The advent and popularization of feminism has removed the shackles of traditional customs on female rights to pursue sexual pleasure; therefore, G-spot orgasms have been increasingly investigated and highlighted and are considered not only as the last chapter of the entire sexual intercourse but also as an important sign for females to elevate autonomous rights about their bodies. However, medically, there are still disputes about the definition of and studies on the G-spot. At present, it is confirmed that the frequency of a female G-spot orgasm is far lower than that of a classic clitoral orgasm and that if present, a G-spot orgasm is far stronger than a clitoral orgasm and lasts for a longer time. Current studies on female sexual behaviors mention that a G-spot orgasm mainly occurs in the latter stage of sexual intercourse and is frequently accompanied by intense sexual behaviors such as foreplay or a clitoral orgasm. When a G-spot orgasm is achieved, females feel a strong involuntary contracture of the pelvic muscles and vagina and have an urgent feeling of urination or even incontinence. Females feel the pleasure of a torrent of warm fluids rushing from low body to the head and present an occasional trance or pelvic muscle spasm, which are typical manifestations of a G-spot orgasm. However, a G-spot orgasm does not occur during every sexual intercourse and is highly susceptible to psychological or outer environmental interference, which most commonly is inhibited by male and female affection or mental pressure, and is even associated with the size of the penis, persistence, or sexual intercourse skills. Therefore, not every female in every time experiences a G-spot orgasm. According to a large-scale scientific investigation, up to 20% of females have never experienced a G-spot orgasm in their life. However, Dr. Chuang thinks that this rate will be higher in local areas with conservative customs. Although the absence of a G-spot orgasm does not represent a complete non-feeling of sexual pleasure, its presence enables females to experience greater delight and enhance the sense of reciprocal demand. Therefore, improving the female sexual dysfunction and female autonomous orgasm experience constitute the significance and objective of G-spot surgery.
Anatomically, the location of the G-spot has been well studied and confirmed. It is generally considered as a patch of thickened tissue at the 11 o’clock to 1 o’clock direction of the vaginal superior wall, approximately 5 cm from the vaginal opening. It appears rough and thick at the surface under the naked eye and is different from the peripheral smooth vaginal mucosa, which, after a period of sexual behaviors or finger stimuli, shows congestion and swelling, thus increasing the friction or stimulus area and then triggering a G-spot orgasm. Nevertheless, different amounts of time are taken to achieve a G-spot orgasm in light of individual sensitivity; it takes approximately 10–15 min if the sexual intercourse is not long enough, or it is difficult to trigger such an orgasm if the stimulation site is incorrect. Moreover, the duration of a G-spot orgasm varies from person to person and can be as short as 20–30 s or as long as several minutes of continuous pleasure, inducing urination urgency or urinary incontinence. However, because a G-spot orgasm is difficult to predict or trace and its triggers are very complex, it is difficult to test surgical results by scientific devices or medical theories. Therefore, patients should honestly communicate with Dr. Chuang about their requirements before the operation to avoid misunderstanding and disappointment.
G-spot augmentation is available by both non-surgical and surgical techniques. Its principle is to increase the frequency of G-spot compression and stimulation by reinforcing the vaginal mucosa adjacent to the G-spot. According to Dr. Chuang’s treatment rules and experience, if patients previously have had an experience similar to a G-spot orgasm, surgical enhancement is suitable and the direct emplacement of an autologous gluteal fascia or a Gore-Tex prosthesis is preferred to attain prolonged and stable results. Otherwise, if patients are uncertain about or had no experience similar to a G-spot orgasm or if the conditions of male partners are inadequate, it is recommended to receive hyaluronic acid (Sub-Q) or an autologous fat injection first to augment the G-spot mucosa so that they feel the existence of the G-spot before a further discussion with Dr. Chuang about whether they should undergo long-lasting G-spot emplacement surgery.