Abstract：
BACKGROUND: Prior studies primarily of men correlated low personal genital satisfaction (PGS) with decreased sexual activity; however, the association between PGS and genital anatomy perceptions is unknown, and there is a paucity of studies examining women.
OBJECTIVE: We assessed the relationship between genital satisfaction, survey respondent sexual activity, and perceptions of anatomy and function.
METHODS: A 54-item REDCap survey was distributed to any-gendered volunteers ≥18 years of age through ResearchMatch from January to March 2023. Responses were split into (1) high PGS and (2) low PGS. Analysis was performed using chi-square tests on survey responses and a Mann Whitney U test on median satisfaction level.
RESULTS: Outcomes were genital anatomy perceptions, sexual activity, and respondents\' PGS.
RESULTS: Of the 649 respondents who started the survey, 560 (86.3%) completed it. Median PGS was 7 of 10, forming subgroups of high (≥7 of 10) satisfaction (n = 317 of 560 [56.6%]) and low (<7 of 10) satisfaction (n = 243 of 560 [43.4%]). The mean age was 45.8 ± 16.8 years, and demographics were notable for 72.1% women (n = 404 of 560), 83.2% White (n = 466 of 560), 47.9% married (n = 268 of 560), and 75.5% bachelor\'s degree holders (n = 423 of 560). Comparing high- and low-PGS groups, more low-PGS respondents felt normal flaccid penis length to be <2 inches (11.1% vs 5.1%; P = .008). High-PGS respondents more often responded that it is normal for women to have orgasms over half the time (20.8% vs 13.2%; P = .0002) or to identify as being sexually active (81.1% vs 71.6%; P = .008). Women were more likely than men to report larger normal testicle sizes as 60.1 to 90 mL (24.5% vs 10.3%; P < .0001), whereas more men felt that normal testicle size was 7 to 15 mL (26.3% vs 11.4%; P < .0001). Orgasm length perceptions also differed: more women felt female orgasm length was 2.6 to 5 seconds (36.6% vs 16.7%; P < .0001), and more men believed female orgasms to be longer, at 7.6 to 10 seconds (29.5% vs 17.3%; P = .002), 10.1 to 12.5 seconds (11.5% vs 5.2%; P = .0008), and >12.5 seconds (12.2% vs 5.7%; P = .009). Respondents\' views on their genitalia differed by gender, with women more likely to feel that their genitals are normal compared with men (89.4% vs 75.0%; P < .0001).
CONCLUSIONS: PGS may be a useful screening tool given its association with sexual activity.
UNASSIGNED: Our large-scale survey assesses public perceptions of genital anatomy and function. Limitations include a lack of gender nonbinary perceptions.
CONCLUSIONS: Gender and PGS interact with perceptions of male anatomy and female sexual activity, and the frequency of sexual activity was higher among high-PGS respondents; however, the direction of these interactions remains unclear and requires future causal analysis.
OBJECTIVE: We assessed the relationship between genital satisfaction, survey respondent sexual activity, and perceptions of anatomy and function.
METHODS: A 54-item REDCap survey was distributed to any-gendered volunteers ≥18 years of age through ResearchMatch from January to March 2023. Responses were split into (1) high PGS and (2) low PGS. Analysis was performed using chi-square tests on survey responses and a Mann Whitney U test on median satisfaction level.
RESULTS: Outcomes were genital anatomy perceptions, sexual activity, and respondents\' PGS.
RESULTS: Of the 649 respondents who started the survey, 560 (86.3%) completed it. Median PGS was 7 of 10, forming subgroups of high (≥7 of 10) satisfaction (n = 317 of 560 [56.6%]) and low (<7 of 10) satisfaction (n = 243 of 560 [43.4%]). The mean age was 45.8 ± 16.8 years, and demographics were notable for 72.1% women (n = 404 of 560), 83.2% White (n = 466 of 560), 47.9% married (n = 268 of 560), and 75.5% bachelor\'s degree holders (n = 423 of 560). Comparing high- and low-PGS groups, more low-PGS respondents felt normal flaccid penis length to be <2 inches (11.1% vs 5.1%; P = .008). High-PGS respondents more often responded that it is normal for women to have orgasms over half the time (20.8% vs 13.2%; P = .0002) or to identify as being sexually active (81.1% vs 71.6%; P = .008). Women were more likely than men to report larger normal testicle sizes as 60.1 to 90 mL (24.5% vs 10.3%; P < .0001), whereas more men felt that normal testicle size was 7 to 15 mL (26.3% vs 11.4%; P < .0001). Orgasm length perceptions also differed: more women felt female orgasm length was 2.6 to 5 seconds (36.6% vs 16.7%; P < .0001), and more men believed female orgasms to be longer, at 7.6 to 10 seconds (29.5% vs 17.3%; P = .002), 10.1 to 12.5 seconds (11.5% vs 5.2%; P = .0008), and >12.5 seconds (12.2% vs 5.7%; P = .009). Respondents\' views on their genitalia differed by gender, with women more likely to feel that their genitals are normal compared with men (89.4% vs 75.0%; P < .0001).
CONCLUSIONS: PGS may be a useful screening tool given its association with sexual activity.
UNASSIGNED: Our large-scale survey assesses public perceptions of genital anatomy and function. Limitations include a lack of gender nonbinary perceptions.
CONCLUSIONS: Gender and PGS interact with perceptions of male anatomy and female sexual activity, and the frequency of sexual activity was higher among high-PGS respondents; however, the direction of these interactions remains unclear and requires future causal analysis.
摘要：
背景：先前主要针对男性的研究将低个人生殖器满意度（PGS）与性活动减少相关；然而，PGS和生殖器解剖感知之间的关联是未知的，研究女性的研究也很少。
目的：我们评估了生殖器满意度之间的关系，调查受访者的性活动，以及对解剖结构和功能的感知。
方法：从2023年1月至3月，通过ResearchMatch，对年龄≥18岁的任意性别志愿者进行了54项REDCap调查。反应分为（1）高PGS和（2）低PGS。对调查响应使用卡方检验和对中位数满意度进行MannWhitneyU检验进行分析。
结果：结果是生殖器解剖感知，性活动,和受访者\'PGS。
结果：在开始调查的649名受访者中，560（86.3％）完成了它。PGS中位数为10个中的7个，形成高满意度（≥10个中的7个）（560个中的317个[56.6％]）和低满意度（<10个中的7个）（560个中的243个[43.4％]）的亚组。平均年龄为45.8±16.8岁,人口统计学特征为72.1%的女性(560人中有404人)，83.2%白色（560中的n=466），47.9％已婚（560人中有268人），和75.5%的学士学位持有者（560个中的423个）。比较高和低PGS组，更多的低PGS受访者认为正常松弛的阴茎长度<2英寸(11.1%vs5.1%;P=.008)。高PGS受访者更经常回答说，女性超过一半的时间达到性高潮是正常的（20.8％vs13.2％；P=.0002）或确定为性活跃（81.1％vs71.6％；P=.008）。与男性相比，女性更有可能报告正常睾丸大小为60.1至90mL（24.5％vs10.3％；P<0.0001），而更多的男性认为正常睾丸大小为7至15mL（26.3％vs11.4％；P<.0001）。性高潮长度感知也有所不同：更多的女性认为女性性高潮长度为2.6至5秒（36.6％vs16.7％；P<0.0001），更多的男人认为女性高潮会更长，在7.6到10秒（29.5%对17.3%；P=0.002），10.1至12.5秒（11.5%对5.2%；P=.0008），和>12.5秒（12.2%对5.7%；P=0.009）。受访者对生殖器的看法因性别而异，与男性相比，女性更有可能感到自己的生殖器正常（89.4％vs75.0％；P<0.0001）。
结论：PGS可能是一种有用的筛查工具，因为PGS与性活动有关。
■我们的大规模调查评估了公众对生殖器解剖和功能的看法。局限性包括缺乏性别非二元观念。
结论：性别和PGS与男性解剖学和女性性活动的感知相互作用，高PGS受访者的性活动频率更高；然而，这些相互作用的方向仍不清楚,需要未来的因果分析.
目的：我们评估了生殖器满意度之间的关系，调查受访者的性活动，以及对解剖结构和功能的感知。
方法：从2023年1月至3月，通过ResearchMatch，对年龄≥18岁的任意性别志愿者进行了54项REDCap调查。反应分为（1）高PGS和（2）低PGS。对调查响应使用卡方检验和对中位数满意度进行MannWhitneyU检验进行分析。
结果：结果是生殖器解剖感知，性活动,和受访者\'PGS。
结果：在开始调查的649名受访者中，560（86.3％）完成了它。PGS中位数为10个中的7个，形成高满意度（≥10个中的7个）（560个中的317个[56.6％]）和低满意度（<10个中的7个）（560个中的243个[43.4％]）的亚组。平均年龄为45.8±16.8岁,人口统计学特征为72.1%的女性(560人中有404人)，83.2%白色（560中的n=466），47.9％已婚（560人中有268人），和75.5%的学士学位持有者（560个中的423个）。比较高和低PGS组，更多的低PGS受访者认为正常松弛的阴茎长度<2英寸(11.1%vs5.1%;P=.008)。高PGS受访者更经常回答说，女性超过一半的时间达到性高潮是正常的（20.8％vs13.2％；P=.0002）或确定为性活跃（81.1％vs71.6％；P=.008）。与男性相比，女性更有可能报告正常睾丸大小为60.1至90mL（24.5％vs10.3％；P<0.0001），而更多的男性认为正常睾丸大小为7至15mL（26.3％vs11.4％；P<.0001）。性高潮长度感知也有所不同：更多的女性认为女性性高潮长度为2.6至5秒（36.6％vs16.7％；P<0.0001），更多的男人认为女性高潮会更长，在7.6到10秒（29.5%对17.3%；P=0.002），10.1至12.5秒（11.5%对5.2%；P=.0008），和>12.5秒（12.2%对5.7%；P=0.009）。受访者对生殖器的看法因性别而异，与男性相比，女性更有可能感到自己的生殖器正常（89.4％vs75.0％；P<0.0001）。
结论：PGS可能是一种有用的筛查工具，因为PGS与性活动有关。
■我们的大规模调查评估了公众对生殖器解剖和功能的看法。局限性包括缺乏性别非二元观念。
结论：性别和PGS与男性解剖学和女性性活动的感知相互作用，高PGS受访者的性活动频率更高；然而，这些相互作用的方向仍不清楚,需要未来的因果分析.
