[7][8][9] Sexologists and other researchers are concerned that women may consider themselves to be dysfunctional if they do not experience G-spot stimulation, and emphasize that not experiencing it is normal.
[21][22] In a 1990 study, an anonymous questionnaire was distributed to 2,350 professional women in the United States and Canada with a subsequent 55% return rate.
[28] Supporting Spector's conclusion is a study published in 2005 which investigates the size of the clitoris – it suggests that clitoral tissue extends into the anterior wall of the vagina.
While using MRI technology, O'Connell noted a direct relationship between the legs or roots of the clitoris and the erectile tissue of the "clitoral bulbs" and corpora, and the distal urethra and vagina.
"If you lift the skin off the vagina on the side walls, you get the bulbs of the clitoris – triangular, crescental masses of erectile tissue.
[10][29][30][31] In their 2009 published study, the "coronal planes during perineal contraction and finger penetration demonstrated a close relationship between the root of the clitoris and the anterior vaginal wall".
[10][30] In 2001, the Federative Committee on Anatomical Terminology accepted female prostate as a second term for the Skene's gland, which is believed to be found in the G-spot area along the walls of the urethra.
[1][33] Regnier de Graaf, in 1672, observed that the secretions (female ejaculation) by the erogenous zone in the vagina lubricate "in agreeable fashion during coitus".
[39] The procedure is also not approved by the Food and Drug Administration or the American Medical Association, and no peer-reviewed studies have been accepted to account for either safety or effectiveness of this treatment.
[5][10] Study co-author Andrea Burri believes: "It is rather irresponsible to claim the existence of an entity that has never been proven and pressurise women and men too.
[42] Researcher Beverly Whipple dismissed the findings, commenting that twins have different sexual partners and techniques, and that the study did not properly account for lesbian or bisexual women.
[7][9][31][49] "My view is that the G-spot is really just the extension of the clitoris on the inside of the vagina, analogous to the base of the male penis", said researcher Amichai Kilchevsky.
Because female fetal development is the "default" direction of fetal development in the absence of substantial exposure to male hormones and therefore the penis is essentially a clitoris enlarged by such hormones, Kilchevsky believes that there is no evolutionary reason why females would have two separate structures capable of producing orgasms and blames the porn industry and "G-spot promoters" for "encouraging the myth" of a distinct G-spot.
[7][26] O'Connell stated that focusing on the G-spot to the exclusion of the rest of a woman's body is "a bit like stimulating a guy's testicles without touching the penis and expecting an orgasm to occur just because love is present".
[50] A Rutgers University study, published in 2011, was the first to map the female genitals onto the sensory portion of the brain, and supports the possibility of a distinct G-spot.
[5] In 2012, scholars Kilchevsky, Vardi, Lowenstein and Gruenwald stated in the journal, "Reports in the public media would lead one to believe the G-spot is a well-characterized entity capable of providing extreme sexual stimulation, yet this is far from the truth".
The authors cited that dozens of trials have attempted to confirm the existence of a G-spot using surveys, pathologic specimens, various imaging modalities, and biochemical markers, and concluded:The surveys found that a majority of women believe a G-spot actually exists, although not all of the women who believed in it were able to locate it.
Attempts to characterize vaginal innervation have shown some differences in nerve distribution across the vagina, although the findings have not proven to be universally reproducible.
Furthermore, radiographic studies have been unable to demonstrate a unique entity, other than the clitoris, whose direct stimulation leads to vaginal orgasm.
Objective measures have failed to provide strong and consistent evidence for the existence of an anatomical site that could be related to the famed G-spot.
However, reliable reports and anecdotal testimonials of the existence of a highly sensitive area in the distal anterior vaginal wall raise the question of whether enough investigative modalities have been implemented in the search of the G-spot.
[54] In the book History of V, Catherine Blackledge [pl] lists old terms for what she believes refer to the female prostate (the Skene's gland), including the little stream, the black pearl and palace of yin in China, the skin of the earthworm in Japan, and saspanda nadi in the India sex manual Ananga Ranga.
[58] The concept of the G-spot entered popular culture with the 1982 publication of The G Spot and Other Recent Discoveries About Human Sexuality by Ladas, Whipple and Perry,[21] but it was criticized immediately by gynecologists:[2][59] some of them denied its existence as the absence of arousal made it less likely to observe, and autopsy studies did not report it.