The Journal of Sexual Medicine
Volume 5 Issue 3 Page 610-618, March 2008
The good news: women do have a G Spot
The bad news: you may need a partner, or your anatomy is such that you personally, do not have a G Spot
Giovanni Luca Gravina MD, PhD, Fulvia Brandetti MD, Paolo Martini MD, PhD, Eleonora Carosa MD, PhD, Savino M. Di Stasi MD, Susanna Morano MD, Andrea Lenzi MD, Emmanuele A. Jannini MD (2008)
Measurement of the Thickness of the Urethrovaginal Space in Women with or without Vaginal Orgasm
Giovanni Luca Gravina, MD, PhD,**Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Fulvia Brandetti, MD,**Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Paolo Martini, MD, PhD,**Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Eleonora Carosa, MD, PhD,**Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Savino M. Di Stasi, MD,††Department of Surgery-Urology, "Tor Vergata" University, Rome, Italy; Susanna Morano, MD,‡‡Department of Clinical Sciences, University of Rome "La Sapienza," Rome, Italy; Andrea Lenzi, MD,§§Department of Medical Physiopathology, University of Rome "La Sapienza," Rome, Italy and Emmanuele A. Jannini, MD**Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Emmanuele Jannini, MD, School of Sexology, Department of Experimental Medicine, University of L'Aquila, Via Vetoio, Coppito, L'Aquila, 67100, Italy. Tel: (+39) (0) 862 433530; Fax: (+39) (0) 862 433523; E-mail: jannini@univaq.it
*Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; †Department of Surgery-Urology, "Tor Vergata" University, Rome, Italy; ‡Department of Clinical Sciences, University of Rome "La Sapienza," Rome, Italy; §Department of Medical Physiopathology, University of Rome "La Sapienza," Rome, Italy
Emmanuele Jannini, MD, School of Sexology, Department of Experimental Medicine, University of L'Aquila, Via Vetoio, Coppito, L'Aquila, 67100, Italy. Tel: (+39) (0) 862 433530; Fax: (+39) (0) 862 433523; E-mail: jannini@univaq.it
ABSTRACT
Introduction.
The physiology and anatomy of female sexual function are poorly understood.
The differences in sexual function among women may be partly attributed to anatomical factors.
Aim.
The purpose of this study was to use ultrasonography to evaluate the anatomical variability of the urethrovaginal space in women with and without vaginal orgasm.
Methods.
Twenty healthy, neurologically intact volunteers were recruited from a population of women who were a part of a previous published study. All women underwent a complete urodynamic evaluation and those with clinical and urodynamic urinary incontinence, idiopathic detrusor overactivity, or micturition disorders, as well as postmenopausal women and those with sexual dysfunction were excluded. The reported experience of vaginal orgasm was investigated.
Main Outcome Measure.
The urethrovaginal space thickness as measured by ultrasound was chosen as the indicator of urogenital anatomical variability. Designated evaluators carried out the measurements in a blinded fashion.
Results.
The urethrovaginal space and distal, middle, and proximal urethrovaginal segments were thinner in women without vaginal orgasm. A direct correlation between the presence of vaginal orgasm and the thickness of urethrovaginal space was found. Women with a thicker urethrovaginal space were more likely to experience vaginal orgasm (r = 0.884; P = 0.015).
A direct and significant correlation between the thickness of each urethrovaginal segment and the presence of vaginal orgasm was found, with the best correlation observed for the distal segment (r = 0.863; P < r =" 0.87;">
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Conclusions.
The measurement of the space within the anterior vaginal wall by ultrasonography is a simple tool to explore anatomical variability of the human clitoris-urethrovaginal complex, also known as the G-spot, which can be correlated to the ability to experience the vaginally activated orgasm. Gravina GL, Brandetti F, Martini P, Carosa E, Di Stasi SM, Morano S, Lenzi A, and Jannini EA. Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. J Sex Med 2008;5:610–618.
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