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The present study explores how genital self-image may be related to considerations of surgically altering one's genitals and documents the wanted genital changes among young adults. Evidence of a nontrivial proportion of respondents (98 of 1,110) had seriously considered elective genital surgery. Regression models indicate that, for both men and women, identifying as heterosexual and reporting lower composite genital self-image scores results in higher odds of considering genital surgery. Additionally for men, feeling unsatisfied with penis size increased the odds. Clinical and educational efforts to normalize and celebrate genital variation may influence considerations for genital modification in young adults. [ABSTRACT FROM AUTHOR]

A sizable minority of women report lifetime sexual behavior with both men and women. In the present study, a multinational sample of women who reported genital contact with at least one man and one woman in their lifetime (N = 2,751) were asked to provide their behavioral definitions of “having sex with a woman” and “having sex with a man.” Replicating previous research, participants were asked “Would you say you ‘had sex’ with a woman/man if the most intimate behavior you engaged in with her/him was …” followed by a list of behaviors that differed based on the hypothetical partner gender. While most participants indicated that they would consider “having had sex” if they engaged in a variety of behaviors, behaviors involving genital contact were most often included within the participants’ definitions of having sex, regardless of partner gender. The percentage of behaviors included in the participants’ definitions of having sex with a woman (M = 59.40%,SD = 20.77%) was higher than the percentage of behaviors included in their definition of having sex with a man (M = 37.26%,SD = 28.97%). Broadening our understanding of “having sex” for individuals with diverse sexual experiences may have important implications for clinicians and researchers. [ABSTRACT FROM PUBLISHER]