What the studies say overall
There is no consensus on this topic, and most anatomical studies do not find a distinct structure (Hoag et al., 2017; Aydın et al., 2020; Pan et al., 2015). One systematic review concludes that there is reliable scientific and clinical evidence supporting the existence of an anatomical structure for the G-spot (Ostrzenski et al., 2019).
Three other reviews reach the opposite conclusion: one considered the proof too weak because the observations were based on very few people; another concluded that the data suggest the G-spot does not exist; and a clinical anatomy review notes that the distal part of the anterior vaginal wall appears to be the most sensitive in the vagina, but that the existence of an anatomical G-spot remains unproven (Hines et al., 2001; Puppo et al., 2012; Pan et al., 2015).
Studies that have looked for the structure directly do not find it either.
In the dissection of thirteen female cadavers, beneath the anterior vaginal wall there was only the urethra and its lining, with nothing corresponding to the G-spot, and a histological analysis in women operated on for prolapse found nerves and vessels distributed fairly evenly, with no area of concentration next to the urethra (Hoag et al., 2017; Aydın et al., 2020).
Another review, on the anatomy of the clitoris, points out that the origin of vaginal eroticism may not be due only to clitoral stimulation.
There is more agreement on what surrounds the myth.
A clinical gynaecology guideline notes that high-quality data supporting the effectiveness of cosmetic genital surgical procedures are lacking, and in surveys of healthcare professionals and medical students in Portugal and Saudi Arabia, most considered that "G-spot augmentation" is not justified on medical grounds (Obstet Gynecol, 2020; Vieira-Baptista et al., 2017; Iqbal et al., 2021).
A review on spinal cord injury proposes including stimulation of the vaginal wall in self-exploration, alongside that of the clitoris, the cervix and the nipples (Courtois et al., 2017).
Limits of the evidence
The anatomical studies are small: the dissection was done on thirteen cadavers and the histological analysis on women operated on for prolapse, who may not represent everyone (Hoag et al., 2017; Aydın et al., 2020). The reviews summarise those same studies, which are few.
The surveys of professionals collect opinions, not proof of effectiveness, and there are no trials comparing stimulation techniques (Vieira-Baptista et al., 2017; Iqbal et al., 2021).
The studies, one by one
We have gathered 10 verified studies. Each summary is our own; the quotation in inverted commas is taken word for word from the original abstract, in English.
Type of study: Systematic review2019
What they found: Reliable scientific and clinical data support the existence of an anatomical structure for the G-spot. (Ostrzenski et al., 2019)
Population Post-mortem and in vivo studies on the G-spot Journal Clin Anat
Verbatim quotation from the original abstract (in English)
“The findings indicate that there are reliable scientific-clinical data to support the existence of an anatomical G-spot structure.” Ostrzenski et al., 2019
See the original: DOI · PubMed
Type of study: Clinical guideline2020
What they found: There are no high-quality data supporting the effectiveness of cosmetic genital surgical procedures. (Obstet Gynecol, 2020)
Population Women considering cosmetic genital surgical procedures Journal Obstet Gynecol
Verbatim quotation from the original abstract (in English)
“Women should be informed about the lack of high-quality data that support the effectiveness of genital cosmetic surgical procedures and counseled about their potential complications, including pain, bleeding, infection, scarring, adhesions, altered sensation, dyspareunia, and need for reoperation.” Obstet Gynecol, 2020
See the original: DOI · PubMed
Type of study: Survey (cross-sectional study)Sample n = 6642017
What they found: Most participants considered that there is never or rarely a medical reason to carry out "G-spot" augmentation (71.0% [409/576]). (Vieira-Baptista et al., 2017)
Population Portuguese doctors and medical students Journal Rev Bras Ginecol Obstet
Verbatim quotation from the original abstract (in English)
“Most participants considered that there is never or there rarely is a medical reason to perform: vulvar whitening (85.9% [502/584]); hymenoplasty (72.0% [437/607]); mons pubis liposuction (71.6% [426/595]); "G-spot" augmentation (71.0% [409/576])” Vieira-Baptista et al., 2017
See the original: DOI · PubMed
Type of study: Survey (cross-sectional study)2021
What they found: Most participants considered that G-spot augmentation is not justified on medical grounds. (Iqbal et al., 2021)
Population Healthcare professionals and medical students in Saudi Arabia Journal Rev Bras Ginecol Obstet
Verbatim quotation from the original abstract (in English)
“The majority of the participants considered that vaginal rejuvenation, "G-spot" augmentation, clitoral surgery, and hymenoplasty are not justifiable on medical grounds.” Iqbal et al., 2021
See the original: DOI · PubMed
Type of study: Narrative review2017
What they found: Self-exploration in women with spinal cord injury should include vaginal G-spot stimulation, as well as stimulation of the clitoris, the cervix and the nipples. (Courtois et al., 2017)
Population Women with spinal cord injury Journal Top Spinal Cord Inj Rehabil
Verbatim quotation from the original abstract (in English)
“Self-exploration should include not only clitoral stimulation, but also stimulation of the vagina (G spot), cervix, and nipples conveyed by different innervation sources.” Courtois et al., 2017
See the original: DOI · PubMed
Type of study: Narrative review2015
What they found: A review of clinical anatomy concluded that the distal part of the anterior vaginal wall appears to be the most sensitive region of the vagina, but the existence of an anatomical G-spot remains unproven. (Pan et al., 2015)
Population Adult women Journal Clin Anat
Verbatim quotation from the original abstract (in English)
“while the distal area of the anterior vaginal wall appears to be the most sensitive region of the vagina, the existence of an anatomical "G-spot" remains to be demonstrated.” Pan et al., 2015
See the original: DOI · PubMed
Type of study: Narrative review2012
What they found: A review of the published scientific literature concluded that the available data suggest the G-spot does not exist. (Puppo et al., 2012)
Population Adult women Journal Int Urogynecol J
Verbatim quotation from the original abstract (in English)
“All published scientific data point to the fact that the G-spot does not exist” Puppo et al., 2012
See the original: DOI · PubMed
Type of study: Narrative review2001
What they found: A review of behavioural, biochemical and anatomical evidence concluded that the proof is too weak to support the existence of the G-spot, since earlier observations were based on very few people. (Hines et al., 2001)
Population Adult women (published evidence) Journal Am J Obstet Gynecol
Verbatim quotation from the original abstract (in English)
“The evidence is far too weak to support the reality of the G-spot.” Hines et al., 2001
See the original: DOI · PubMed
Type of study: Hospital case seriesSample n = 132017
What they found: A dissection study of 13 female cadavers aged 32 to 97 found that beneath the anterior vaginal wall there was only the urethra and its lining, with no macroscopic structure corresponding to the G-spot. (Hoag et al., 2017)
Population Female cadavers aged 32 to 97 Journal J Sex Med
Verbatim quotation from the original abstract (in English)
“There is no macroscopic structure other than the urethra and vaginal wall lining in the location of the putative G-spot.” Hoag et al., 2017
See the original: DOI · PubMed
Type of study: Hospital case series2020
What they found: A histological study of samples from women operated on for anterior vaginal wall prolapse found that nerve fibres and vessels were distributed fairly evenly, with no area of paraurethral concentration. (Aydın et al., 2020)
Population Women with anterior vaginal wall prolapse who underwent colporrhaphy Journal Int Urogynecol J
Verbatim quotation from the original abstract (in English)
“Vaginal nerve fibers in the lamina propria and muscularis have a fairly even distribution in the anterior vaginal wall.” Aydın et al., 2020
See the original: DOI · PubMed