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Abstract

The relation between sexual orientation and penile dimensions in a large sample of men was studied. Subjects were 5122 men interviewed by the Kinsey Institute for Research in Sex, Gender, and Reproduction from 1938 to 1963. They were dichotomously classified as either homosexual (n = 935) or heterosexual (n = 4187). Penile dimensions were assessed using five measures of penile length and circumference from Kinsey's original protocol. On all five measures, homosexual men reported larger penises than did heterosexual men. Explanations for these differences are discussed, including the possibility that these findings provide additional evidence that variations in prenatal hormonal levels (or other biological mechanisms affecting reproductive structures) affect sexual orientation development.
Archives of Sexual Behavior, Vol. 28, No. 3, 1999
The Relation Between Sexual Orientation
and Penile Size
Anthony F. Bogaert, Ph.D.,
1
,
3
and Scott Hershberger, Ph.D.
2
The relation between sexual orientation and penile dimensions in a large sample
of men was studied. Subjects were 5122 men interviewed by the Kinsey Institute
for Research in Sex, Gender, and Reproduction from 1938 to 1963. They were di-
chotomously cl assi ed as either homosexual (n
=
935) or heterosexual (n
=
4187).
Penile dimensions were assessed using ve measures of penile length and circum-
ference from K insey’s original protocol. On all ve measures, homosexual men
reported larger penises than did heterosexual men. Explanations for these differ-
ences are discussed, including the possibility that these ndings provide additional
evidence that variations in prenatal hormonal levels (or other biological mecha-
nisms affecting reproductive structures) affect sexual orientation development.
KEY WORDS:
sexual orientation; penile dimensions; hormones; homosexuality; Kinsey; men.
INTRODUCTION
Biologica l factors, such as prenatal hormonal conditions (e.g., testosterone
levels), have been argued to be important in the development of sexual orientation
(e.g., Ellis and Ames, 1987). However, one criticism of these approaches (e.g.,
Byne and Parsons, 1993) is that there is little evidence that homosexual men and
women differ from heterosexual men and women in genital morphology, a plausible
consequence if biological factors affecting reproduction, such as prenatal hormonal
levels, underlie sexual orientation. It is clear, for example, that alterations in typical
levels of prenatal hormones can affect genital size and morphology, as evidenced by
girls with congenital adrenal hyperplasia (CAH) who have masculinized genitalia
1
Health Studies, Brock University, St. Catharines, Canada L2S 3A1; e-mail: tbogaert@spartan.ac.
brocku.ca.
2
California State University, Department of Psychology, 1250 Bell ower Boulevard, Long Beach,
California 90840; e-mail: scotth@csulb.edu.
3
To whom correspondence should be addressed.
213
0004-0002/99/0600-0213$16.00/0
C
°
1999 Plenum Publishing Corporation
214 Bogaert and Hershberger
as a re sult of exposure to higher-than-typical levels of androgens prenatally or by
boys who have demasculinized genitalia as a result of androgen insensitivity syn-
drome (e.g., Conte and Grumbach, 1995). However, although women affected
by C AH have been found to have elevated rates of same-sex attraction (e.g.,
Zucker et al., 1996), these women make up only a very small percentage of the
people with same-sex attraction.
A number of factors may ac count for why heterosexuals and the vast majority
of homosexuals do not seem to differ in genital morphology. One explanation con-
cerns the timing of prenatal hormonal uctuations responsible for alterations in
sexual orientation on the one hand and the timing of possible alterations in genital
morphology on the other. For example , there is evidence that the beginning of
genital differentiation (e.g., development of the pe nis) oc curs earlier in gestation
(i.e., at 8 weeks) than the beginning of the differentiation of brain structures puta-
tively relevant for sexual identity and sexual orientation (Ellis and Ames, 1987).
Thus, a small alteration in testosterone levels in one phase of pregnancy may not
alter genital development in any detectable way, but it may have effects on brain
structures (e.g., hypothalamus) relevant for sexual orientation.
A related explanation is that alterations in typical prenatal hormones do not
always affect genital growth. For example, two recent studies of CAH boys, who
have been exposed to higher-than-typical levels of prenatal and prepubertal andro-
gens, did not nd different lengths of penises in these boys relative to controls,
although the samples of the CAH boys were small (n
=
9 and n
=
12) and 2 of the
boys in one CAH sample had micropenis (Levy and Husmann, 1996; Sutherland
et al., 1996). In addition, researchers administering higher-than-typical dosages of
prenatal testosterone did not induce more-than-typical growth in a small sample
of human fetal penile specimens (Baskin et al., 1997). This recent research sug-
gests that individual differences in adult phallic size may be largely the result of
differences in the inherent genetic structure for organoge nesis when stimulated by
appropriate hormonal conditions. However, these research st udies had, as men-
tioned, small samples, and it is clear that the mechanisms, including hormonal
ones, responsible for the growth (and the cessation of growth) of the genitalia are
not fully understood (Baskin et al., 1997).
A third explanation is that this issue has not been adequately studied in large
samples. A large sample may be needed to detect small variations in genital size
that have occurred because of alterations in t ypical levels of prenatal hormones
or other relevant growth and development mechanisms. One early and relatively
unknown study using a reasonably large sample did nd that homosexuals differ,
on average, from heterosexuals in genital morphology (s ee Nedoma and Freund,
1961). These investigators found that homosexual men (n
=
126) had larger penises
than a comparison sample of heterosexual men (n
=
86). More data are needed
to establish the reliability of this nding, however. A very large data set that
contains information on sexual orientation and genital size in men is the ori ginal
Sexual Orientation 215
Kinsey sample (Gebhard and Johnson, 1979; Kinsey et al., 1948). With over 5000
relevant cases, these data provide a rare opportunity to conduct powerful tests of
the relation between sexual orientation and genital size. These tests are the focus
of the present study. Speci cally, we present analyses on some of the original
Kinsey data to investigate whether homosexual and heterosexual men differ in
penile size. If homosexual men differ from heterosexual men, then this nding may
provide additional evidence that variations in prenatal hormonal levels (or other
biological mechanism s affecting reproductive structures) affect sexual orientation
development.
METHOD
Probands
From 1938 to 1963, 17,502 case histories were recorded by the Kinsey Insti-
tute for Sex Research using the i nterview schedule devised by Alfred C. Ki nsey
(Gebhard and Johnson, 1979). These data are currently stored in several les. The
les containing adult (i.e., 18 or over) White and non-White males with no convic-
tions for felonies or misdemeanors (other than traf c violati ons) comprise 6013
cases.
Sexual Orientation
Sexual orie ntation was classi ed according to the following criteria. Men
were classi ed as homosexual if they reported “extensive” homosexual experience,
de ned by Gebhard and Johnson (1979) as more than 20 male sexual partners or
more than 50 homosexual experiences (with one or more partners). Men were
classi ed as heterosexual if they met two criteria: (i) t hey reported either “no” or
“rare” homosexual experi ence, the latter de ned by Gebhard and Johnson (1979)
as 1 male sexual partner and/or 1–5 homosexual experiences, and (ii) they did not
respond that they experienced “much” or “some” sexual arousal to questions about
sexual arousal from s eeing and thinking of other males.
Using these criteria, 891 cases could not be classi ed as either heterosexual
or homosexual. Of the remaining 5122 cases, 935 were classi ed as homosexual
and 4187 were cl assi ed as heterosexual.
Penile Size Measures
In Kinsey’s original interview protocol, ve measures of penis s ize were
included: estimated erect penis length; measured accid penis length; measured
216 Bogaert and Hershberger
erect penis length; measured accid penis circumference; and measured erect penis
circumference. Penis length was estimated or measured along the top of the penis
from the belly to the tip. For penis circumference, the men were told to measure
at the point of maximum circumference. During the interviews, Kinsey and his
colleagues often slowly slid a nger along a standard ruler with the numerals
not visible and t old the men to indicate when the length of their erect penis had
been reached. For the measured sizes, the men were given speci c instructions
on how to measure their penises, and precision of measurement was stressed.
These measured sizes were performed after the interview, and the participants
mailed their measurements to the Kinsey Institute using standard response cards
and preaddressed stamped envelopes (Gebhard and Johnson, 1979). The Kinsey
researchers recorded the sizes to the nearest quarter inch. The data derived from
these measures have provided normative information on penis size and have been
shown to support ndings from other samples (Jamison and Gebhard, 1988).
Additional Demographics
The two groups were also assessed on a number of demographic variables,
including age, educat ion level, race/ethnicity, and parental socioeconomic status
(SES). Educational level could ra nge from 1
=
1st grade or illiterate to 20
=
Ph.D.,
MD., or LL.D. Parental SES refers to the nancial status of the proband’s parents
when he was 14 to 17 years of age. It was coded on an 8-point scale from 1 (extreme
poverty) to 8 ( extreme wealth). Parental SES is preferred to proband’s education as
a measure of social class because many of the probands were still in school (i.e.,
college and university) when interviewed and their current educa tional level would
not re e ct their ultimate education level. Finally, the two groups we re assessed on
height and weight. Height and we ight were reported by the respondent, not by
the interviewer. Height was recorded to the nearest inch. Current weight was not
recorded in the computer les in exact pounds, but instead in 10-lb. ranges, where,
for exa mple, 11
=
110–120 lb., 12
=
120–129 lb., and so on.
RESULTS
Similar percentages of homosexual and heterosexual men had valid responses
(i.e., nonmissing data) for the estimated penis length measure a sked during the
interview (n
=
813 or 87% vs. n
=
3147, or 82%, respectively). In addition,
the two groups had similar pe rcentages of those who returned the cards with the
measured penis si zes, either assessed as a ratio of returned cards to total possible
respondents (both groups at approximately 44%) or as a rat io of returned ca rds to
those who had a valid response for the estimated penis length measure during the
interview (both groups at approximately 54%).
Sexual Orientation 217
Table I.
Comparisons of Homosexual and Heterosexual Men on Penile Dimensions
Homosexuals Heterosexuals
(n
=
813)
a
(n
=
3417)
a
Variable ¯x
b
SD ¯x
b
SD t
c
p
Estimated erect size 6.32 0.95 5.99 0.91 9.16
<
0.0001
Measured accid penis size 4.10 0.87 3.87 0.71 5.06
<
0.0001
Measured erect penis size 6.46 0.82 6.14 0.74 7.29
<
0.0001
Measured circumference 3.84 0.65 3.70 0.66 3.92
<
0.0001
of accid penis
Measured circumference 4.95 0.69 4.80 0.72 3.86
<
0.0001
of erect penis
a
Sample size varies on some measures because of missing cases.
b
Measurements are inches.
c
t-test based on separate variance estimates when variances differ.
Table II.
Comparisons of Homosexual and Heterosexual Men on Demographic Variables
Homosexuals Heterosexuals
(n
=
813)
a
(n
=
3417)
a
Variable ¯x SD ¯x SD t p
Age 30.77 10.65 30.45 11.27 0.77 ns
Parental SES
b
4.75 1.59 4.73 1.40 0.23 ns
Education 14.17 3.81 15.83 3.52 11.03
<
0.0001
Height
c
69.50 2.82 69.70 2.76 1.93 0.06
Weight
d
15.35 2.17 15.94 2.24 6.90
<
0.0001
a
Sample size varies for some variables because of missing cases.
b
Parental SES varies from 1
=
(extreme poverty) to 8
=
(extreme wealth).
c
Height is in inches.
d
Weight is 10-lb, ranges, where, for example, 15
=
150159 lbs.
On all ve measures, the homosexual men reported larger penises than did
the heterosexual men (all ps
<
0
.
0001, two-tailed). Thus, differences occurred on
both estimated and measured penis size (Table I).
4
The homosexual and heterosexual men did not differ in the proportion of
non-Whites comprising the groups (i.e ., both 8% non-White), nor did they differ
in age or parental SES (Table II). However, the two groups did differ in weight and
marginally in height, where the homosexual men were smaller than the heterosex-
ual men (see also Blanchard and Bogaert, 1996). The two groups also differed in
educational level, although, as mentioned, this measure is probably less meaningful
4
We also tested whether differences occurred between homosexual and heterosexual men using a more
restricted de nition of heterosexuality, where “heterosexual” men were those who did not have any
(even “rare”) same-sex sexual contact. As mentioned, Kinsey’s de nition of “rare” meant 1 partner
and/or 1–5 same-sex sexual experiences. All penile differences remained signi cant (all ps
<
0
.
0001).
218 Bogaert and Hershberger
than parental SES. To eval uate any possible confounding effects these three vari-
ables might have in contributing to the penis size differences between the two
groups, we entered education, height, and weight, along with one of the ve penile
measures, into ve logistic regression a nalyses to predict sexual orientation. All
ve penile measures remained signi cant (all ps
<
0
.
0001).
DISCUSSION
In the largest sample of its kind in the world, homosexual men were found
to report signi cantly larger penises (in both length and circumference) than did
heterosexual men.
5
Moreover, the effects were not due to possible confounding
factors, such as height, weight, or education. Indeed, the fact that these differences
occurred, even though homosexual men may be physically smaller than heterosex-
ual men (Blanchard and Bogaert, 1996; Bogaert and Blanchard, 1996a) suggests
these differences are robust, given the small but signi cant relationship between
penis size and physical size (e.g., r
=
0
.
15 between erect penis length and height
in these data; see also Siminoski and Bain, 1993).
Alterati ons of typical levels of prenatal hormones in homosexual men may
account for these ndings in one of two ways. First, a lower l evel of prenatal
masculiniz ing hormones (e.g., testosterone), particularly at critical periods, may
reduce the loss of androgen receptors in the developing penis which allows it to
grow to a larger size. Such down-regulation of androgen receptors has been argued
to occur in the cessation of genital growth in rodents (Takane et al., 1990), although
to date there is little evidence of such mechanisms in humans (Baskin et al., 1997;
Levy a nd Husmann, 1996; Sutherland et al., 1996).
Second, the pattern of prenatal horm onal uctuations found to occur in preg-
nant female rats under conditions of stress may be rel evant (see Ward, 1984, for
a review). Prenatal stress in pregnant female rats reduces the level of prenatal
androgens, which alters the size of the sexually dimorphic nucleus of the preop-
tic a rea and sex-typical behavior in male offspring. However, it is also clear that
prior to this eventual and permanent decline in testosterone in pregnant female
rats, there is a signi cant initial surge of this hormone (see, for example, Ward
and Weisz, 1980, p. 328). If similar prenatal hormonal patterns occur i n pregnant
human mothers under stress (e.g., D¨orner et al., 1980; but also see Bailey et al.,
1991) or other conditions, then one might expec t homosexual men to have, along
with more “feminine” characteristics, which re ect the late but permanent decline
of pre natal testosterone, a number of more “masculine” characteristics, which re-
ects the early testosterone surge. One of these masculine characteristics may be
larger genitalia.
5
In a footnote, Tripp (1975, p. 83) made reference to the fact that the Kinsey data show differences in
penis size between homosexual and heterosexual men, but he evidently never published any analysis
to support his assertion.
Sexual Orientation 219
Some research indicates that homosexual men may have more incidence
of non-right-handedness (e.g., Lindesay, 1987), a characteristic more likely to
occur in men than in women. This handedeness pattern has been interpreted to be
consistent with Ward’s nding of an early surge of testosterone prior to an eventual
and permanent decline of this hormone in pregnant rats under conditions of stress
(Geschwind and Galaburda, 1985; James, 1989). However, it should be noted
that the sexual orientation/handedness relationship is inconsistent (see Zucker
and Bradley, 1995), with a number of l arge-scale studies showing no elevated
rates of non-right-handedness in homosexual men relative to heterosexual men
(e.g., Bogaert and Blanchard, 1996b). It should also be noted that Ward and her
colleagues have not detected evidence of altered genital size (e.g., smaller or larger
penises) in the male offspring of the stressed pregnant rat s (e.g., Ward, 1992).
Alternative biological explanations for the penis size difference c oncern other
(i.e., nonprenatal androgenic) growth and development mechanisms relevant to re-
production/sex differentiation. For example, it is clear that penile growth occurs
in various phases of fetal, childhood, and adolescent life and that other hormones
aside from androgens, such as growth and thyroid hormone, are partially responsi-
ble for human penile growth (Baskin et al., 1997). If homosexual and heterosexual
men differ on one or more of these other biological mechanisms, then these factors,
alone or in combination with prenatal androgens, may account for the difference
between homosexual and heterosexual men in penis size. It is of note that growth
and devel opment characteristics, such as physical size and age of puberty onset
(e.g., Blanchard and Bogaert, 1996; Bogaert and Blanchard, 1996a) and elements
of the pit uitary-hypothalamic-gonadal axis, in particular sites of the hypothalamus
(LeVay, 1991; Swaab and Hofman, 1990), may differ between homosexual and
heterosexual men.
Researc h on possi ble genetic differences between homosexual and heterosex-
ual men (e.g., Bailey a nd Pillard, 1991; Hamer et al., 1993) is also of note, given
recent research suggesting that individual differences in adult phallic size may be
largely the result of differences in the inherent genetic structure for organogenesis
under appropriate hormonal conditions (Baskin et al., 1997; Levy and Husmann,
1996; Sutherland et al., 1996). If so, the possible genetic differences between ho-
mosexual and heterosexual men ma y affect, not surprisingly, a number of elements
of t he reproductive/sex differentiation system.
Another explanation for these differences concerns systematic error from
reporting bias. Although random or unsystematic error from, for example, self-
report measures is less likely (and not more likely) to lead to reliable/signi cant
diffe rences, there is a possibility of syst ematic error in these data. In particular,
homosexual me n may be more likely than heterosexual men to exaggerate the size
of their penises to conform to an ideal standard of sexual attractiveness. There is
some evidence, for example, that gay men may be more prone t han het erosexual
men to body image dissatisfaction (e.g., Siever, 1994). However, there are a number
reasons why reporting bias may be an unlikely explanation for these differences.
220 Bogaert and Hershberger
First, the differences in penis size exist across different measures and methods of
measurements (i.e., estimating, measuring, circumference, and length), suggesting
reliabili ty of measurement. Second, it is clear that, despite the fact t hat gay men
may be more concerned than heterosexual men with some elements of their body,
such as the need for a thin physique (e.g., Siever, 1994), heterosexual men are in
fact concerned—even preoccupied—about the size of their penises and often de-
sire a larger one (e.g., Zilbergeld, 1978). Third, heterosexual men are often much
more conforming than homosexual men to stereotypically “masculine” gender
roles (e.g., Bailey and Zucker, 1995). Fourth, there is evidence tha t homosexual
men may be less likely than heterosexual men to falsify/exaggerate personality
and attitudinal information on questionnaires where social desirability is a n issue
(Freedman, 1975). Finally, these ndings replicate a smaller but independent study
by Nedoma and Freund (1961) in which a physician conducted the penile mea-
surements. Given that this issue remains unresolved, however, collecting additional
data to assess the possibility of self-report bias is worthwhile.
REFERENCE S
Bailey, J. M., and Pillard, R. C. (1991). A genetic study of male sexual orientation. Arch. Gen. Psychiat.
48: 10891096.
Bailey, J. M., and Zucker, K. J. (1995). Childhood sex-typed behavior and sexual orientation: A
conceptual analysis and quantitative review. Dev. Psychol. 31: 4355.
Bailey, J. M., Willerman, L., and Parks, C. (1991). A test of the maternal stress theory of human male
homosexuality. Arch. Sex. Behav. 20: 277294.
Baskin, L. S., Sutherland, R. S., DiSandro, M. J., Hayward, S. W., Lipschutz, J., and Cunha, G.
(1997). The effect of testosterone on androgen receptors and human penile growth. J. Urol. 158:
1113–1118.
Blanchard, R., and Bogaert, A. F. (1996). Biodemographic comparisons of homosexual and heterosex-
ual men in the Kinsey interview data. Arch. Sex. Behav. 25: 551–579.
Bogaert, A. F., and Blanchard, R. (1996a). Physical development and sexual orientation in men:
Height, weight, and onset of puberty differences. Pers. Indiv. Diff. 21: 7784.
Bogaert, A. F., and Blanchard, R. (1996b). Handedness in homosexual and heterosexual men in the
Kinsey interview data. Arch. Sex. Behav. 25: 373–378.
Byne, W., and Parsons, B. (1993). Human sexual orientation: The biologic theories reappraised. Arch.
Gen. Psychiat. 50: 228239.
Conte, F., and Grumbach, M. (1995). Pathogenesis, classi cation, diagnosis, and treatment of anomalies
of sex. In Degroot, L. J. (ed.), Endocrinology, W. B. Saunders, Philadelphia.
D¨orner, G., Geier, T., Ahrens, L., Krell, L, M¨unx, G., Sieler, H., Kitter, E., and M¨uller, H. (1980).
Prenatal st ress as possible aetiogenic factor of homosexuality in human males. Endokrinologie
75: 365–368.
Ellis, L., and Ames, M. A. (1987). Neurohormonal functioning and sexual orientation: A theory of
homosexuality-heterosexuality. Psychol. Bull. 101: 233–258.
Freedman, M. (1975). Homosexuals may be healthier than straights. Psychol. Today 8: 28–32.
Gebhard, P. H., and Johnson, A. B. (1979). The Kinsey Data: Marginal Tabulations of the 1938–1963
Interviews Conducted by the Institute for Sex Research, W. B. Saunders, Philadelphia.
Geschwind, N., and Galaburda, A. M. (1985). Cerebral lateralization. Biological mechanisms, associ-
ations, and pathology: II. A hypothesis and a program of research. Arch. Neurol. 42: 634– 654.
Hamer, D. H., Hu, S., Magnuson, V. L., Hu, N., and Pattatucci, A. (1993). A linkage of DNA markers
on the X chromosomes and male sexual orientation. Science 261: 321–327.
Sexual Orientation 221
James, W. J. (1989). Foetal testosterone levels, homosexuality, and handedness: A research proposal
for jointly testing Geschwind’s and D¨orner’s hypothesis. J. Theoret. Biol. 136: 177–180.
Jamison, P., and Gebhard, P. (1988). Penis size increase between accid and erect states: An analysis
of the Kinsey data. J. Sex Res. 24: 177–183.
Kinsey, A. C., Pomeroy, W. B., and Martin, C. E. (1948). Sexual Behavior in the Human Male, W. B.
Saunders, Philadelphia.
LeVay, S. (1991). A difference in hypothalamic structure between heterosexual and homosexual men.
Science 253: 10341037.
Levy, J. B., and Husmann, D. (1996). Congenital adrenal hyperplasia: Is there an effect on penile
growth? J. Urol. 156: 780782.
Lindesay, J. (1987). Laterality shift in homosexual men. Neuropsychologia 25: 965–969.
Nedoma, K., and Freund, K. (1961). Somatosexuln´
õ
n´alezy u homosexu´aln´
õ
ch mu
Ï
zu
±
[Somatosexual
ndings in homosexual men]. Ceskoslovenska Psychiatre 57: 100103.
Siever, M. D. (1994). Sexual orientation and gender as factors in socioculturally acquired vulnerability
to body dissatisfaction and eating disorders. J. Consult. Clin. Psychol. 62: 252–260.
Siminoski, K., and Bain, J. (1993). The relationship among height, penile length, and foot size. Ann.
Sex Res. 6: 231–235.
Sutherland, R. S., Kogan, B. A., Baskin, L. S., Mevorach, R. A., Conte, F., Kaplan, S., and Grumbach,
M. M. (1996). The effect of prepubertal androgen exposure on adult penile length. J. Urol. 156:
783787.
Swaab, D. F., and Hofman, M. A. (1990). An enlarged suprachiasmatic nucleus in homosexual men.
Brain Res. 537: 141–148.
Takane, K. K., George, F., and Wilson, J. D. (1990). Androgen receptor of rat penis is down-regulated
by androgen. Am. J. Physiol. 258: E46.
Tripp, C. A. (1975). The Homosexual Matrix, McGraw-Hill, New York.
Ward, I. L. (1984). The prenatal stress syndrome: Current status. Psychoneuroendocrinology 9: 3–11.
Ward, I. L . (1992). Sexual behavior: The product of perinatal hormonal and prepubertal social factors.
In Gerail, A. A., Moltz, H., and Ward, I. L. (eds.), Handbook of Behavioral Neurobiology: Vol. 11.
Sexual Differentiation, Plenum Press, New York.
Ward, I. L., and Weisz, J. (1980). Maternal stress alters plasma testosterone in fetal males. Science 207:
328329.
Zilbergeld, B. (1978). Male Sexuality, Little, Brown, Boston.
Zucker, K. J., and Bradley, S. J. (1995). Gender Identity Disorder and Psychosexual Problems in
Children and Adolescents, Guilford, New York.
Zucker, K. J., Bradley, S. J., Oliver, G., Blake, J., Fleming, S., and Hood, J. (1996). Psychosexual
development of women with congenital adrenal hyperplasia. Horm. Behav. 30: 300–318.
... While some researchers concluded that this means no such relationship exists (Breedlove, 2017), others note that inconclusive results may be due to failure to use appropriate sub-groupings within the category of gay men or lack of investigation of potential interactions (Balthazart & Court, 2017;. Notably, there is evidence to suggest that both higher and lower-than-average levels of androgen activity during development can be associated with homosexuality in men, suggesting a possible curvilinear relationship (Bogaert & Hershberger, 1999;Swift-Gallant et al., 2019a, b, 2021. Interestingly, gay men taking the top sexual role have been found to have male-typical digit ratios, while those taking the bottom role have a more feminized digit ratio-suggesting that only the latter group had been exposed to lower-than-average prenatal testosterone levels (e.g., Swift-Gallant et al., 2021). ...
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Biological mechanisms proposed to play a role in the development of sexual orientation in men include hormonal, genetic, and immunological factors. The posited roles of these factors are not mutually exclusive; instead, they may be at play to different degrees in different individuals. Direct measurement of these influences is challenging; thus, researchers rely on putative markers. We collected data on five well-established markers in a sample of gay and heterosexual men. We then (1) compared the levels of those markers in gay and straight men, (2) identified latent profiles based on those markers, and (3) compared the proportions of gay and straight men within the profiles. Gay men reported less gender conformity in childhood, a higher proportion of older brothers, were more right-handed, had more non-heterosexual relatives, and had more feminized digit ratios. Of the six identified profiles, the most numerous, containing a significantly higher proportion of straight men, had masculine digit ratios, masculine behavior in childhood, and was the most right-handed. Proportions of gay and straight men did not differ in the profile with the most feminine digit ratio, the profile associated with the highest proportion of older brothers, and the profile associated with left-handedness. Two remaining profiles, associated with familiality, and the most feminine childhood gender behaviors, consisted predominantly of gay men. The study suggests that further investigations of differences within sexual orientation categories are warranted.
... Physical body attributes have been associated with sexual behavior and psychology in gay and bisexual men. For example, such men have reported having larger penises than heterosexual men (Bogaert & Hershberger, 1999). Grov, Parsons, and Bimbi (2010) found psychosocial adjustment reported by gay and bisexual men to be positively associated with penis size. ...
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p>Sociological, psychological, and public health studies document that many gay and bisexual men may self-label by their anal penetrative role (i.e., bottom or exclusively receptive; top or exclusively insertive; or versatile, both receptive and insertive during anal intercourse). Yet, what orients men to think of themselves as tops, bottoms or versatiles is poorly understood. We surveyed 429 men engaging in same-sex anal intercourse to investigate the degree to which anal penetrative self-identity was concordant with actual penetrative behavior. Additionally, the roles of masculinity and physical body traits (e.g., penis size, muscularity, height, hairiness, and weight) were tested as correlates of anal penetrative identity and identity-behavior concordance. Tops and bottoms showed a high degree of concordance between identity and enacted behavior; however, only half of versatiles reported concordant identity and behavior (i.e., wanting to be versatile and actually reporting versatile behavior). Generally, tops reported larger penises than bottoms. They also reported being comparatively more masculine than bottoms. Versatiles fell somewhat between the tops and bottoms on these traits. Of the six independent variables, penis size and masculinity were the only two factors to influence concordance or discordance between identity and penetrative behavior. Our study suggests that the correlates of gay men’s sexual self-labels may depend on objective traits in addition to the subjective pleasure associated with receptive or insertive anal intercourse.</p
... Physical body attributes have been associated with sexual behavior and psychology in gay and bisexual men. For example, such men have reported having larger penises than heterosexual men (Bogaert & Hershberger, 1999). Grov, Parsons, and Bimbi (2010) found psychosocial adjustment reported by gay and bisexual men to be positively associated with penis size. ...
Preprint
p>Sociological, psychological, and public health studies document that many gay and bisexual men may self-label by their anal penetrative role (i.e., bottom or exclusively receptive; top or exclusively insertive; or versatile, both receptive and insertive during anal intercourse). Yet, what orients men to think of themselves as tops, bottoms or versatiles is poorly understood. We surveyed 429 men engaging in same-sex anal intercourse to investigate the degree to which anal penetrative self-identity was concordant with actual penetrative behavior. Additionally, the roles of masculinity and physical body traits (e.g., penis size, muscularity, height, hairiness, and weight) were tested as correlates of anal penetrative identity and identity-behavior concordance. Tops and bottoms showed a high degree of concordance between identity and enacted behavior; however, only half of versatiles reported concordant identity and behavior (i.e., wanting to be versatile and actually reporting versatile behavior). Generally, tops reported larger penises than bottoms. They also reported being comparatively more masculine than bottoms. Versatiles fell somewhat between the tops and bottoms on these traits. Of the six independent variables, penis size and masculinity were the only two factors to influence concordance or discordance between identity and penetrative behavior. Our study suggests that the correlates of gay men’s sexual self-labels may depend on objective traits in addition to the subjective pleasure associated with receptive or insertive anal intercourse.</p
... In humans, women do not have a clear preference for male masculinity, and in many cases they might prefer a rather feminine-looking man as a sexual partner (Perrett et al., 1998). Human penis size can act as semen displacement equipment (Gallup et al., 2003), and homosexual men have larger penises than heterosexual men (Bogaert & Hershberger, 1999;Nedoma & Freund, 1961). The semen displacement hypothesis should be tested specifically on bisexual and mostly homosexual men. ...
... For example, in a meta-analysis of 20 studies, androphilic men were 34% more likely than gynephilic men to be left-handed, a trait that is more common in males (Lalumiere et al., 2000). In addition, compared to gynephilic men, androphilic men have been found to be more masculine in features of auditory evoked potentials (McFadden & Champlin, 2000), penis size (Bogaert & Hershberger, 1999), and facial appearance (Valentova & Havlíček, 2013;Valentova et al., 2014). Other biomarkers show mixed or no associations with men's sexual orientation. ...
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Sexual attraction to males or females is perhaps the largest behavioral sex difference across animal species. Experiments in laboratory mammals show that prenatal androgens mediate this sex difference, but ethical considerations preclude such experimentation in humans. Multiple lines of converging correlational evidence are therefore needed to demonstrate such mediation in humans. We review available data linking human sexual orientation to endocrine action, including research on endocrine disorders and biomarkers of early sex hormones. We also perform a meta-analysis across 13 studies comprising 56,804 individuals to investigate a possible link between non-heterosexuality and polycystic ovary syndrome (PCOS), an endocrine condition associated with elevated androgens in females. We find converging evidence that prenatal gonadal hormones influence the development of human sexual orientation and orchestrate its sexual differentiation primarily by regulating patterns of gene expression in the developing brain. Evidence is particularly strong that androgens increase sexual attraction to females. In our meta-analysis, PCOS was more common in non-heterosexual females (r = 0.18, p < 0.001). Some evidence also indicates that estrogens increase sexual attraction to males. We discuss why data may be less clear regarding variation in sexual orientation among males, including the possible existence of subgroups characterized by distinct biological pathways that contribute to same-sex sexual orientation. Moving forward, we propose that multiple measures and/or markers be considered together to better characterize early hormonal action on human sexual orientation.
... 9 One study also showed a large statistical difference between homosexual and heterosexual men in terms of penis girth and length, with homosexual men reporting larger penises than heterosexual men. 11 There remains a need for further investigation of penis size among different races, as there are a lack of studies focussing on this aspect. ...
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Penile size is a frequently observed concern in men of all ages. The way in which some men see their personality is defined, appraised, or reflected by their penis, with the view that ‘bigger is better’, is termed ‘phallocentrism’. In this review article, we assess the literature and evaluate the evidence on what is ‘normal’ in relation to penile size, and evaluate techniques for penile lengthening and girth augmentation with emphasis on the possible benefits and complications of the procedures reviewed.
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An increasing number of men with healthy and normal penises want to enlarge their penis. Therefore, this review evaluated the mental health status of men who complained of a small penis and examined the state of nonsurgical and surgical treatments for male patients seeking penile enlargement, along with a risk assessment for each. Various medical, tractional, injectable, and surgical modalities have been investigated for penile augmentation. However, the development of new products and surgical techniques, such as Penuma, and tissue engineering may yield fewer complications, good operative effects, shorter operative times, and high patient satisfaction, bringing hope to patients interested in penile enlargement.
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A BSTRACT Purpose The purpose of this study was to synthesize evidence and propose a technique for estimation of stretched penile length (SPL) applicable to children. Materials and Methods This review has been conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. PubMed, Embase, and Scopus databases were queried on penile length (PL) measurement techniques in humans published from 1990 onward. The devices and the techniques used for PL measurement, state of the penis, the habitus of the participants, proximal and distal landmarks for measurement, handling the foreskin and pubic pad of fat, optimal stretching of the penis, and other factors (including the environment) which should be accounted for in the technique were identified from the study cohort (90895 participants across 145 included studies). Results PL has been represented through flaccid (33.79%), stretched (81.3%), and erect (12.41%) PLs as well as the greatest corporeal length (1.4%). Following devices have been used to measure the PL in the study cohort: rulers [54.68%], calipers [9.7%], measuring tapes [14.5%], coloured measuring strips [2.06%], spatulas/tongue depressors [11.03%], FitKit, syringe [1.4%], cotton swab (and ruler), titan cylinders, slide gauge and ultrasonography [1.37%]. The factors relevant to SPL measurement have been incorporated into the proposed SPL INdicator Technique (SPLINT) which is essentially a holistic extension of the “ Conventional PL Measurement” technique. Conclusions There is a wide range of heterogeneity in the technique for estimation of PL across the study cohort; the underlying factors have been identified along with the respective variables, and the SPLINT for SPL has been described.
Chapter
Chapter 3 covers the nonverbal cues (appearance and behaviors) associated with people’s non-clinical sexual orientations. Part 1 deals with terms/labels and methodological caveats, and also provides descriptions of the major sexual orientations. Part 2 addresses—and hopefully answers—legitimate concerns that have been raised about investigating and reporting nonverbal markers of various sexual orientations (i.e., gaydar research). Coverage of general nonverbal cues to men’s and women’s sexual orientation follows part 2 (part 3). In keeping with the modern lens approach of this book, nonverbal cues linked to asexuality, ambiphilia, and androphilia and gynephilia in men and women are discussed in part 4.
Chapter
Men’s satisfaction and sexual function is influenced by discomfort over genital size, which leads to seek surgical and non-surgical solutions for penis alteration. In this article, we report the results of a retrospective study of 355 cases of enlargement phalloplasty. We found a significant improvement in circumference at rest at 2, 6 and 12 months post-surgical procedure (all p < 0.0001). This study is clinically relevant due to the large cohort of patients included.
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Morphometric analysis of the human hypothalamus revealed that the volume of the suprachiasmatic nucleus (SCN) in homosexual men is 1.7 times as large as that of a reference group of male subjects and contains 2.1 times as many cells. In another hypothalamic nucleus which is located in the immediate vicinity of the SCN, the sexually dimorphic nucleus (SDN), no such differences in either volume or cell number were found. The SDN data indicate the selectivity of the enlarged SCN in homosexual men, but do not support the hypothesis that homosexual men have a 'female hypothalamus'.
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Both the neurohormonal theory of sexual orientation and previous research on humans and animals suggest that male homosexuality may arise from prenatal stress during the brain's sexual differentiation. Stress-proneness and retrospective reports of stress during pregnancy were obtained from mothers of male and female heterosexuals, bisexuals, and homosexuals. Each mother also rated pregnancy stress for a heterosexual sibling of the subject. For males, neither between-family nor within-family analyses revealed a maternal stress effect for either sexual orientation or childhood gender nonconformity. However, mothers of effeminate children reported more stress-proneness than other mothers. Male homosexuality nevertheless was strongly familial, suggesting a reconsideration of genetic and familial environmental mechanisms.
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This article reviewed research examining the association between childhood sex-typed behavior and sexual orientation. Prospective studies suggest that childhood cross-sex-typed behavior is strongly predictive of adult homosexual orientation for men; analogous studies for women have not been performed. Though methodologically more problematic, retrospective studies are useful in determining how many homosexual individuals displayed cross-sex behavior in childhood. The relatively large body of retrospective studies comparing childhood sex-typed behavior in homosexual and heterosexual men and women was reviewed quantitatively. Effect sizes were large for both men and women, with men's significantly larger. Future research should elaborate the causes of the association between childhood sex-typed behavior and sexual orientation and identify correlates of within-orientation differences in childhood sex-typed behavior. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Relations between sexual orientation and several biodemographic variables previously reported to differentiate between homosexual and heterosexual men were examined. Subjects were 4948 white, postpubertal males, who were never reared in foster homes, orphanages, or other institutions, and were never arrested or convicted on criminal charges. These were dichotomously classified as homosexual (n=844) or heterosexual (n=4104). Data came from survey interviews conducted by staff members of The Kinsey Institute for Research in Sex, Gender, and Reproduction from 1938 to 1963. Results extended previous findings that, compared with heterosexual controls, homosexual men have a later birth order, an earlier onset of puberty, and a lower body weight. Sexual orientation was weakly related or unrelated to height, paternal age, and sibling sex ratio. A more detailed analysis of the late birth order of the homosexual group showed that homosexual men have a greater number of older brothers than do heterosexual men, but they do not have a greater number of older sisters, once their number of older brothers has been taken into account.
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Presents an analysis of the place of homosexuality in religion, biology, anthropology, and politics. Accounts of homosexuality in the military, espionage, and psychiatry, and discussions of various treatments and lifestyles of homosexuals are presented. (292 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Article
To determine whether folk myths regarding the relationships of penile size to body height and foot size have any basis in fact, 63 normally virilized men were studied. Height and stretched penile length were measured; shoe size was recorded and converted to foot length. Penile length was found to be statistically related to both body height and foot length, but with weak correlation coefficients. Height and foot size would not serve as practical estimators of penis length.