In 1831, Anne Lister wrote that she ‘found distinctly for the first time’ her own clitoris. This culminated a search of at least eleven years, involving much exploration of her own and her female lovers’ anatomy. Of course, her explicit diaries made clear that she touched her own and her lovers’ clitorises, but she was not able to link her own sensations with the anatomical terms she found in textbooks. By looking at Lister’s quest to find the clitoris, we can understand in more detail how difficult it was for women to conceptualise this important part of their bodies. If Anne Lister, a brilliant, erudite woman very knowledgeable about science and anatomy, and very sexually experienced with women, took so long to figure it out, it must have been much more difficult for ordinary women. The most startling aspect of how discourses could affect perception was that Lister spent ten years confusing the clitoris with the cervix, leading to fruitless explorations of her own body and those of her lovers. This chapter will thus contribute to the larger historiography about the history of the clitoris - when it appeared in anatomical books, and when some medical texts started to downplay or omit it.

Trans people who transition medically are typically hoping to live their lives simply as members of the sex with which their gender corresponds but may wish to make full use of the capabilities of their physical bodies, which may differ from typical male or female bodies. This chapter, co-authored by a trans man who is a transgender health advocate and a trans woman who is a physician, provides an overview of the kind of physical changes that are experienced by trans people, both those who transition from female to or toward male and those from male to or toward female, and alerts gynecologists and other medical healthcare professionals to the trans person’s perspective in clinical encounters.

Female genital mutilation/cutting (FGM/C) is defined by the WHO as the partial or total removal of the external genitalia or other injury to the female genital organs for non-medical reasons. FGM/C can negatively affect women’s and girls’ psychophysical health with possible infectious, urogynaecological, obstetric, sexual and psychological complications. It is a practice that is illegal in many high-prevalence and -migration countries and is considered to be a violation of human rights. Health professionals have a fundamental role in preventing the practice in future generations, providing health education, avoiding the ‘medicalization’ of FGM/C and in offering appropriate information, counselling, clinical (diagnosis, treatment and psychosexual care) and surgical care (defibulation and clitoral reconstruction) in the case of complications.