Evidence map›Paper›PMID 40615569›Full record

ArticleInternational journal of impotence research2026

Dimensions of sexual self-concept and sexual dysfunctions in middle-aged men: results of the Bavarian Men's Health-Study.

Valentin H Meissner, Victoria A Söhne, Andreas Dinkel, Matthias Jahnen, Stefan Schiele, Martina Kron, Jürgen E Gschwend, Kathleen Herkommer

Abstract read
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Article in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Valentin H MeissnerTechnical University of Munich, School of Medicine and Health, Department of Urology, TUM University Hospital, Munich, Germany. valentin.meissner@tum.de.ORCID http://orcid.org/0000-0001-7679-3658
Victoria A SöhneTechnical University of Munich, School of Medicine and Health, Department of Urology, TUM University Hospital, Munich, Germany.
Andreas DinkelTechnical University of Munich, School of Medicine and Health, Department of Psychosomatic Medicine and Psychotherapy, TUM University Hospital, Munich, Germany.
Matthias JahnenTechnical University of Munich, School of Medicine and Health, Department of Urology, TUM University Hospital, Munich, Germany.
Stefan SchieleTechnical University of Munich, School of Medicine and Health, Department of Urology, TUM University Hospital, Munich, Germany.
Martina KronInstitute of Epidemiology and Medical Biometrics, University of Ulm, Ulm, Germany.
Jürgen E GschwendTechnical University of Munich, School of Medicine and Health, Department of Urology, TUM University Hospital, Munich, Germany.
Kathleen HerkommerTechnical University of Munich, School of Medicine and Health, Department of Urology, TUM University Hospital, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sexual self-concept is multidimensional and a key construct in understanding people's sexuality. The etiology as well as the relationship and causal direction between its different dimensions and sexual dysfunctions are not fully understood. A population-based cohort (N = 5665) of 50-year-old men completed questionnaires on dimensions of sexual self-concept (toughness, body image, sexual self-esteem, and perceived pressure with regard to sexuality) and sexual dysfunctions. Associations were assessed using multivariable linear regression analyses. Erectile dysfunction (ED), lifelong/acquired and subjective/variable premature ejaculation (PE), and low libido (LL) were associated with a more negative body image (p < 0.001), lower sexual self-esteem (p < 0.001), and higher perceived pressure with regard to sexuality (p < 0.001). ED, lifelong/acquired and subjective/variable PE were associated with toughness (p < 0.001), an association with LL could not be shown. A negative sexual self-concept was independently associated with sexual dysfunctions in middle-aged men highlighting that sexual self-concept represents a relevant factor in the biopsychosocial conception of sexual dysfunctions. The causal direction of this relationship needs to be determined in longitudinal studies.

Indexed as

Self ConceptSexual BehaviorSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalBody ImageErectile DysfunctionGermanyHumansLibidoMaleMen's HealthMiddle AgedPremature EjaculationSurveys and Questionnaires

Identifiers

PMID40615569
PMCPMC13171599

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.