http://www.theage.com.au/lifestyle/life/doctor-says-hes-found-the-actual-gspot-20120426-1xmb8.html
Doctor says he's found the actual G-spot
Melissa Healy
April 26, 2012 - 10:06AM
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Has the elusive G-spot finally been found?
Like so many explorers before him, Dr Adam Ostrzenski has long dreamed of
finding a piece of elusive territory with a reputation for near-mythic
powers.
Ostrzenski's quarry is the G-spot, the long-conjectured trigger for
enhancing female orgasm. And in an article published Wednesday by the
Journal of Sexual Medicine, the semi-retired Florida gynecologist declared
that he had found it.
To do so, Ostrzenski conducted a postmortem examination of an 83-year-old
woman in Warsaw Medical University's Department of Forensic Medicine.
Unlike the United States, which strictly regulates the research use of
cadavers, Poland allows the dissection of human remains soon after death,
when fine distinctions in tissue remain easy to see.
Inspecting the six distinct layers of tissue that make up a woman's
vaginal wall, Ostrzenski said, he uncovered small, grape-like clusters of
erectile tissue housed in a sac less than 1 centimetre across — "a deep,
deep structure" nestled between the vaginal wall's fifth layer, the
endopelvic fascia, and its sixth, the dorsal perineal membrane.
The dissection took seven hours for the Poland-trained physician and
anatomist, who said the first principles of medicine — "first you have to
establish the anatomy" — prompted him to undertake the study. If confirmed
by further investigation, he said, he hopes his finding will help rewrite
female anatomy books.
But his study quickly touched off a scientific and political tempest among
the small camp of experts in female sexual health.
In some corners, Ostrzenski's study is cause for celebration. To have
isolated a unique structure capable of boosting women's orgasmic powers
should lay to rest the doubts of those who question its existence, said
sexual medicine specialist Dr Andrew Goldstein, director of the Centres
for Vulvovaginal Disorders in Annapolis, Maryland.
Others, however, are crying foul. Ostrzenski's report not only fails to
support his grand claim of a "new discovery" but falls prey to the
all-too-common urge to simplify women's sexuality, said Beverly Whipple,
the Rutgers University sexologist who popularised the name "G-spot" as
co-author of a 1982 book on the subject.
Laying out a bundle of poorly defined tissues and calling them the G-spot
likens women's powers of sexual pleasure to the "on-off switch" that
better describes men's sexuality, Whipple said. In suggesting he has found
and characterised the exact structure that boosts the intensity of orgasm
in women, Ostrzenski ignores research that suggests there is no single
magical "spot" that does all that, she added.
"No, there is not an 'it'!" she said. "It is not one entity."
Whipple and two of her colleagues have already drafted a critique of the
study, which she hopes to publish in a future issue of the Journal of
Sexual Medicine. In the critique, the three fault Ostrzenski for failing
to show that the "G-spot" he discovered has nerve endings; that it is, as
he claims, erectile tissue; or that it has any role to play in female
sexual arousal.
Ostrzenski acknowledged that he had not detailed exactly what type of
tissue makes up the G-spot or how it works its magic, in part because the
Polish regulations that govern dissection of fresh cadavers prevented him
from taking samples for histological testing, he said. And he said he
makes no claim that the G-spot he has found will be in the same place, nor
that it will have the same powers, for every woman.
"Absolutely, there will be variation," he said.
Dr Irwin Goldstein, editor of the Journal of Sexual Medicine, said he's
not sure what the fuss is about. Despite its name, the G-spot "certainly
doesn't have a flag on it, like X-marks-the-spot," he said. The fact that
Ostrzenski may have found one of many potential organs of female pleasure
does not diminish the discovery, he added.
Some of the backlash may come from Ostrzenski's other professional
pursuits, which include performing plastic surgery on women's genitalia —
a growing practice that was condemned by the American College of
Obstetricians and Gynecologists in 2007. Among the services advertised on
Ostrzenski's website are "G-spotplasty," typically offered as a means to
enhance sexual pleasure despite a lack of evidence that it works.
The G-spot was first identified in 1950 by the German gynecologist Ernst
Grafenberg and was long thought to belong to the female urological
anatomy. But its powers of pleasure have been attested to as far back as
the third century, when an early medical text reported the swelling of the
anterior vaginal wall during sexual arousal.
Off and on since then, the precise organ of female orgasm has been hotly
debated. Many, including the father of modern psychiatry, Sigmund Freud,
asserted that the vaginal walls were strongly implicated. Others, noting
the paucity of nerve endings on the surface of the vaginal walls and the
comparative density of nerve endings in the female clitoris, countered
that the organ of female pleasure was plain for all to see. The fact that
women commonly report orgasms with clitoral stimulation — and not so
commonly with sexual intercourse — appeared to bolster their case that the
clitoris is the G-spot.
Still, the existence of at least one distinct G-spot inside the vagina has
gained growing scientific credence in recent years. In 2004, a team of
researchers demonstrated that electrostimulation to the front vaginal wall
near the bladder caused swelling that enhanced sexual arousal.
Studies of female sexual anatomy and function have shown that stimulating
the area raises a woman's pain threshold — an evident benefit for
childbirth — and prompts the release of oxytocin, a hormone associated
with enhanced bonding and trust.
Other studies have suggested that there may be many G-spots. Brain scans
of women in various states of sexual arousal have underscored the fluid
nature of female sexuality and the key role of psychological factors in
women's sexual pleasure, said Dr Michael Krychman, director of the
Southern California Centre for Sexual Health in Newport Beach.
Researchers have documented cases of women achieving orgasm with cervical
stimulation even after spinal cord injuries that should have left them
numb below the waist, and others doing so in the absence of any direct
physical stimulation.
Still, Krychman said, Ostrzenski's report offers an important caveat for
those who think women's sexual arousal is entirely a mental matter. While
the psychological dimensions of women's sexuality dominate the field, the
new study recognises that "women have anatomy issues that contribute to
their sexual problems," he said. "There are remedies — physical remedies —
that can be brought to bear on those."
Ostrzenski said he planned to head back to Warsaw in May to conduct
additional postmortem anatomical studies. This time, he said, he hopes to
gain permission to remove and conduct lab studies of tissues he finds in
the vaginal wall.
"I have just put my toes into the water," he said.
Los Angeles Times
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