Advertisement

International Urogynecology Journal

, Volume 23, Issue 12, pp 1665–1669 | Cite as

Does the G-spot exist? A review of the current literature

  • Vincenzo Puppo
  • Ilan Gruenwald
Clinical Opinion

Abstract

In 1950, Gräfenberg described a distinct erotogenic zone on the anterior wall of the vagina, which was referred to as the Gräfenberg spot (G-spot) by Addiego, Whipple (a nurse) et al. in 1981. As a result, the G-spot has become a central topic of popular speculation and a basis of a huge business surrounding it. In our opinion, these sexologists have made a hotchpotch of Gräfenberg’s thoughts and ideas that were set forth and expounded in his 1950 article: the intraurethral glands are not the corpus spongiosum of the female urethra, and Gräfenberg did not report an orgasm of the intraurethral glands. G-spot amplification is a cosmetic surgery procedure for temporarily increasing the size and sensitivity of the G-spot in which a dermal filler or a collagen-like material is injected into the bladder–vaginal septum. All published scientific data point to the fact that the G-spot does not exist, and the supposed G-spot should not be identified with Gräfenberg’s name. Moreover, G-spot amplification is not medically indicated and is an unnecessary and inefficacious medical procedure.

Keywords

Vulvovaginal surgery Urethra Female prostate Female orgasm Clitoris Vagina 

Notes

Conflicts of interest

None.

References

  1. 1.
    Addiego F, Belzer EG, Comolli J, Moger W, Perry JD, Whipple B (1981) Female ejaculation: a case study. J Sex Res 17:13–21CrossRefGoogle Scholar
  2. 2.
    Hines TM (2001) The G-spot: a modern gynecologic myth. Am J Obstet Gynecol 185:359–362PubMedCrossRefGoogle Scholar
  3. 3.
    Gräfenberg E (1950) The role of urethra in female orgasm. Int J Sexol 3:145–148Google Scholar
  4. 4.
    Perry JD, Whipple B (1981) Pelvic muscle strength of female ejaculators: evidence in support of a new theory of orgasm. J Sex Res 17:22–39CrossRefGoogle Scholar
  5. 5.
    Shafik A, Shafik IA, El Sibai O, Shafik AA (2009) An electrophysiologic study of female ejaculation. J Sex Marital Ther 35:337–346PubMedCrossRefGoogle Scholar
  6. 6.
    Puppo V (2011) Embryology and anatomy of the vulva: the female orgasm and women’s sexual health. Eur J Obstet Gynecol Reprod Biol 154:3–8PubMedCrossRefGoogle Scholar
  7. 7.
    Burri AV, Cherkas L, Spector TD (2010) Genetic and environmental influences on self-reported G-spots in women: a twin study. J Sex Med 7:1842–1852PubMedCrossRefGoogle Scholar
  8. 8.
    Gravina GL, Brandetti F, Martini P, Carosa E, Di Stasi SM, Morano S, Lenzi A, Jannini EA (2008) Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. J Sex Med 5:610–618PubMedCrossRefGoogle Scholar
  9. 9.
    Komisaruk BR, Beyer-Flores C, Whipple B (2006) The science of orgasm. Johns Hopkins University, BaltimoreGoogle Scholar
  10. 10.
    Buisson O (2011) Answer to V. Puppo’s letter: “G-spot does not exist”. Gynecol Obstet Fertil 39:267–268PubMedCrossRefGoogle Scholar
  11. 11.
    Puppo V (2011) Anatomy of the clitoris: revision and clarifications about the anatomical terms for the clitoris proposed (without scientific bases) by Helen O’Connell, Emmanuele Jannini and Odile Buisson. ISRN Obstet Gynecol Article ID 261464, 5 pagesGoogle Scholar
  12. 12.
    Jannini EA, Whipple B, Kingsberg SA, Buisson O, Foldès P, Vardi Y (2010) Who’s afraid of the G-spot? J Sex Med 7:25–34PubMedCrossRefGoogle Scholar
  13. 13.
    Ladas AK, Whipple B, Perry J (1982) The G-spot and other recent discoveries about human sexuality. Holt, Reinehart & Wiston, New YorkGoogle Scholar
  14. 14.
    Wikipedia. G-spot amplification. Available at: http://en.wikipedia.org/wiki/G-Spot_amplification. Accessed 21 Nov 2011
  15. 15.
    Doctor G-spot (2007) Page 1. Available at: http://www.browardpalmbeach.com/2007-07-12/news/doctor-g-spot/. Accessed 21 Nov 2011
  16. 16.
    American College of Obstetricians and Gynecologists (2007) ACOG Committee Opinion No. 378: Vaginal “rejuvenation” and cosmetic vaginal procedures. Obstet Gynecol 110:737–738CrossRefGoogle Scholar
  17. 17.
    Doctor G-spot (2007) Page 2. Available at: http://www.browardpalmbeach.com/2007-07-12/news/doctor-g-spot/2/. Accessed 21 Nov 2011
  18. 18.
    Marchitelli CE, Sluga MC, Perrotta M, Testa R (2010) Initial experience in a vulvovaginal aesthetic surgery unit within a general gynecology department. J Low Genit Tract Dis 14:295–300PubMedCrossRefGoogle Scholar
  19. 19.
    Ostrzenski A (2012) G-spot anatomy: a new discovery. J Sex Med 9:1355–1359PubMedCrossRefGoogle Scholar
  20. 20.
    Upton GJ, Langdon WB, Harrison AP (2008) G-spots causes incorrect expression measurement in Affymetrix microarrays. BMC Genomics 9:613–622PubMedCrossRefGoogle Scholar
  21. 21.
    Kilchevsky A, Vardi Y, Lowenstein L, Gruenwald I (2012) Is the female G-spot truly a distinct anatomic entity? J Sex Med 9:719–726PubMedCrossRefGoogle Scholar
  22. 22.
    Puppo V (2012) The Gräfenberg spot (G-spot) does not exist-a rebuttal of Dwyer PL: Skene’s gland revisited: function, dysfunction and the G spot. Int Urogynecol J 23:247PubMedCrossRefGoogle Scholar
  23. 23.
    Puppo V, Mannucci A, Abdulcadir J, Puppo G (2008) Clarifications about some theories in sexology and about a correct sexual terminology. Oral Presentation-9th Congress of the European Federation of Sexology (EFS). Rome, 13–17 April 2008. Sexologies 17(Suppl. 1):T10-O-25: S147. Full text available at: http://www.youtube.com/user/NewSexology?gl=IT&hl=it#p/u/0/E52HiDw5bhM. Accessed 21 Nov 2011
  24. 24.
    Standring S (2008) Gray’s anatomy: the anatomical basis of clinical practice, 40th edn. Churchill Livingstone-Elsevier, New YorkGoogle Scholar

Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  1. 1.Centro Italiano di Sessuologia (CIS)BolognaItaly
  2. 2.Neurourology UnitRambam Healthcare CampusHaifaIsrael
  3. 3.FlorenceItaly

Personalised recommendations