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Questions and Answers about
Sexual Anatomy
What is the cul-de-sac?
Is it the ultimate pleasure spot?
Q: While browsing at the bookstore, I came across a
book which proclaimed that the cul-de sac is the "ultimate pleasure spot."
First, what is the cul-de-sac? Second, is it really the ultimate pleasure
spot?
A: The cul-de-sac (also known as the rectouterine pouch or the
pouch of Douglas) is a space above the vaginal apex, above the posterior
uterus, and in front of the rectum (see diagram).
In reality, there is no direct way to stimulate the cul-de-sac during sexual
activity. It can be indirectly stimulated by stimulation of the cervix or
posterior fornix. The cervix projects down into the vagina near its apex,
leaving a circular recess around it called the vaginal fornix.
So why did that author say that the cul-de-sac is the ultimate pleasure spot?
Probably because cul-de-sac is a sexier and more euphonious term than
posterior fornix. Aside from that minor point, is that area some sort
of magical hot button? Yes and no. I hate to equivocate, but there's
no simple answer. Here are the facts:
-
Some women do obtain extra pleasure from cervical stimulation
during coitus. If the penis thrusts deep enough to contact the area
around the posterior fornix and cul-de-sac, it will inevitably contact the
cervix, too. Since these structures are in a small area and they're
attached to each other, stimulating one will stimulate the others.
Hence, it's a moot point whether one area is the "pleasure spot."
-
Calling it the ultimate pleasure spot is a bit of an
overstatement. Most women think that the ultimate pleasure spot is the
clitoris, especially when the clitoris is stimulated along with the outer
vagina and G-spot. Think of that as the South Pole of Pleasure, and the
cervix, posterior fornix, and cul-de-sac as the North Pole of Pleasure.
Which is the ultimate pleasure spot? 99% of women would choose the South
Pole any day — or night.
-
For some women, the North Pole isn't the ultimate
pleasure
spot, it is the ultimate pain spot. If a woman has
endometriosis* or an infection of her cervix or tubes, deep thrusting can be
uncomfortable or even exquisitely painful.
* A condition in which functional endometrial
tissue is present outside the uterus (the endometrium is the lining of the
uterus).
Do I have a fornix?
Q: Hi Dr. Pezzi. I've just discovered your question & answer
page and have found the reading very interesting. I was doing a search
trying to find a diagram of the cul-de-sac after reading about it in a book
entitled Super Sexual Orgasm. I found your diagram and description,
however now I'm concerned that I may not even have a posterior fornix after a
total hysterectomy. Am I correct in assuming this? Thanks for your
information, Alexandra.
A: By definition, the vaginal fornix is the recess or arch (fornix
is a Latin word that means "arch") formed between the vaginal wall and the part
of the cervix that projects into the vagina. If you've had a total
hysterectomy that removed your cervix, you do not have a posterior fornix (or an
anterior fornix, for that matter). I wouldn't fret over this for a couple
of reasons. First, some of the tissue that once formed your fornices
(plural of fornix) is likely still present, but instead of reflecting or looping
into an arch-like structure, it is just sewn together into what is sometimes
termed a "blind pouch" that forms the end of your vagina. Secondly, I
don't know of any evidence which suggests that the fornix tissue possesses any
special sexual properties. Some of the magic attributed to it is instead
due to the cervix. However, as I've pointed out before, not all women
think that cervical stimulation is pleasurable. Some love it, some think
it feels "weird," while others think it is downright painful (although these
latter women usually have some sort of pelvic pathology).
Doctors are now — thank God — less cavalier about hysterectomies than they once
were, so if your doctor removed your uterus and its cervix, he likely had a good
reason for doing that and you are probably better off without them.
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