{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:34:14Z","timestamp":1790656454612,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,2,12]],"date-time":"2015-02-12T00:00:00Z","timestamp":1423699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:p>Patient perceptions of genital esthetics are motivating requests for plastic surgeries that could change sexual sensitivity. There is little information about the sensitivities of labial and introital sites. The aim of this study is to assess the relationship between sexual sensitivity and self\u2010reported sizes of labial and introital sites. Sixty\u2010two healthy, sexually active, adult women (mean age 37.9, range 21\u201360) with no history of genital or vaginal surgery gave written consent to participate in this study. A modified version of Self\u2010Assessment of Genital Anatomy and Sexual Function (L\u2010SAGASF\u2010F) was used to assess labial and introital size. Site\u2010specific sensation was rated on Likert scales of 1\u20135. Anatomical locations were compared for ratings. Of 62 responders, 84% (52) described their labia as \u201caverage\u2010sized,\u201d 11% (7) described their labia minora and 13% (8) their labia majora as \u201clarge\u201d, and 3% (2) and 5% (3) as \u201csmall\u201d. Sexual pleasure ratings were \u201cmoderate\u201d (median value: 3.0 for external genitalia and vaginal lumen) or \u201cstrong\u201d (median value: 4.0 for the interior vagina). Significantly higher rankings related to the vaginal opening (<jats:italic>P<\/jats:italic>\u2009=\u20090.007). Orgasm intensity for stimulation of the external genitalia progressively increased toward the vaginal opening, from 1.0 to 3.0 (<jats:italic>P<\/jats:italic>\u2009=\u20090.001); vaginal ratings showed a similar progression, from 2.0 at the external luminal margin to 3.0 in the deep interior (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Orgasm effort scores were intermediate (median: 3.0), uniform throughout the external and internal areas (<jats:italic>P<\/jats:italic>\u2009=\u20090.626). Ratings for labial and introital sensitivity, regardless of self\u2010reported size, were very similar to those at other genital sites for sexual pleasure. Surgical excision of labial and introital structures could modify sexual sensation. Clin. Anat. 28:355\u2013362, 2015. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.22503","type":"journal-article","created":{"date-parts":[[2015,2,13]],"date-time":"2015-02-13T10:20:13Z","timestamp":1423822813000},"page":"355-362","source":"Crossref","is-referenced-by-count":22,"title":["Self\u2010assessment of anatomy, sexual sensitivity, and function of the labia and vagina"],"prefix":"10.1002","volume":"28","author":[{"given":"Justine M.","family":"Schober","sequence":"first","affiliation":[{"name":"Pediatric Urology, UPMC Hamot Erie Pennsylvania"},{"name":"Pfaff Laboratory of Neurobiology and Behavior, Rockefeller University New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nieves Martin","family":"Alguacil","sequence":"additional","affiliation":[{"name":"Pfaff Laboratory of Neurobiology and Behavior, Rockefeller University New York New York"},{"name":"Department of Anatomy and Embryology School of Veterinary Medicine, Universidad Complutense de Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Scott","family":"Cooper","sequence":"additional","affiliation":[{"name":"Lake Erie College of Osteopathic Medicine Erie Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald W.","family":"Pfaff","sequence":"additional","affiliation":[{"name":"Pfaff Laboratory of Neurobiology and Behavior, Rockefeller University New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heino F.L.","family":"Meyer\u2010Bahlburg","sequence":"additional","affiliation":[{"name":"NYS Psychiatric Institute\/Department of Psychiatry College of Physicians and Surgeons of Columbia University New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697130802366670"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)68052-2"},{"key":"e_1_2_7_4_1","first-page":"161","article-title":"Les deuxfrigidit\u00e9s de la femme","volume":"5","author":"Bonaparte M","year":"1933","journal-title":"Bulletin de la Soci\u00e9t\u00e9 de Sexologie"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65736-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1997.02170400084015"},{"key":"e_1_2_7_7_1","volume-title":"Handbook of Sexuality\u2010Related Measures","author":"Fisher TD","year":"2011"},{"issue":"2","key":"e_1_2_7_8_1","first-page":"S84","article-title":"Vasculogenic female sexual dysfunction: Vaginal engorgement and clitoral erectile insufficiency syndromes","volume":"10","author":"Goldstein I","year":"1998","journal-title":"Int J Impot Res"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01573.x"},{"key":"e_1_2_7_10_1","first-page":"145","article-title":"The role of the urethra in female orgasm","volume":"3","author":"Gr\u00e4fenberg E","year":"1950","journal-title":"Int J Sexol"},{"issue":"2","key":"e_1_2_7_11_1","first-page":"S94","article-title":"Psychophysiological models of female sexual response","volume":"10","author":"Heiman JR","year":"1998","journal-title":"Int J Impot Res"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2117-8"},{"key":"e_1_2_7_13_1","volume-title":"Sexual Behavior in the Human Female","author":"Kinsey AC","year":"1953"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000122214"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-3069-1_8"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(76)90987-2"},{"key":"e_1_2_7_17_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1152\/jn.1979.42.1.195","article-title":"Triggering of lordosis reflex in female rats with somatosensory stimulation: Quantitative determination of stimulus parameters","volume":"42","author":"Kow LM","year":"1979","journal-title":"J Neurophysiol"},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1080\/10532528.1995.10559901","article-title":"Determinants of female sexual arousal: Psychophysiological theory and data","volume":"6","author":"Laan E","year":"1995","journal-title":"Annu Rev Sex Res"},{"key":"e_1_2_7_19_1","volume-title":"Sex in Development","author":"Landis C","year":"1940"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00517.x"},{"key":"e_1_2_7_21_1","volume-title":"In: Human Sexual Response","author":"Masters WH","year":"1966"},{"key":"e_1_2_7_22_1","unstructured":"Meyer\u2010BahlburgHFL DolezalC SchoberJM.2006. Self\u2010Assessment of Genital Anatomy and Sexual Function \u2013 Female (SAGASF\u2010F): Retest reliability in a sample of women without genital surgery (Poster). In: International Academy of Sex Research 32nd Annual Meeting Amsterdam The Netherlands July 12\u201315 2006. BOOK OF ABSTRACTS p51."},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31820d6867"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12707"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0077305"},{"key":"e_1_2_7_26_1","first-page":"549","volume-title":"Pediatric Surgery and Urology: Long\u2010Term Outcomes","author":"Schober JM","year":"1998"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.05006.x"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.08166.x"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2010.03.009"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7225.1596"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224497209550761"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)00850-5"},{"key":"e_1_2_7_33_1","first-page":"41","article-title":"Clitoral size in normal women","volume":"80","author":"Verkauf BS","year":"1992","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00291-X"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yhbeh.2010.12.004"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118844854"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.22503","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.22503","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:21:01Z","timestamp":1747614061000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.22503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,12]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1002\/ca.22503"],"URL":"https:\/\/doi.org\/10.1002\/ca.22503","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,12]]}}}