Hapless lovers are not the only ones who get lost down there: even
sexologists can't agree on what's what, and where, among women's female
parts.
At least, that's according to a father-daughter team of researchers in Italy, Drs Vincenzo and Giulia Puppo.
Female erectile organs
In
a new review October 6 in Clinical Anatomy, Vincenzo, of the Italian
Centre of Sexology in Bologna, and Giulia, a biologist at the University
of Florence, point out some problems with some of newer anatomical and
physiological terms researchers have been using since the mid-1990s.
The G-spot? Out. Vaginal orgasm? Out. Female penis? In. It's the best way to refer to female erectile organs, according to the Puppos.
Sexological
and sexual medicine textbooks today often neglect the embryology,
anatomy and physiology of the female erectile organs, Vincenzo said.
He
and his co-author cite dozens of such publications by other
researchers, largely from within the last 15 years, pointing out the use
of terms like "inner clitoris" that are, admittedly, not very well
defined in those papers.
"The internal clitoris does not exist,
the entire clitoris is an external organ," Vincenzo said. It is composed
of an externally visible glans and body, like the male penis, and of
roots, which are hidden, he said.
But
to back their assertions regarding the correct terminology to use, the
Puppos employ no actual subjects or data and instead use 12 diagrams, 11
of which come from their own previous publications (the 12th is from
Wikipedia).
What sexologists sometimes refer to as "clitoral
bulbs" should in fact be called "vestibular bulbs", and the areas that
are stimulated and become erect during sex should not be called the
"clitoral complex" but instead the "female penis", they write.
That
won't be useful information for most women, who don't typically meet up
for coffee to chat about anatomical terminology. But some other
assertions could make a difference.
Phase out G-spot term
For
one thing, the authors insist that researchers stop using the term
G-spot for a spongy area of the front vaginal wall anecdotally linked to
orgasm, because it has no basis in science.
We
should phase out that term if possible, agreed Dr. Amichai Kilchevsky, a
urologist at the Yale School of Medicine in New Haven.
"I don't
think very many scientists or urologists would argue that there is an
actual G-spot," he told Reuters Health. "I don't think it does any
favours to women to refer to it as one spot, it's probably a system of
vascular structures that are all kind of interplaying."
It is
wrong to say there is one specific location called the G-spot, that,
when stimulated, leads to orgasm for every woman, he said.
Is the vagina involved in orgasm?
But
the Puppos go one step further, arguing that the vagina is never
involved in orgasm since it is not part of what they call the "female
penis".
As a consequence, they say, the term "vaginal orgasm"
should be thrown out. Orgasm is only possible by stimulation of the
clitoris, they write. Using the catchall term "female orgasm" will
include both actual clitoral orgasms and the vaginal orgasms women may
think they are having because they have been misled by the media.
Other experts disagree.
"Puppo is ignorant of, or dismisses, published evidence showing that applying mild pressure to the clitoris, vagina, or cervix
activates distinctly different regions of the sensory cortex," said
Barry R. Komisaruk, a distinguished professor of psychology at Rutgers
University in Newark, New Jersey.
Women with spinal injuries who
have no sensation of the clitoris can still feel sensation in the vagina
and cervix, Komisaruk told Reuters Health in email.
The Puppos dispute peer-reviewed, published evidence without performing research to test or refute that evidence, he said.
"Obviously
women do have vaginal orgasms," Kilchevsky said. "I don't think the
media or anyone else is leading females into believing they are
experiencing something they are not."
The
Puppos emphasize that perpetuating the myth of the G-spot or vaginal
orgasm is unfair to women who may try to find or achieve them and feel
"less-than" because they cannot.
But they also state that since
the vaginal orgasm, according to their argument, does not exist, the
duration of penile-vaginal intercourse is not important for a woman's
orgasm. Every woman is able to achieve a clitoral orgasm "if the
clitoris is simply stimulated with a finger," they write.
The
Puppos arguments for a more anatomically accurate terminology are mostly
sound, but will probably not be widely adopted, and the semantic
argument is mostly relevant for researchers, Kilchevsky said. "If those
are the terms he feels are appropriate, more power to him," he said.
Clitoris: "Female penis"
Anatomical
structures which were once named for their appearance are today named
for their function, Komisaruk said. (Puppo) is simply replacing
conceptual terms sexologists already accept, like "clitoral complex",'
with his own conceptual term "female penis", he said.
"I
absolutely see no reason to begin using the phrase "female penis" and am
pretty certain most American women and men would agree," given that men
interested in women don't want to talk about stimulating their
partner's penis,
nor do most women want to think of themselves as having a penis, said
Debra Herbenick, an associate research scientist at Indiana University
Bloomington School of Public Health.
"We
also have no evidence that all women can or do experience orgasm from
any kind of stimulation, including direct clitoral stimulation," she
told Reuters Health by email. "Yes, most women can and do experience
orgasm but most sexuality researchers and educators recognize the
enormous variety of turn-ons, forms of physical stimulation, and types
of sexual pleasure and orgasm that are an important part of women's
sexual experiences."
The reality is there are multiple ways for
women to have an orgasm and to say that the cause is always the same is
not accurate, Kilchevsky said. "I think every woman should embrace what
they feel works for them," which won't be the same for the billions of
women on the planet, he said.
Source : health24
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