Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans



Sexual dysfunction, Clitoris, Orgasm


Aim: The clitoris is the dominant sexual organ in the female, varies in size and plays an active role in genital sensation and orgasm. Since the importance of clitoral glans visibility is known, surgeries of clitoris are increasing day by day. However, there is insufficient literature on the subject. The aim of this study is to determine the effect of measurable dimensions of clitoris and the clitoral glans visibility on female sexual function.
Methods: Seventy-seven patients included in this cross-sectional study were examined in the lithotomy position and the measurable dimensions of the clitoris, the visibility of the clitoral glans and the length of the prepuce were noted. The Female Sexual Function Index (FSFI) was applied to all participants, which were divided into two groups, as those with normal orgasmic function and orgasmic dysfunction. One researcher made all measurements.
Results: There were no statistically significant differences in clitoral glans width, length, or prepuce length (P=0.11, P=0.63, P=0.35, respectively). Clitoral glans was visible in 41 of 51 patients in the normal orgasmic function group, which was significantly higher than the group with orgasmic dysfunction (P<0.001).
Conclusion: Since there is a significant relationship between clitoral glans visibility and orgasm, genital surgeries performed to increase clitoral glans visibility can facilitate sexual satisfaction and/or increase orgasm intensity. The fact that the relationship between measurable dimensions of clitoris, length of prepuce and orgasm cannot be shown suggests that clitoral glans visibility is more important than clitoral size for sexual stimulation.


Download data is not yet available.


Ellibes AK, Dogan O. Does Educational Level Affect Vulvar Perception? Journal of Clinical Obstetrics &Gynecology. 2018;28(3):95-104.

Puppo V. Anatomy and physiology of the clitoris, vestibular bulbs, and labia minora with a review of the female orgasm and the prevention of female sexual dysfunction. Clin Anat. 2013;26(1):134–52.

Dysfunction FS. ACOG Practice Bulletin. 2011;117(4):996–1007.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Washington, DC; 2013.

Hayes RD, Dennerstein L, Bennett CM, Fairley CK. What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med. 2008;5:777–87.

Asafo-Agyei SB, Ameyaw E, Chanoine JP, Zacharin M, Nguah SB. Clitoral size in term newborns in Kumasi, Ghana. International Journal of Pediatric Endocrinology. 2017;2017:6.

O’Connell HE, Eizenberg N, Rahman M, Cleeve J. The anatomy of the distal vagina: towards unity. J Sex Med. 2008;5:1883–91.

Lloyd J, Crouch NS, Minto CL, Liao LM, Creighton SM. Female genital appearance: “Normality” unfolds. BJOG. 2005;112:643–6.

Jannini EA, Rubio-Casillas A, Whipple B, Buisson O, Komisaruk BR, Brody S. Female orgasm(s): One, two, several. J Sex Med. 2012;9:956–65.

Wallen K, Lloyd EA. Female sexual arousal: Genital anatomy and orgasm in intercourse. Horm Behav. 2011;59:780–92.

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191.

Verkauf BS, Von Thron J, O’Brien WF. Clitoral Size in Normal Women. Obstet Gynecol. 1992;80(1):41–4.

Aygin D, Aslan FE. Kadın Cinsel İşlev Ölçeği'nin Türkçeye Uyarlaması. Turkiye Klinikleri Journal of Medical Sciences. 2005; 25(3):393-9.

Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1–20.

Konak BA, Özkan B. Yenidoğan Bebeklerde Anogenital Mesafe Çlçümü Ve Etkileyen Faktörler. Atatürk Üniversitesi Tıp Fakültesi. Çocuk Sağlığı ve Hastalıkları Uzmanlık Tezi. Erzurum 2010

Dogan O, Yassa M. "Major motivators and sociodemographic features of women undergoing labiaplasty." Aesthetic surgery journal. 2019; 39(12):517–27.

Goodman MP, Placik OJ, Benson RH III, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med. 2010;7:1565–77.

Placik OJ, Arkins JP. A Prospective Evaluation of Female External Genitalia Sensitivity to Pressure following Labia Minora Reduction and Clitoral Hood Reduction. Plastic and Reconstructive Surgery. 2015;136(4):442–52.

Vaccaro CM, Fellner A, Zoorob D, Pauls RN. The relationship between female sexual function and the clitoral complex using pelvic MRI assessment. J Sex Med. 2011;8(2 suppl):58.

Oakley SH, Vaccaro CM, Crisp CC, Estanol MV, Fellner AN, Kleeman SD, et al. Clitoral size and location in relation to sexual function using pelvic MRI. The journal of sexual medicine. 2014:11(4):1013-22.

Vaccaro CM, Herfel C, Karram MM, Pauls RN. Sexual function in a woman with congenital bladder exstrophy and multiple pelvic reconstructive surgeries: A case report. J Sex Med. 2011;8:617–21.






Research Article

How to Cite

Pulatoğlu Çiğdem, Ellibeş Kaya A. Relationship of orgasm with measurable dimensions of clitoris and visibility of clitoral glans. J Surg Med [Internet]. 2020 May 1 [cited 2024 Apr. 23];4(5):390-3. Available from: