Dr. Rachel Rubin

And part of this article, everyone should go read it.

It was the most shared article in 2022.

And part of it was this idea of if you're having a hip replacement, if you're having a pelvic surgery, if you're having something and your doctor was never taught about your clitoris and no one's even studying whether or not that surgery has effects on your orgasm or your clitoris, because the questions that we ask in research are not correct or really granular enough to pick up on changes.

There are people being harmed by things like vulvar surgeries or pelvic surgeries or orthopedic surgeries.

And

these patients are left with no options and no one's even studying it or curious about it.

Even the anatomical diagrams in our anatomy textbooks don't have the full extent of the clitoris and they don't have the neuro innervation.

So the nerves which actually go around the uterus to the arousal nerves are going to go around the uterus and go to the clitoris.

So all those hysterectomies

again, could be affecting arousal, not just sensation of I feel the clitoris being touched, but I feel the engorgement.

I feel the blood flow.

The penis is innervated, right, by the pudendal nerves, which is the sensation.

I feel my penis being touched.

But then there's the cavernosal or arousal nerves that go through the prostate and allow that erection, that stretching of the erection.

So it's the same anatomy, except the textbooks show the penis one and no one even looks

no one's even decided to study the clitoris side of things.

And so we don't even have that data, right?

So a lot of patients, at least on my end, would complain of some change in their sexual function after hysterectomy.

Now, some it was positive because they had this big giant uterus that was driving them crazy and causing pain.

And we've gotten rid of that and now they're happy.