Clitoral Size and Location in Relation to Sexual Function Using Pelvic MRI
| Autor: | Susan H. Oakley, Steven D. Kleeman, Rachel N. Pauls, Angela N. Fellner, Catrina C. Crisp, M. Victoria Estanol, Christine M. Vaccaro |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Sexual Behavior Urology Endocrinology Diabetes and Metabolism media_common.quotation_subject Female sexual dysfunction Clitoris Orgasm Body Mass Index Endocrinology Surveys and Questionnaires medicine Humans Sexual Dysfunctions Psychological Glans media_common Gynecology medicine.diagnostic_test Magnetic resonance imaging Organ Size medicine.disease Magnetic Resonance Imaging Psychiatry and Mental health Cross-Sectional Studies medicine.anatomical_structure Reproductive Medicine Case-Control Studies Vagina Female Sexual function Psychology Body mass index |
| Zdroj: | The Journal of Sexual Medicine. 11:1013-1022 |
| ISSN: | 1743-6095 |
| DOI: | 10.1111/jsm.12450 |
| Popis: | Introduction The female sexual response is dynamic; anatomic mechanisms may ease or enhance the intensity of orgasm. Aim The aim of this study is to evaluate the clitoral size and location with regard to female sexual function. Methods This cross‐sectional TriHealth Institutional Board Review approved study compared 10 sexually active women with anorgasmia to 20 orgasmic women matched by age and body mass index (BMI). Data included demographics, sexual history, serum hormone levels, Prolapse/Incontinence Sexual Questionnaire‐12 (PISQ‐12), Female Sexual Function Index (FSFI), Body Exposure during Sexual Activity Questionnaire (BESAQ), and Short Form Health Survey‐12. All subjects underwent pelvic magnetic resonance imaging (MRI) without contrast; measurements of the clitoris were calculated. Main Outcome Measures Our primary outcomes were clitoral size and location as measured by noncontrast MRI imaging in sagittal, coronal, and axial planes. Results Thirty premenopausal women completed the study. The mean age was 32 years (standard deviation [SD] 7), mean BMI 25 (SD 4). The majority was white (90%) and married (61%). Total PISQ‐12 ( P P P = 0.005). A larger distance from the clitoral glans (51 vs. 45 mm, P = 0.049) and body (29 vs. 21 mm, P = 0.008) to the vaginal lumen was found in the anorgasmic subjects. For the entire sample, larger distance between the clitoris and the vagina correlated with poorer scores on the PISQ‐12 ( r = −0.44, P = 0.02), FSFI ( r = −0.43, P = 0.02), and BESAQ ( r = −0.37, P = 0.04). Conclusion Women with anorgasmia possessed a smaller clitoral glans and clitoral components farther from the vaginal lumen than women with normal orgasmic function. Oakley SH, Vaccaro CM, Crisp CC, Estanol MV, Fellner AN, Kleeman SD, and Pauls RN. Clitoral size and location in relation to sexual function using pelvic MRI. J Sex Med 2014;11:1013–1022. |
| Databáze: | OpenAIRE |
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