G-spot and multi-disciplinary treatment of perienal pain

Is the Female G-Spot Truly a Distinct Anatomic Entity? Amichai Kilchevsky, Yoram Vardi, Lior Lowenstein and Ilan Gruenwald, J of Sexual Med 2012;9(3):719-726.  This literature search looked at many research papers trying to reproduce, map, and image the location of the female G spot with reproducible and consistent means.  And the answer is….. “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”. 

 G-spot anatomy: A new discovery. Ostrzenski A. J Sex Med 2012;9:1355–1359.  Same journal several issues later.  I can only see the abstract but it looks like a dissection study.  Very specific as to the location and size. 

 Provoked Vestibulodynia—Women's Experience of Participating in a Multidisciplinary Vulvodynia Program. Leslie A. Sadownik, Brooke N. Seal and Lori A. Brotto Journal of sexual med 2012;9(4):1086-1093.  This semi-structured interview process asked women with vestibulodynia about their experience in a multi-disciplinary program. Five themes emerged – increased knowledge, gaining tools and skills, perceived improved mood and psychological well-being, sense of validation and support, and an enhanced sense of empowerment.  The multi-disciplinary approach was seen as overall beneficial.  Certainly this makes sense in light of the new evidence of the benefits of cognitive behavioral therapy in chronic pelvic pain.  Working together as a team is best for the patient. 

How well is the multi-disciplinary model working? Rosenbaaum T, J Sex Med 2011;8:2957-2958.  This and many other articles are available on Talli’s web site.  http://www.tallirosenbaum.com/en/en_pubs_index She has done a good job to bring to light the importance of this approach.  All PTs should be embracing these concepts.