Just saw this. Thank you! I think the problem is that these women who don’t value their own pleasure or simply don’t realize what they are missing are the ones becoming doctors. It is honestly hard to explain the persisting neglect of vulvar anatomy and female sexual function. Many may think they know enough because they don’t know enough to know what they don’t know.

Earlier today I emailed an OB/GYN who has dedicated her work to helping women with FGM. But her research is full of errors and methodological problems. She doesn’t know clitoral anatomy well. And she is using the Female Sexual Function Index (FSFI) to measure sexual function. I am thinking of writing an article on the FSFI, though this may be beyond what people are interested in. Basically the way female sexual function is evaluated is incredibly sexist. I score a 31, well above what I’d need to qualify as having dysfunction, despite having no sensation in the glans or distal body of my clitoris. No one will ever be able to give me an orgasm without using a vibrator to stimulate the base of the clitoral body. I have yet to teach a single man to do this (it is tricky because it moves). But I got a 31 because the questions don’t really assess physical function. They ask about satisfaction and other psychological variables. I gave myself a 5 for my satisfaction with my relationship (with myself). I’m pretty sure if I were celibate and didn’t count my relationship with myself, I would score as having dysfunction.