Sexually responsive vascular tissue of the vulva.
OBJECTIVE
To better understand the genital changes that occur during the female sexual response, using a gross anatomical and histological study of the vascular tissue of the vulva, supplemented with magnetic resonance imaging (MRI).


METHODS
Seven cadaveric vulvectomy specimens were used; they were serially sectioned in coronal, sagittal, and axial planes, and stained with haematoxylin and eosin. Selected blocks were stained with elastic Masson's trichrome. Axial MR images were taken of two healthy women with intact sexual functioning using a gadolinium-based blood-pool contrast agent. A 1.5 T system was used for all MRI studies, with images taken at baseline and during sexual arousal while viewing an erotic videotape.


RESULTS
There are five vascular compartments of the female external genitalia, found in the clitoris, clitoral bulbs, labia minora, urethra, and vestibule/vagina. Of these five compartments, two distinct types of vascular tissue were identified, i.e. erectile and non-erectile/specialized genital. The erectile tissue compartments had the greatest change in blood volume during sexual arousal, as assessed by MRI.


CONCLUSIONS
The vulva contains a substantial amount of vascular tissue. These specialized tissues show a variable, but unified response to sexual arousal.
Department of Urology, University of Washington, Seattle, WA, USA.
Claire C
CC
Yang
Christopher J
CJ
Cold
Ugur
U
Yilmaz
Kenneth R
KR
Maravilla
D001143:Arousal / Q000502:physiology*; D005260:Female; D006801:Humans; D007989:Libido / Q000502:physiology; D008279:Magnetic Resonance Imaging / Q000379:methods; D012725:Sexual Behavior / Q000502:physiology*; D014844:Vulva / Q000033:anatomy & histology* / Q000098:blood supply / Q000502:physiology