[Value of clinical gynecological examination in understanding sexual problems. Apropos of 40 case reports]

The author reports, in the context of gynecological practice, 40 sexology cases involving a superimposition of Oedipus complex and castration complex. A complex is a mismatch between reality and actions: the Oedipus complex involves an adult (reality) with the affect of a child (actions); the castration complex involves normal genital anatomy, the urethro-clitoro-vulval entity (reality), and abnormal sexuality (actions). The usefulness of clinical examination with palpation of the urethral sphincter (G point), which should be routine (notably for seeking the existence of chronic chlamydia urethritis), is to enable: better resolution of the two complexes, by superimposition of anatomical findings on psychological findings; distinction between subcortical castration complex (known sensitivity) and sub-limbic castration complex (previously unrecognised desirable vaginal sensitivity); identification of certain organic disorders of the urethral sphincter with urinary and sexual manifestations (notably post-partum).