Woman's internal reproductive anatomy.

The Gräfenberg spot, or G-spot, is a female erogenous zone which when stimulated leads to high levels of sexual arousal and powerful orgasms.^[1]

Origin and popularity of the term

The term "G-spot" was coined by Addiego et al. in 1981.^[2] It is named after the German gynaecologist Ernst Gräfenberg who first hypothesized its existence in 1944. The G-spot's existence was not disclosed until 1985^{citation needed}, with the publication of The G Spot and Other Recent Discoveries About Human Sexuality by Ladas et al.^[1] Shortly after publication of Ladas's book, many gynaecologists publicly criticized its scholarship and accuracy.^[3]

Location of the spot

The purported location of the G-spot has changed over time. Two primary methods have been used to attempt to locate it:^[4]

• The first is based on self-reported levels of arousal during stimulation and
• the second based on the claim that stimulation of the G-spot leads to female ejaculation.

One of the studies using self-reported levels of arousal was a case study with a single woman who claimed the experience of a “deeper” orgasm when her G-spot was stimulated. In the published study it was reported that stimulation of the anterior vaginal wall made the area grow by fifty percent.^[2] Another study examined eleven women in an attempt to locate the spot under laboratory conditions. Researchers attempted to find the G-spot by “palpating the entire vagina in a clockwise fashion.” Using this technique the researchers reported discovering that four of the women had highly sensitive areas on the anterior vaginal wall.^[5]

Public belief

Despite professional and scientific criticism and scepticism, the G-spot, as a concept, has been widely accepted by the public. One study reports that 84 percent of women believe that there is a “highly sensitive area” in the vagina. Most popular sexology books treat the G-spot as real.^[6]

Scientific evidence

Subsequent empirical investigations of the G-spot have yielded variable results.^[4] Tests that examined the vaginal wall innervation show there is no one area with a greater density of nerve endings. A recent study of 110 biopsy specimens drawn from 21 women concluded with the absence of a vaginal locus with greater nerve density.^[7] G-spot proponents are criticized for giving too much credence to anecdotal evidence from women.^[4] It should be noted, however, that neuron density is not the sole precipitating factor in determining sensory sensitivity of an area. Other factors contribute to such connectivity, such as the branching patterns of neuron terminals and cross or collateral innervation of neurons, so it is feasible to have an area of increased sensory sensitivity without a detectable increase in neuron number.

The few studies attempting to locate the G-spot more precisely have yielded positive evidence, yet only from small participant samples, and have been criticized for the use of questionable investigation methods.^[4] A recent ultrasonography study reported that women who claimed to experience vaginal orgasm were statistically more likely to have thicker tissue in the anterior vaginal wall. Doctors at the University of L'Aquila in Italy, where the study was conducted, say the findings make it possible for women to have a rapid test to confirm whether or not they have a G spot.^[8][9]

The Skene's Glands

Main article: Skene's gland

Other researchers have attempted to locate the G-spot by building on the claim that G-spot stimulation leads to female ejaculation. Tepper hypothesized that non-urine female ejaculate originated from the female paraurethral glands, or Skene's gland.^[10] In their study they examined tissue from 18 patients and demonstrated that 15 showed prostate-specific antigens. More recent studies have backed up this finding, leading some to call the Skene's glands the female prostate.^[11] This finding has been used to claim that the G-spot is actually a system of glands and ducts that surround the urethra. This system is located within the anterior (front) wall of the vagina, about one centimeter from the surface and one third to one-half the way in from the vaginal opening.^[12]

In July 2002, Emmanuele Jannini of the University of L'Aquila, Italy discovered PDE5 activity in the area of the G-spot and speculated that the absence of G-spot orgasms is connected to the lack of Skene's glands in some women. In such women, concentrations of PDE5 were much lower.^[13] However, most researchers feel that the connection between the Skene's Gland and the G-spot is weak.^[4][14] The Skene's Gland does not seem to have receptors for touch stimulation and no direct evidence for its involvement has been forthcoming.^[15]

The location, and even existence, of the G spot has been hotly contested in medical circles. While doctors know that female sexual anatomy varies substantially, until now there has been no solid evidence to link those differences to a woman's sexual responses. "For the first time, it is possible to determine by a simple, rapid and inexpensive method if a woman has a G spot or not," Dr Emmanuele Jannini told New Scientist magazine. The G spot is only thought to affect a woman's ability to have vaginal orgasms, so if women do not have one "they can still have a normal orgasm through stimulation of the clitoris," Jannini said.

Relation with the urethral sponge

Main article: Urethral sponge

Some claim that the urethral sponge is the same as the G-spot.^[16]

See also

Sexuality portal

• Human sexuality
• Human female sexuality

References

External links

• BBC - Relationships - Sex and sexual health - The G-spot
• About.com: Sexuality, "What is the G Spot?", Cory Silverberg
• About.com - How to Locate Your G Spot
• The-Clitoris.com - Female Ejaculation, the Female Prostate, and The G-Spot