G-spot does not exist: is it a scientific fraud?

- Puppo V, Puppo G. (2014): Anatomy of sex: Revision of the new anatomical terms used for the clitoris and the female orgasm by sexologists. Clinical Anatomy doi: 10.1002/ca.22471 Full text, 12 figures and 1 video, in http://onlinelibrary.wiley.com/doi/10.1002/ca.22471/full

-Review Int Urog J 2012 (there is all history of g-spot invented in 1981): pdf FREE http://www.pinktherapy.com/portals/0/CourseResources/PuppoIUJ2012.pdf  

-Review Clinical Anatomy 2013, FREE full text/pdf-21 figures-1 video http://onlinelibrary.wiley.com/doi/10.1002/ca.22177/full

- Puppo V. Le point G n’existe pas: l’amplification du point G (i.e. G-spot Augmentation, G-Spotplasty) est une mutilation génitale féminine type IV. Annales de Chirurgie Plastique Esthétique 2014. http://dx.doi.org/10.1016/j.anplas.2014.07.005   

Ebook FREE/GRATIS (free pdf) Google/libri: Lesson with 150 pages and 30 figures. G-spot (Punto G - Point G) does not exist: is it a scientific fraud? Grafenberg did not describe a vaginal spot or the G-spot in his 1950 article. Grafenberg did describe some cases of female and male urethral masturbation. The claims that were made in the numerous articles that have been written by Beverly Whipple, Emmanuele Jannini, Odile Buisson, Helen O’Connell, Stuart Brody, Adam Ostrzenski, Irwin Goldstein, Chiara Simonelli, and others have no scientific basis. Clitoral/vaginal/uterine orgasm, G-/A-/C-/U-/K-/O-/DVZ-spot orgasm, female ejaculation, persistent genital arousal disorder, premature female orgasm, clitoral bulbs, clitoral complex, internal clitoris, Halban’s fascia and vaginal anterior fornix erogenous zone, genitosensory component of the vagus nerve, pubococcygeus muscle, premature ejaculation, FSFI, are terms that must not be used by gynecologists, urologists, sexologists, sexual medicine experts and mass-media. Sexologists must to teach boys how stimulate the clitoris and labia minora, and that the clitoral stimulation with a finger simultaneous with vaginal/anal intercourse facilitates or allows the female orgasm. G-spot is only a business: is it a scientific fraud?


2009 ISSWSH International Society for the Study of Women's Sexual Health congress: sexual medicine experts have voted against the existence of G-spot (in 2009!!), why this statement has been not divulged in the world?? ... video from this congress, speaker Dr. Yoram Vardi: http://www.youtube.com/watch?v=WTNW9uY7QTU

BJOG Journal Club. Does G-spot exist? Scenario and 8 Discussion Points. 30 July 2014.
Puppo V. G-spot does not exist. RE: Ostrzenski et al. BJOG 2014. http://www.vincenzopuppo.altervista.org/g-spot-punto-g-non-esiste.html   
Puppo V. Free audioslides RE: Ostrzenski - RE: Vaccaro CM. et al. Eur J Obstet Gynecol Reprod Biol 2014 http://audioslides.elsevier.com/ViewerSmall.aspx?source=1&doi=10.1016%2Fj.ejogrb.2014.03.054  
-Scenario. A 40-year-old businesswoman…difficulties in having intercourse…How would you counsel her?
Puppo V: Vaginal orgasm does not exist. Sexologists must define having sex as the situation in which the orgasm happens in both partners with or without vaginal intercourse. The female orgasm is caused by the female erectile organs and the clitoral sexual response is not affected by aging and for this reason women have the physical capability of being orgasmic at all ages. The female orgasm can be achieved with effective sexual stimulation by all women and can be triggered by various non-coital sex play. Having sex can refer to acts which involve two people, such as oral sex, or mutual masturbation, and the clitoral stimulation with a finger simultaneous with vaginal/anal intercourse facilitates or allows the female orgasm (woman on top is the better position for clitoral stimulation). Free full text Clin Anat 2013 http://onlinelibrary.wiley.com/doi/10.1002/ca.22177/full  
-Discussion points:
3- What is the Grafenberg area (G-spot)? How did authors in this study identify the G-spot anatomically?
4- What are the potential sources of bias in this study?
5- What is the evidence supporting that the neurovascular structure identified is related to sexual pleasure?
8- After reviewing this paper and its linked mini-commentary, do you think the G-spot exists?
Puppo V: Gräfenberg did not describe a vaginal spot in his 1950 article and he did not report an orgasm of G-spot. Grafenberg in 1950 described some cases of female and male urethral masturbation...NOT G-spot...orgasm with finger in vagina is possible in ALL women: but you must move also the hand... All published scientific data point to the fact that the Gräfenberg spot, G-spot, does not exist: the claims made by Ostrzenski, Whipple, Jannini, Buisson, Helen O’Connell, Stuart Brody, Irwin Goldstein, Chiara Simonelli, and others have no scientific basis. These authors could also be accused of using Gräfenberg’s name to create an impression that their studies do have a scientific basis. FREE ebook/Pdf   http://books.google.it/books?id=E6RvAwAAQBAJ&printsec=frontcover&hl=it#v=onepage&q&f=false  
RE: Ostrzenski et al. BJOG 2014. -G-spot does not exist: see Puppo V, Gruenwald I. (2012): Does the G spot exist? A review of the current literature. Int Urogynecol J; 23:1665-69. Free full text-pdf: http://www.pinktherapy.com/portals/0/CourseResources/PuppoIUJ2012.pdf   -Ostrzenski et al. stated: “The author does not report any conflict of interest”. But Ostrzenski runs a cosmetic plastic gynaecology clinic (in the list of the procedures there is also the G-Spot Augmentation or G-Spotplasty http://cosmetic-gyn.com/?page_id=20  ), this is not in itself sinister but it does have a bearing on why he may have an interest in proving the presence of a G-spot and should have been declared in his articles. -in Ostrzenski articles there are the same figures (JSM-fig2, BJOG-fig1, EJOG-fig1)... but with in the text some "modifications"...with scientific errors (also very "fun", see G-spot gene)..., and with meaningless statements..., and all with "Disclosure of interest: None" ...  - Ostrzenski’s article is not a clinical study, and there is also a lack of any clinical sexual history of the 8 women, so there is no evidence that they ever had so-called “G-spot complex” orgasms from penile-vaginal intercourse or by digital stimulation of the anterior vaginal wall. In the absence of such clinical evidence, it is not valid for the author to claim that he has identified the anatomical constituent of the G-spot. -Ostrzenski et al. stated: G-spot in ALL women located to 4.5 cm: but what is the G-spot insufficiency?? and urethra is 3-4 cm long... in addition, ganglions of parasympathetic are within of organ of innervation: Ostrzenski article is not scientific!!... - many Ostrzenski et al's references are NOT "appropriate" (Ostrzenski adds references also WITHOUT reading the full text… sometimes also without reading the abstract: Ostrzenski, in the Journal of Sexual Medicine 2012, wrote: “The G-spot gene has been identified and has been already incorporated into the Affymetrix GeneChip microarrays of probes to match specified genes”. But this is a misreading of the reference he quotes: “G-spot” in genetics is a sequence of four or more guanines!!): see references 7, 15, 20, 21, 22, 23, 24, 25. And References by Addiego, Whipple, Perry, Jannini, O’Connell, Ostrzenski and Thabet have no scientific basis. - Ostrzenski et al. wrote "Literature search. A search of the existing literature from 1800 to March 2013 was carried out. Manual and electronic searches were made using medical subject headings…PubMed" : why Puppo's articles there are not in Ostrzenski et al. references?...Ostrzenski knew my articles!!
Conclusion: G-spot does not exist: is it a scientific fraud? G-spot has become the center of a multimillion dollar business: Clitoral/vaginal/G-spot orgasm, clitoral complex, internal clitoris, clitoral bulbs etc., are terms that must not be used by gynaecologists, sexologists and sexual medicine experts.
-Discussion points:
1- How is female sexual dysfunction diagnosed and classified?
2- How prevalent is female sexual dysfunction? How is it managed?
Puppo V: FDS seems to be essentially focused on orgasmic function resulting from penile-vaginal intercourse: as a matter of fact, FSD are popular because they are based on something that doesn’t exist, i.e. the vaginal orgasm. FSD has become the center of a multimillion dollar business: is the FSD an illness constructed by sexologists under the influence of drug companies? (Moynihan  2010). Sexuality questionnaires for the diagnosis and treatment of FSD must mainly assess the presence or absence of orgasm (a function of the human body, which must be assessed in the subject) with masturbation and in the questions the words ‘intercourse’ or ‘satisfaction’ must not be used. Therapy for FSD is the scientific sexual education…
-Discussion points:
6- List all genital operations for promoting sexual pleasure you are aware of.
7- Explain the differences between cosmetic genital operations and female genital mutilation.
Puppo V: In 2007, the “Committee Opinion” by the American College of Obstetricians and Gynecologists stated: “Other procedures, including vaginal rejuvenation, designer vaginoplasty, revirgination, and G-spot amplification, are not medically indicated, and the safety and effectiveness of these procedures have not been documented. Women should be informed about the lack of data supporting the efficacy of these procedures and their potential complications, including infection, altered sensation, dyspareunia, adhesions, and scarring.”. In the case of G-spot amplification/G-Spotplasty, some gynecologists invented or developed this procedure, which is both futile and unnecessary because the G-spot does not exist. FGM are classificated in four types: type IV are all other harmful procedures to the female genitalia for non-medical purposes: G-spot amplification/G-Spotplasty, and female genital cosmetic surgery, can be considered as female genital mutilation type IV.
-Puppo V. The G-spot does not exist. BJOG 2014. doi: 10.1111/1471-0528.12893
-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. Free full text: Clin Anat 2013;26:134-52. http://onlinelibrary.wiley.com/doi/10.1002/ca.22177/full
- Puppo V. Embryology and anatomy of the vulva: the female orgasm and women's sexual health. Free full text: Eur J Obstet Gynecol Reprod Biol 2011;154:3-8.  http://www.ejog.org/article/S0301-2115(10)00415-X/fulltext
-Puppo V. 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. Free full text: ISRN Obstet Gynecol 2011;261464:5 pp. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175415/
- Puppo V, Gruenwald I. Does the G spot exist? A review of the current literature. Int Urogynecol J 2012;23:1665-69.
- Puppo V. Can female genital cosmetic surgery be considered or classified as female genital mutilation type IV? Reply to: A. Ostrzenski: Vaginal rugation rejuvenation (restoration): a new surgical technique for an acquired sensation of wide/smooth vagina. Gynecol Obstet Invest 2012;73:48-52. A rebuttal. Gynecol Obstet Invest 2013;75:215-16.
- Puppo V. G-spot does not exist: …. is it a scientific fraud? FREE ebook/pdf  Google/books 2014.

-Ostrzenski A, Krajewski P, Ganjei-Azar P, et al. Verification of the anatomy and newly discovered histology of the G-spot complex. BJOG 2014;121: DOI: 10.1111/1471-0528.12707
-Ostrzenski A. Anatomic documentation of the G-spot complex role in the genesis of anterior vaginal wall ballooning. Eur J Obstet Gynecol Reprod Biol 2014. Doi: http://dx.doi.org/10.1016/j.ejogrb.2014.04.005

- Ostrzenski A. G-spot anatomy: A new discovery. J Sex Med 2012;9:1355-1359.
-Upton GJ, Langdon WB, Harrison AP. G-spots causes incorrect expression measurement in Affymetrix microarrays. BMC Genomics 2008;9:613-22.
- Moynihan R. Merging of marketing and medical science. BMJ 2010; 341: c5050.