什么？（可选）”，这是原始调查的最后一个问卷元素的整合。来自巴西不同州的 18 岁以上的巴西男性符合条件。在这项分析中，我们获得了 376 份回复。使用主题内容分析法对数据进行分析。参与者表达了不满的原因，这些原因分为两类：（1）解剖学方面和 GSI 构建的信念，以及（2）功能方面。研究结果提供了对男性对其生殖器看法的理解，可能有助于临床实践和研究巴西男性如何看待其生殖器。通过提供导致对生殖器不满的原因的相关信息，有可能提高对性健康的认识，并增加对生殖器感知的积极性。
