Research Article
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Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans

Year 2020, Volume: 4 Issue: 5, 390 - 393, 01.05.2020
https://doi.org/10.28982/josam.727165

Abstract

Aim: The clitoris is the dominant sexual organ in the female, varies in size and plays an active role in genital sensation and orgasm. Since the importance of clitoral glans visibility is known, surgeries of clitoris are increasing day by day. However, there is insufficient literature on the subject. The aim of this study is to determine the effect of measurable dimensions of clitoris and the clitoral glans visibility on female sexual function.
Methods: Seventy-seven patients included in this cross-sectional study were examined in the lithotomy position and the measurable dimensions of the clitoris, the visibility of the clitoral glans and the length of the prepuce were noted. The Female Sexual Function Index (FSFI) was applied to all participants, which were divided into two groups, as those with normal orgasmic function and orgasmic dysfunction. One researcher made all measurements.
Results: There were no statistically significant differences in clitoral glans width, length, or prepuce length (P=0.11, P=0.63, P=0.35, respectively). Clitoral glans was visible in 41 of 51 patients in the normal orgasmic function group, which was significantly higher than the group with orgasmic dysfunction (P<0.001).
Conclusion: Since there is a significant relationship between clitoral glans visibility and orgasm, genital surgeries performed to increase clitoral glans visibility can facilitate sexual satisfaction and/or increase orgasm intensity. The fact that the relationship between measurable dimensions of clitoris, length of prepuce and orgasm cannot be shown suggests that clitoral glans visibility is more important than clitoral size for sexual stimulation.

References

  • 1. Ellibes AK, Dogan O. Does Educational Level Affect Vulvar Perception? Journal of Clinical Obstetrics &Gynecology. 2018;28(3):95-104.
  • 2. Puppo V. 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. Clin Anat. 2013;26(1):134–52.
  • 3. Dysfunction FS. ACOG Practice Bulletin. 2011;117(4):996–1007.
  • 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Washington, DC; 2013.
  • 5. Hayes RD, Dennerstein L, Bennett CM, Fairley CK. What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med. 2008;5:777–87.
  • 6. Asafo-Agyei SB, Ameyaw E, Chanoine JP, Zacharin M, Nguah SB. Clitoral size in term newborns in Kumasi, Ghana. International Journal of Pediatric Endocrinology. 2017;2017:6.
  • 7. O’Connell HE, Eizenberg N, Rahman M, Cleeve J. The anatomy of the distal vagina: towards unity. J Sex Med. 2008;5:1883–91.
  • 8. Lloyd J, Crouch NS, Minto CL, Liao LM, Creighton SM. Female genital appearance: “Normality” unfolds. BJOG. 2005;112:643–6.
  • 9. Jannini EA, Rubio-Casillas A, Whipple B, Buisson O, Komisaruk BR, Brody S. Female orgasm(s): One, two, several. J Sex Med. 2012;9:956–65.
  • 10. Wallen K, Lloyd EA. Female sexual arousal: Genital anatomy and orgasm in intercourse. Horm Behav. 2011;59:780–92.
  • 11. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191.
  • 12. Verkauf BS, Von Thron J, O’Brien WF. Clitoral Size in Normal Women. Obstet Gynecol. 1992;80(1):41–4.
  • 13. Aygin D, Aslan FE. Kadın Cinsel İşlev Ölçeği'nin Türkçeye Uyarlaması. Turkiye Klinikleri Journal of Medical Sciences. 2005; 25(3):393-9.
  • 14. Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1–20.
  • 15. Konak BA, Özkan B. Yenidoğan Bebeklerde Anogenital Mesafe Çlçümü Ve Etkileyen Faktörler. Atatürk Üniversitesi Tıp Fakültesi. Çocuk Sağlığı ve Hastalıkları Uzmanlık Tezi. Erzurum 2010
  • 16. Dogan O, Yassa M. "Major motivators and sociodemographic features of women undergoing labiaplasty." Aesthetic surgery journal. 2019; 39(12):517–27.
  • 17. Goodman MP, Placik OJ, Benson RH III, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med. 2010;7:1565–77.
  • 18. Placik OJ, Arkins JP. A Prospective Evaluation of Female External Genitalia Sensitivity to Pressure following Labia Minora Reduction and Clitoral Hood Reduction. Plastic and Reconstructive Surgery. 2015;136(4):442–52.
  • 19. Vaccaro CM, Fellner A, Zoorob D, Pauls RN. The relationship between female sexual function and the clitoral complex using pelvic MRI assessment. J Sex Med. 2011;8(2 suppl):58.
  • 20. Oakley SH, Vaccaro CM, Crisp CC, Estanol MV, Fellner AN, Kleeman SD, et al. Clitoral size and location in relation to sexual function using pelvic MRI. The journal of sexual medicine. 2014:11(4):1013-22.
  • 21. Vaccaro CM, Herfel C, Karram MM, Pauls RN. Sexual function in a woman with congenital bladder exstrophy and multiple pelvic reconstructive surgeries: A case report. J Sex Med. 2011;8:617–21.

Klitorisin ölçülebilir boyutları ve glansın görünürlüğü ile orgazm arasındaki ilişki

Year 2020, Volume: 4 Issue: 5, 390 - 393, 01.05.2020
https://doi.org/10.28982/josam.727165

Abstract

Amaç: Klitoris kadında baskın cinsel organıdır ve boyut olarak değişken olup genital duyum ve orgazmda etkin bir rol oynamaktadır. Klitoral glans görünürlüğünün önemi bilindiğinden klitoral glansı açığa çıkaracak cerrahiler gün geçtikçe artmaktadır. Ancak bu durumu destekleyecek literatür bilgisi yetersizdir. Bu çalışmanın amacı klitorisin ölçülebilir boyutları ve klitoral glans görünürlüğünün kadın cinsel fonksiyonu üzerindeki etkisini belirlemektir.
Yöntemler: Bu kesitsel çalışmaya dahil edilen 77 hastanın litotomi pozisyonunda klitorislerinin ölçülebilen boyutları ile klitoral glansın görünürlüğü ve prepisyum uzunlukları ölçülerek kaydedildi. Kadın Cinsel Fonksiyon İndeksi (FSFI) uygulandı. Hastalar normal orgazmik fonksiyonu olan ve orgazmik disfonksiyonu olan iki gruba ayrıldı. Bütün ölçümler tek araştırmacı tarafından yapıldı.
Bulgular: Klitoral glans genişliği, glans uzunluğu, prepisyum uzunluğu ölçümlerinde orgazmik fonksiyonlar açısından gruplar arasında istatistiksel olarak anlamlı bir fark izlenmedi (P=0.11, P=0.63, P=0.35). Klitoral glansın görünür olduğu 51 hastanın 41 tanesi orgazmik grupta yer aldı. Klitoral glans görünürlüğünün orgazmik grupta daha fazla olduğu izlendi (P<0,001).
Sonuç: Klitoral glans görünürlüğü ile orgazm arasında anlamlı bir ilişki olduğundan klitoral glans görünürlüğünü artıracak şekilde uygulanan genital cerrahiler cinsel tatmini kolaylaştırabilir ve/veya orgazm yoğunluğunu artırabilir. Klitorisin ölçülebilen boyutları ve prepisyum uzunluğu ile orgazm arasındaki ilişkinin gösterilememesi klitoral uyarı için boyutlardan daha çok klitoral glansın görülebilir olmasının ön planda olduğunu düşündürmektedir.

References

  • 1. Ellibes AK, Dogan O. Does Educational Level Affect Vulvar Perception? Journal of Clinical Obstetrics &Gynecology. 2018;28(3):95-104.
  • 2. Puppo V. 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. Clin Anat. 2013;26(1):134–52.
  • 3. Dysfunction FS. ACOG Practice Bulletin. 2011;117(4):996–1007.
  • 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Washington, DC; 2013.
  • 5. Hayes RD, Dennerstein L, Bennett CM, Fairley CK. What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med. 2008;5:777–87.
  • 6. Asafo-Agyei SB, Ameyaw E, Chanoine JP, Zacharin M, Nguah SB. Clitoral size in term newborns in Kumasi, Ghana. International Journal of Pediatric Endocrinology. 2017;2017:6.
  • 7. O’Connell HE, Eizenberg N, Rahman M, Cleeve J. The anatomy of the distal vagina: towards unity. J Sex Med. 2008;5:1883–91.
  • 8. Lloyd J, Crouch NS, Minto CL, Liao LM, Creighton SM. Female genital appearance: “Normality” unfolds. BJOG. 2005;112:643–6.
  • 9. Jannini EA, Rubio-Casillas A, Whipple B, Buisson O, Komisaruk BR, Brody S. Female orgasm(s): One, two, several. J Sex Med. 2012;9:956–65.
  • 10. Wallen K, Lloyd EA. Female sexual arousal: Genital anatomy and orgasm in intercourse. Horm Behav. 2011;59:780–92.
  • 11. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191.
  • 12. Verkauf BS, Von Thron J, O’Brien WF. Clitoral Size in Normal Women. Obstet Gynecol. 1992;80(1):41–4.
  • 13. Aygin D, Aslan FE. Kadın Cinsel İşlev Ölçeği'nin Türkçeye Uyarlaması. Turkiye Klinikleri Journal of Medical Sciences. 2005; 25(3):393-9.
  • 14. Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1–20.
  • 15. Konak BA, Özkan B. Yenidoğan Bebeklerde Anogenital Mesafe Çlçümü Ve Etkileyen Faktörler. Atatürk Üniversitesi Tıp Fakültesi. Çocuk Sağlığı ve Hastalıkları Uzmanlık Tezi. Erzurum 2010
  • 16. Dogan O, Yassa M. "Major motivators and sociodemographic features of women undergoing labiaplasty." Aesthetic surgery journal. 2019; 39(12):517–27.
  • 17. Goodman MP, Placik OJ, Benson RH III, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med. 2010;7:1565–77.
  • 18. Placik OJ, Arkins JP. A Prospective Evaluation of Female External Genitalia Sensitivity to Pressure following Labia Minora Reduction and Clitoral Hood Reduction. Plastic and Reconstructive Surgery. 2015;136(4):442–52.
  • 19. Vaccaro CM, Fellner A, Zoorob D, Pauls RN. The relationship between female sexual function and the clitoral complex using pelvic MRI assessment. J Sex Med. 2011;8(2 suppl):58.
  • 20. Oakley SH, Vaccaro CM, Crisp CC, Estanol MV, Fellner AN, Kleeman SD, et al. Clitoral size and location in relation to sexual function using pelvic MRI. The journal of sexual medicine. 2014:11(4):1013-22.
  • 21. Vaccaro CM, Herfel C, Karram MM, Pauls RN. Sexual function in a woman with congenital bladder exstrophy and multiple pelvic reconstructive surgeries: A case report. J Sex Med. 2011;8:617–21.
There are 21 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Research article
Authors

Çiğdem Pulatoğlu 0000-0002-7595-3629

Aşkı Ellibeş Kaya 0000-0002-1323-7416

Publication Date May 1, 2020
Published in Issue Year 2020 Volume: 4 Issue: 5

Cite

APA Pulatoğlu, Ç., & Ellibeş Kaya, A. (2020). Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans. Journal of Surgery and Medicine, 4(5), 390-393. https://doi.org/10.28982/josam.727165
AMA Pulatoğlu Ç, Ellibeş Kaya A. Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans. J Surg Med. May 2020;4(5):390-393. doi:10.28982/josam.727165
Chicago Pulatoğlu, Çiğdem, and Aşkı Ellibeş Kaya. “Relationship of Orgasm With Measurable Dimensions of Clitoris and Visibility of Clitoral Glans”. Journal of Surgery and Medicine 4, no. 5 (May 2020): 390-93. https://doi.org/10.28982/josam.727165.
EndNote Pulatoğlu Ç, Ellibeş Kaya A (May 1, 2020) Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans. Journal of Surgery and Medicine 4 5 390–393.
IEEE Ç. Pulatoğlu and A. Ellibeş Kaya, “Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans”, J Surg Med, vol. 4, no. 5, pp. 390–393, 2020, doi: 10.28982/josam.727165.
ISNAD Pulatoğlu, Çiğdem - Ellibeş Kaya, Aşkı. “Relationship of Orgasm With Measurable Dimensions of Clitoris and Visibility of Clitoral Glans”. Journal of Surgery and Medicine 4/5 (May 2020), 390-393. https://doi.org/10.28982/josam.727165.
JAMA Pulatoğlu Ç, Ellibeş Kaya A. Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans. J Surg Med. 2020;4:390–393.
MLA Pulatoğlu, Çiğdem and Aşkı Ellibeş Kaya. “Relationship of Orgasm With Measurable Dimensions of Clitoris and Visibility of Clitoral Glans”. Journal of Surgery and Medicine, vol. 4, no. 5, 2020, pp. 390-3, doi:10.28982/josam.727165.
Vancouver Pulatoğlu Ç, Ellibeş Kaya A. Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans. J Surg Med. 2020;4(5):390-3.