Vaginal erotic sensitivity by sexological examination.

We studied vaginal erotic sensitivity by vaginal sexological examinations as part of the evaluation and treatment process of couples complaining of female coital anorgasmia but readily orgasmic at female self--or partner-performed external genital stimulation. The existence on the anterior vaginal wall of an anatomically clearly definable erotically triggering entity, termed "The G Spot", was refuted by our findings. The entire anterior vaginal wall, including the deeper situated urinary bladder, periurethral tissues and Halban's fascia, rather than one specific spot, were found to be erotically sensitive in most of the women examined, and 64% of them learned how to reach orgasm by direct specific digital and/or coital stimulation of this area. All other parts of the vagina had poor erotic sensitivity. This supports our conceptualization of a 'clitoral/vaginal sensory arm of orgasmic reflex' including the clitoris, the entire anterior vaginal wall as well as the deeper situated tissues. Instead of looking for a 'vaginal (coital) orgasm' distinctly different from a 'clitoral orgasm', this concept speaks towards a 'genital orgasm' potentially achievable by separate or, most effectively, combined stimulation of those different trigger components of the genital sensory arm of the orgasmic reflex. The format and technique of the vaginal sexological examination are described, and its possible applications and limitations are discussed.