{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T17:12:55Z","timestamp":1789665175735,"version":"4.0.1"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Genital self-image (GSI) refers to a person\u2019s perception of their genitalia, whether positive or negative. In recent years, it has become increasingly common for individuals to report dissatisfaction and insecurity regarding the appearance of their bodies and genitals. This scenario has a negative impact on both physical and psychological health, in addition to negatively influencing sexual life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To gather information on the relationship between GSI and sexual function and to determine whether there is an association between these two factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methodology<\/jats:title>\n                  <jats:p>A Systematic Review was carried out in the following databases: CINAHL, Embase, MEDLINE, Open Science Journal, PeDro, PubMed, Scielo, Scopus, Science Direct, Springer Link, and OpenGrey. The research question was based on the PICO strategy: \u201cIs there an association between genital self-image and sexual function?\u201d. Observational quantitative studies were included, regardless of language and publication data. Studies that did not include the terms \u201cGenital Self-Image\u201d, \u201cSexual Function\u201d, and their synonyms and\/or keywords in the title, duplicated studies or with low methodological quality were excluded.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Out of 1727 initially identified studies, 10 met the inclusion criteria. These studies involved 7448 participants (2280 men and 5168 women) aged 18 to 72\u00a0years. The analysis showed a consistent association between positive GSI and better sexual function, including increased desire and satisfaction. Conditions such as premature ejaculation and pelvic floor dysfunction negatively impacted both GSI and sexual performance, suggesting a reciprocal relationship between the GSI and sexual function. Despite the growing interest in genital cosmetic surgeries, studies did not show significant differences in sexual function between women who underwent these procedures and those who did not. Sociocultural factors, including dissatisfaction with genital size, were also found to negatively affect GSI and sexual well-being, especially among men.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A positive GSI is associated with better sexual function, greater satisfaction and quality in intimate experiences. Despite this, methodological limitations and the lack of diversity in the populations studied restrict the generalization of the results. Future research should focus on addressing gaps, such as the lack of longitudinal studies and the underrepresentation of diverse populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf194","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T05:55:37Z","timestamp":1755237337000},"page":"1839-1847","source":"Crossref","is-referenced-by-count":5,"title":["The impact of genital self-image on sexual function: a systematic review"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3292-4632","authenticated-orcid":false,"given":"Hermenson Gabriel Sp\u00edndola","family":"Barreto","sequence":"first","affiliation":[{"name":"Departamento de Fisioterapia da Universidade Federal do Delta do Parna\u00edba \u2013 UFDPar. Piau\u00ed. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9919-5273","authenticated-orcid":false,"given":"Ana Carolinny Cruz","family":"Saraiva","sequence":"additional","affiliation":[{"name":"Departamento de Fisioterapia da Universidade Federal do Delta do Parna\u00edba \u2013 UFDPar. Piau\u00ed. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"},{"name":"Research Group on Evaluative and Therapeutic Physiotherapy \u2013 GPFAT. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9661-1898","authenticated-orcid":false,"given":"Ant\u00f4nia Clarice de Sousa e","family":"Sousa","sequence":"additional","affiliation":[{"name":"Departamento de Fisioterapia da Universidade Federal do Delta do Parna\u00edba \u2013 UFDPar. Piau\u00ed. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"},{"name":"Research Group on Evaluative and Therapeutic Physiotherapy \u2013 GPFAT. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6470-2341","authenticated-orcid":false,"given":"Guilherme Pertinni","family":"de Morais Gouveia","sequence":"additional","affiliation":[{"name":"Departamento de Fisioterapia da Universidade Federal do Delta do Parna\u00edba \u2013 UFDPar. Piau\u00ed. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"},{"name":"Research Group on Evaluative and Therapeutic Physiotherapy \u2013 GPFAT. Av. S\u00e3o Sebasti\u00e3o , n\u00b0 2819 - Nossa Sra. de F\u00e1tima, Parna\u00edba - PI, 64202-020"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"2025100504570571700_ref1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1590\/1809-2950\/e22015823en","article-title":"Female genital self-image scale (FGSIS): cut-off point, reliability, and validation of measurement properties in Brazilian women","volume":"30","author":"Arruda","year":"2023","journal-title":"Fisioterapia e Pesquisa"},{"issue":"2","key":"2025100504570571700_ref2","doi-asserted-by":"crossref","first-page":"84","DOI":"10.4274\/tjod.galenos.2019.49799","article-title":"Female genital image: is there a relationship with body image?","volume":"16","author":"Gomes","year":"2019","journal-title":"Journal of Turkish Society of Obstetric and Gynecology"},{"issue":"3","key":"2025100504570571700_ref3","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1111\/j.1471-6402.2010.01584.x","article-title":"Genital appearance dissatisfaction: implications for Women\u2019s genital image self-consciousness, sexual esteem, sexual satisfaction, and sexual risk","volume":"34","author":"Schick","year":"2010","journal-title":"Psychol Women Q"},{"issue":"4","key":"2025100504570571700_ref4","first-page":"1717","article-title":"Penile girth augmentation by injectable fillers: a comprehensive review of imaging features and inflammatory complications. 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