Abstract
BACKGROUND: Negative genital self-image is associated with sexual unresponsiveness and dysfunction. AIM: This study aims to determine the relationship between men's genital self-image and premature ejaculation, with identifying influencing factors. METHODS: The research is designed as a descriptive and correlational study. The sample consists of 188 men aged 18 to 60 years who volunteered to participate in the study. OUTCOMES: A negative correlation was observed between genital self-image and premature ejaculation (P < .05). RESULTS: The average age of the participating men was 39.5 ± 9.79 years (mean ± SD), with 91.5% being married. The average age of the participants' first sexual encounter was 20.43 ± 4.01 years, and 38.3% reported experiencing premature ejaculation. The mean score for the Male Genital Self-image Scale was 21.10 ± 5.59, and that for the Premature Ejaculation Diagnostic Tool was 6.96 ± 3.73. As a result of the study, it was revealed that participants who experienced premature ejaculation were not at peace with their bodies and were dissatisfied with their sexual experiences and their genital size and function, with significantly lower levels of genital self-image (P < .05). CLINICAL IMPLICATIONS: Identifying factors that affect men's genital self-image is crucial for maintaining sexual functions. STRENGTHS AND LIMITATIONS: In Turkey, sexuality is a taboo subject, often considered shameful and rarely discussed, making it challenging to find participants willing to engage in research. CONCLUSION: Men's genital self-image influences the characteristics of premature ejaculation.