REVIEW
Anatomy and Physiology of the Clitoris,
Vestibular Bulbs, and Labia Minora With a
Review of the Female Orgasm and the
Prevention of Female Sexual Dysfunction
VINCENZO PUPPO*
Centro Italiano di Sessuologia (CIS), Via Regnoli 74, Bologna, Italy
This review, with 21 figures and 1 video, aims to clarify some important aspects of the anatomy and physiology of the female erectile organs (triggers of orgasm), which are important for the prevention of female sexual dysfunction. The clitoris is the homologue of the male’s glans and corpora cavernosa, and erection is reached in three phases: latent, turgid, and rigid. The vestibular bulbs cause ‘‘vaginal’’ orgasmic contractions, through the rhythmic contraction of the bulbocavernosus muscles. Because of the engorgement with blood during sexual arousal, the labia minora become turgid, doubling or tripling in thickness. The corpus spongiosum of the female urethra becomes congested during sexual arousal; therefore, male erection equals erection of the female erectile organs. The correct anatomical term to describe the erectile tissues responsible for female orgasm is the female penis.
Vaginal orgasm and the G-spot do not exist. These claims are found in numerous articles that have been written by Addiego F, Whipple B, Jannini E, Buisson O,
O’Connell H, Brody S, Ostrzenski A, and others, have no scientific basis. Orgasm is an intense sensation of pleasure achieved by stimulation of erogenous zones.
Women do not have a refractory period after each orgasm and can, therefore, experience multiple orgasms. Clitoral sexual response and the female orgasm are not affected by aging. Sexologists should define having sex/love making when orgasm occurs for both partners with or without vaginal intercourse. Clin. Anat.
26:134–152, 2013. V 2012 Wiley Periodicals, Inc.
C
Key words: clitoris; vulva; urethra; penis; G-spot; sex education; orgasmic
dysfunction
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