(009) Erogenous Zones of the Vagina and Vulva: An Anatomic Map-Based Study

Abstract

Abstract Introduction Erogenous sensation zones (ESZs) of the body elicit sexual arousal in response to touch. Prior studies have established general maps of external ESZs, but they did not assess internal surfaces or focus on individual structures of the genitalia. Objective To develop a topographic map of the ESZs of the vulva and vagina. Methods A sample of n=451 sexually active cisgender women (mean age 48.9 ± 15.5 years) were administered an anonymous, online questionnaire via Qualtrics. Respondents selected predefined areas from anatomic illustrations of the vulva and vagina that bring them pleasure when touched during sex. Respondents then rated the importance of each zone to their sexual pleasure on a 10-point Likert scale. Results More respondents selected at least one area of the vulva as an ESZ (82%), as compared to the vagina (59.4%). Of the vulva (Figure 1), the clitoris, peri urethra, and vaginal introitus were the three most frequently selected and highest rated structures. The five ESZs of the vagina (Figure 2) revealed a preference for the superficial anterior region of the vaginal canal. The cervix and posterior areas were selected and rated lower than the superficial aspects. Conclusions The vulva and vagina were associated with enhanced erogenous sensation not only at (but also in regions immediately peripheral to) the clitoris. These ESZs were also rated as "highly important" to sexual pleasure. Notwithstanding these trends, the wide range of selection-frequency and pleasure-importance ratings emphasizes the subjective and varying experience of sexual arousal between individuals. These ESZ maps may enhance patient education, particularly among individuals who suffer from sexual dysfunction or other factors that lend to diminished sexual arousal. Disclosure No.