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.
摘要：
生殖器自我形象(GSI)涉及主观感知，经验,以及个人对生殖器的感觉。消极的GSI有助于降低性自尊，因此,消极的性经历和性功能障碍。在男人中，自我感知可能受到几个因素的影响，包括阴茎大小或形状，个人经历,身体形象，一般健康状况，性教育,甚至他们消费的媒体。这项研究旨在了解导致巴西男性对GSI不满的原因。采用混合方法，我们提出了男性对GSI不满的看法，这些看法来自以下问题：“如果你对你的生殖器不满意，告诉我们什么原因？（可选），“整合了原始调查的最后一个问卷元素。来自巴西不同州的18岁以上的巴西男性符合资格。在这个分析中,获得376个响应。使用主题内容分析对数据进行分析。与会者表达了不满的理由,分为两类：（1）GSI构造的解剖学方面和信念；（2）功能方面。结果提供了对男性对其生殖器的看法的理解，并可能有助于临床实践和研究巴西男性如何看待其生殖器。通过提供有关导致对生殖器不满意的原因的信息，可以提高有关性健康的知识并增加有关生殖器感知的积极性。
