Teaching vulval anatomy in the twenty-first century: the Australian experience.

Anatomy has often been regarded as an immutable discipline where everything that needs to be known is known. This paper focuses on the teaching of vulval anatomy, the diversification of gender in contemporary society and the increasing popularity of the Female Genital Cosmetic Surgery (FGCS) industry. The binary language and singular structural arrangements contained in lectures and chapters on "female genital anatomy" are nowadays rendered exclusive and incomplete. A series of thirty-one semi- structured interviews with Australian anatomy teachers identified barriers and facilitators for teaching vulval anatomy to contemporary student cohorts. Barriers included lack of connection to contemporary clinical practice, time and technical difficulty involved in regularly updating online presentations, the crowded curriculum, personal sensitivity to teaching vulval anatomy, and reluctance to introduce inclusive terminology. Facilitators included lived experience, regular use of social media and institutional initiatives towards inclusivity including the support of queer colleagues.