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As any sexual act was believed to require that one of the partners be " phallic " and that therefore sexual activity between women was impossible without this feature, mythology popularly associated lesbians with either having enlarged clitorises or as incapable of enjoying sexual activity without the substitution of a phallus. Therapeutic Advances in Urology. Nymphotomia was a medical operation to excise an unusually large clitoris, but what was considered "unusually large" was often a matter of perception. Supporting an anatomical relationship between the clitoris and vagina is a study published in , which investigated the size of the clitoris; Australian urologist Helen O'Connell, described as having initiated discourse among mainstream medical professionals to refocus on and redefine the clitoris, noted a direct relationship between the legs or roots of the clitoris and the erectile tissue of the clitoral bulbs and corpora, and the distal urethra and vagina while using magnetic resonance imaging MRI technology. Biological psychology. BBC News. He added that the "male biologists who fretted over [the adaptionist questions] simply assumed that a deeply vaginal site, nearer the region of fertilization, would offer greater selective benefit" due to their Darwinian , summum bonum beliefs about enhanced reproductive success.

The Complete Dictionary of Sexology. Outline of human sexuality. Thus the parts are cut". Amnesty International. The Huffington Post.