Sexual Anatomy and Physiology · Clinical Exercise

What the Diagram Left Out

Six structures to find on a diagram, three mechanisms that get collapsed into one, and the sentence you would actually say to a client who cannot find her G-spot.

What this exercise practises

Naming the complete clitoral complex, telling vasocongestion, transudation and glandular secretion apart, and converting both into psychoeducation a client can use. Calibrated for counselling practice rather than for examination or diagnosis.

Part 1 is a labelling task on a schematic figure. You will be given each structure and its clinical significance whether you locate it or not.

Estimated time to complete this exercise: 20 minutes

1The structure
2Proportion
3Lubrication
4The CUV complex
5Low estrogen
6Close

Before you begin

How this one works

Part 1 is a labelling task on a schematic diagram. You click structures on the figure, one prompt at a time, and you get the structure named and explained whether you find it or not.
The depth is calibrated for counselling practice. You are not being asked to know anything you would not use either in psychoeducation with a client or in a conversation with a physician.
Everything else is multiple choice or sorting, with feedback on every answer. There is no writing in this exercise.
Nothing is graded and nothing is recorded. Reloading starts it again.

Most clinicians trained before 1998, or on textbooks that had not been updated, carry an anatomical map of this structure that is about a third of the right size. This exercise is the correction.

References

  1. Foldes, P., & Buisson, O. (2009). The clitoral complex: A dynamic sonographic study. Journal of Sexual Medicine, 6(5), 1223–1231. https://doi.org/10.1111/j.1743-6109.2009.01231.x
  2. Gravina, G. L., Brandetti, F., Martini, P., Carosa, E., Di Stasi, S. M., Morano, S., Lenzi, A., & Jannini, E. A. (2008). Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. Journal of Sexual Medicine, 5(3), 610–618. https://doi.org/10.1111/j.1743-6109.2007.00739.x
  3. Jannini, E. A., Buisson, O., & Rubio-Casillas, A. (2014). Beyond the G-spot: Clitourethrovaginal complex anatomy in female orgasm. Nature Reviews Urology, 11(9), 531–538. https://doi.org/10.1038/nrurol.2014.193
  4. Kilchevsky, A., Vardi, Y., Lowenstein, L., & Gruenwald, I. (2012). Is the female G-spot truly a distinct anatomic entity? Journal of Sexual Medicine, 9(3), 719–726. https://doi.org/10.1111/j.1743-6109.2011.02623.x
  5. O’Connell, H. E., Hutson, J. M., Anderson, C. R., & Plenter, R. J. (1998). Anatomical relationship between urethra and clitoris. Journal of Urology, 159(6), 1892–1897. https://doi.org/10.1097/00005392-199806000-00031
  6. O’Connell, H. E., Sanjeevan, K. V., & Hutson, J. M. (2005). Anatomy of the clitoris. Journal of Urology, 174(4), 1189–1195. https://doi.org/10.1097/01.ju.0000173639.38898.cd
  7. Portman, D. J., & Gass, M. L. S. (2014). Genitourinary syndrome of menopause: New terminology for vulvovaginal atrophy. Menopause, 21(10), 1063–1068. https://doi.org/10.1097/GME.0000000000000329