I agree with everything you said. It would have been more correct to say, “In one study, women rated their partners pleasure as more important” and linked to that study (I’d have to find it first). Most of the research I did was in 2011–2012, and this study was published prior to that. I think women have been becoming more and more empowered with each passing decade and that is good. But I think the continuing gap in anatomy reflects persisting inequalities.

There also appears to be a giant time lag between social changes and changes in medical science. I think this may be because medical leadership is older and medical training ingrains a follower mentality that defends the status quo. In this case, the fact that laypeople believe female orgasms are important isn’t translating. Sometimes I also wonder if some of this has to do with women not being as scientifically minded. It’s almost like many women don’t care to learn how female sexual function works and are content to let the focus be on psychology, to the detriment of anyone with physical problems, anyone undergoing surgery, etc.

How many men who seek treatment for sexual dysfunction would be content to be treated by doctors with no knowledge of the nerves and vasculature of the penis? I don’t think that would happen. Why aren’t women more focused on physical explanations and solutions? It does seem like the minority of female urologists are overrepresented as the authors of research on vulvar anatomy and female sexual function, but gynecologists appear to have little interest based on their literature, and most of them are women. This is bizarre and hard to explain.

It also seems like drug companies should be more motivated to fund research that separates the physical from the psychological but they must lack logical female leadership. They went after psychological origins of dysfunction — desire, in their search for a female “blue pill.” How well as that worked out for them? I actually don’t know. I don’t really know what is going on here. There is a female president of ABOG and yet I can’t get clitoral neurovascular anatomy included on their board exams.