Letter to the Editor Re: Puppo V, Puppo G. 2014. Anatomy of Sex: Revision of the New Anatomical Terms Used for the Clitoris and the Female Orgasm by Sexologists To the Editor, Clinical Anatomy: The following is a response, based on peer-reviewed published research, to the statements by these authors that, “vaginal orgasm does not exist” and that “the claims by Frank Addiego, Beverly Whipple, Emmanuele Jannini, Odile Buisson, Helen O’Connell, Adam Ostrzenski, Susan Oakley, Christine Vaccaro, Journal of Sexual Medicine/Irwin Gold- stein, Barry Komisaruk, Stuart Brody, Chiara Simonelli, and others, have no scientific basis...”. My colleagues and I have reported that women with complete spinal cord injury at or above T10 who have no external body sensation below the level of their injury nevertheless can feel vaginal and cervical stimulation and can have orgasms from the stimulation (Komisaruk et al., 1997). Thus, women can experience orgasms by vaginal and/or cervical stimulation in the absence of clitoral sensation. Using fMRI, we reported that the vagus nerve sensory projection nucleus in the medulla oblongata, that is, the tractus nucleus solitarii, is activated by vaginal and/or cervical self-stimulation in those women, providing a spinal cord bypass pathway to the brain (Komi- saruk et al., 2004). Furthermore using fMRI, we reported that in able-bodied women, self-stimulation of clitoris, vagina, or cervix activates regions of the paracentral lobule of the sensory cortex that differ from each other (Komisaruk et al., 2011), providing evidence of separate functional sensory pathways from each of these three genital regions that, by activating the sensory cortex, can rise to the level of subjective awareness. The Puppos are either ignorant of these findings that vaginal sensation clearly exists and can elicit orgasm, or deny them, but they have not refuted them with any specific evidence. The Puppos to my knowledge have not published any experimental evidence to support their assertions. Their claim that “vaginal orgasm does not exist” is blatantly wrong. Their opinion that the claims by all the named investigators “have no scientific basis” is devoid of specific refutation, and so sweeping in its dismissiveness, that it has no credibility. Barry R. Komisaruk Department of Psychology Rutgers University Newark, New Jersey 07102 REFERENCES Komisaruk BR, Gerdes CA, Whipple B. 1997. “Complete” spinal cord injury does not block perceptual responses to genital self- stimulation in women. Arch Neurol 54:1513–1520. Komisaruk BR, Whipple B, Crawford A, Grimes S, Liu W-C, Kalnin A, Mosier K. 2004. Brain activation during vaginocervical self- stimulation and orgasm in women with complete spinal cord injury: fMRI evidence of mediation by the vagus nerves. Brain Res 1024:77–88. Komisaruk BR, Wise N, Frangos E, Liu W-C, Allen K, Brody S. 2011. Women’s clitoris, vagina, and cervix mapped on the sensory cortex, using fMRI. J Sex Med 8:2822–2830. *Correspondence to: Barry R. Komisaruk, Department of Psychology, Rutgers University, Newark, New Jersey 07102. E-mail: brk@psychology.rutgers.edu Received 23 October 2014; Accepted 29 October 2014 Published online in Wiley Online Library (wileyonlinelibrary. com). DOI: 10.1002/ca.22488 V V C 2014 Wiley Periodicals, Inc. Clinical Anatomy 00:00–00 (2014)