Sexual Health

Exploring Knowledge and Comfort with Genital Anatomical Terminology Among Young Adults.

TL;DR

Greater knowledge and comfort with genital anatomical terminology were associated with higher sexual self-efficacy, greater sexual satisfaction, and fewer sexual function difficulties among US emerging adults.

Key Findings

Knowledge of genital anatomy was higher for male anatomical parts compared to female anatomical parts.

  • Sample consisted of US emerging adults (N = 516; 56.4% cisgender women, 31.3% cisgender men, 12.5% gender-diverse individuals)
  • Responses were categorized as accurate, slang, unknown, or inaccurate
  • The asymmetry in knowledge between male and female anatomical parts was documented across the sample

Slang use was low overall but more common for male external genitalia than for other anatomical regions.

  • Slang responses were one of four response categories coded (accurate, slang, unknown, or inaccurate)
  • Low overall slang use was observed across the full sample
  • Male external genitalia showed comparatively higher rates of slang terminology use

Gender differences emerged in both genital anatomy knowledge and comfort with using correct terminology.

  • Gender-diverse individuals comprised 12.5% of the sample
  • Cisgender women comprised 56.4% and cisgender men comprised 31.3% of the sample
  • Differences were found in both the knowledge and comfort dimensions across gender groups

Controlling for gender, greater genital anatomy knowledge and comfort were associated with higher sexual self-efficacy in health-promoting behaviors and in experiencing pleasure.

  • Six sexual health and well-being indicators were examined: sexual self-efficacy in health-promoting behaviors, experiencing pleasure, and in refusing unwanted sexual activity; sexual satisfaction, sexual function difficulties, and respectful approaches to sexuality
  • Both knowledge and comfort independently predicted sexual self-efficacy in health-promoting behaviors and experiencing pleasure after controlling for gender
  • These associations held after controlling for gender as a covariate

Greater genital anatomy knowledge and comfort were associated with greater sexual satisfaction and fewer sexual function difficulties.

  • Sexual satisfaction and sexual function difficulties were among the six sexual health and well-being indicators examined
  • Both knowledge and comfort predicted these outcomes after controlling for gender
  • Fewer sexual function difficulties represent a positive health outcome linked to higher anatomy knowledge and terminology comfort

Comfort with genital terminology, but not knowledge alone, predicted resistive self-efficacy (self-efficacy in refusing unwanted sexual activity).

  • Resistive self-efficacy was defined as sexual self-efficacy in refusing unwanted sexual activity
  • Comfort was a significant predictor of resistive self-efficacy after controlling for gender
  • Knowledge did not independently predict this outcome, indicating a differential role of comfort versus knowledge

Genital anatomy knowledge, but not comfort alone, predicted more respectful approaches toward a sexual partner.

  • Respectful approaches to sexuality was one of the six sexual health and well-being indicators
  • Knowledge independently predicted this outcome after controlling for gender
  • Comfort did not independently predict respectful approaches, indicating a differential role of knowledge versus comfort

What This Means

This research suggests that among young American adults, knowing the correct anatomical names for genitals and feeling comfortable using those terms are linked to better sexual health and well-being. The study surveyed 516 participants and found that people with greater genital anatomy knowledge and comfort were more confident in health-promoting sexual behaviors, experienced more pleasure, reported greater sexual satisfaction, and had fewer sexual difficulties. Interestingly, comfort with terminology was specifically tied to the ability to refuse unwanted sexual activity, while knowledge was specifically linked to treating sexual partners more respectfully. The study also found notable gaps: knowledge was generally higher for male anatomy than female anatomy, and differences in both knowledge and comfort existed across gender groups. Slang use was relatively rare overall but more common when referring to male external genitalia. These patterns suggest that current approaches to sex education may be leaving people—particularly around female anatomy—without accurate language to discuss their bodies. This research suggests that sexuality education programs that focus on teaching correct anatomical terminology and building comfort with using that language may have meaningful benefits for young people's sexual health and well-being. The findings highlight that knowledge and comfort are related but distinct competencies, each contributing to different aspects of sexual health, which has implications for how comprehensive sex education is designed and delivered.

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Citation

Kotiuga J, Maes C, Maheux A. (2026). Exploring Knowledge and Comfort with Genital Anatomical Terminology Among Young Adults.. Archives of sexual behavior. https://doi.org/10.1007/s10508-025-03360-7