Female Ejaculation, the G-Spot, and the Female Prostate Gland

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Clitoral Stimulation

The clitoris probably holds the key to female ejaculation for most women. If the clitoris is not stimulated a woman is less likely to become highly aroused. If she is not highly aroused her prostate may not fill with increased amounts of fluid. If her prostate is not swollen she may not have a G-Spot. If her clitoris is not stimulated she is less likely to experience orgasm and the rhythmic contractions of the pelvic muscles that expel and release the ejaculate. So quite simply before you can go exploring for the G-Spot you must master clitoral stimulation beforehand. There are women who are orgasmic and ejaculate when their G-Spot or vagina alone is stimulated, but the majority need direct clitoral stimulation if they are to experience orgasm.

What Do You Stimulate the Female Prostate With?

Now that you know the location of the female prostate you will want to know how to stimulate it. The most versatile tools to use are your fingers. They are firm but flexible and have feeling and provide feedback. For solo explorers fingers have their limitations, as they may not be long enough and can tire relatively quickly. Plus, if one hand is stimulating your clitoris it limits access to your vagina with your other hand. So in addition to fingers, dildos and/or vibrators are usually required for finding and stimulating the G-Spot. (I will refer to both vibrators and dildos as dildos for the sake of convenience) Notice I used the plural 'dildos' not the singular 'dildo', as there is a chance you may have to try several different dildos to find the best one for you.

Choosing a Dildo

How do you pick out a dildo for G-Spot stimulation? Trial and error. The dildos that do have a good success rate are those that are curved near the tip, called G-Spot stimulators, and penis shaped dildos with a prominent ridge at the junction of the glans and shaft. Many women find hard plastic or glass dildos work best. Others find that makeshift dildos work great; such things as cucumbers, brush handles, mirror handles, etc. Some prefer a slim dildo that they direct at a specific area within their vagina but others prefer their vagina to be filled and stretched to the maximum by a large dildo. If you are going to buy a dildo to use for G-Spot stimulation be prepared to buy and try a couple different styles. Any woman who is seriously considering using dildos needs to be aware that she will most likely have a collection of favorites versus one special one. As a woman's mood and needs change so will her dildo needs. While women often start out with one many soon find they have a drawer full of them. Some women prize their collections.

To Pee or Not to Pee

Since the physical act of female urination is so similar to female ejaculation many women have found erotic enjoyment in urinating during sex, solo and with a partner. Women seeking to learn to ejaculate may find themselves squirting liquid from their bladder rather ejaculating fluid from their prostate. This is because both urination and ejaculation require a woman to be able to surrender control and relax during orgasm. If you keep your bladder sphincter closed and tighten your pelvic muscles you cannot release liquid from your bladder or ejaculate. Women seeking to ejaculate are advised to push out when the urge to urinate or ejaculate comes over them at the point of orgasm. Doing this gives your body permission to ejaculate, but it also gives your body permission to release fluid from your bladder. You have no control over which occurs. You will just be aware of the intense physical sensations that occur. The sensations of both may be pleasant and indistinguishable. Hence learning to release liquid from your bladder at the point of orgasm may help a woman learn to ejaculate.

Learning to release liquid from your bladder at the point of orgasm is likely to be easier when alone than when a partner is present. You will probably find it easier to relax, and you wont be as concerned about the resulting wetness. Doing this in the bathtub has some advantages. First you do not have to worry about the wetness, second soaking in warm water will help relax you, and third cleanup is a snap. Drink a couple glasses of water a short while before starting; allow your bladder to fill. It does not need to feel full, but you do not want it to be empty either. Lie back in the tub, or lay on several towels on your bed. Start to masturbate. Caress your clitoris. Slipping your fingers or a dildo into your vagina may feel nice. You do not need to necessarily move them back and forth inside your vagina only provide a feeling of pressure inside your vagina. Allow the sexual buildup to occur slowly. Practice tightening and relaxing your pelvic muscles, commonly called Kegel exercises.

Think about the act of urinating, of letting go. Allowing your bladder to fill will result in you feeling the need to urinate. The closer you are to the point of orgasm the stronger the urge to empty your bladder is likely to become. Hold back on your orgasm until you feel you cannot hold the contents of your bladder a second longer. At the point of orgasm press out and relax your pelvic muscles, welcome the feeling of the liquid escaping from your bladder. The stronger the force behind the liquid, the greater the sensations are likely to be. So push and try to squirt liquid from your bladder. It takes practice to be able to let go spontaneously, since you have been conditioned to maintain strict control over your urination habits. It may also help to vocalize the release, make some noise. Intentionally crying out will help with the release. Scream "YES."

Learning to Ejaculate

Moving on to ejaculation only requires a couple slight changes in technique. Empty your bladder first; you will want to let go without a full bladder producing the pressure or urge. The urge should still develop, just not be the result of a full bladder. The urge to ejaculate may not occur without there being stimulation of your prostate or urethra. This is likely to require the use of a dildo if you are alone. As you massage your clitoris, using your fingers or a dildo stimulate your urethra by massaging the top of your vagina; using only light pressure at first. Massage the full length of your urethra, from the opening of your vagina back into your vagina a couple inches. Keep up the clitoral massage. Try different pressures and strokes. Massaging the urethral meatus may feel pleasant. Stimulating your urethra may cause you to feel the need to release liquid from your bladder and this is desired. Do not fight the urge, go with the flow, literally. Relax and breathe deeply.

If you find a spot that is highly sensitive you may want to concentrate solely on it, but you may find it is too sensitive to stimulate directly. If your G-Spot is highly sensitive you may find you are only able to tolerate its stimulation when you are very close to orgasm, when your pain threshold has increased. Keep massaging your clitoris and urethra. Continue to the point of orgasm. A slow build up with lots of teasing may help produce the greatest urge and strongest orgasm. When orgasm occurs relax your bladder and press out as if urinating. If you ejaculate you will likely feel a new and strong sensation, if not, you will still experience a strong orgasm, so nothing is lost. You may not be aware of any increased wetness until after the orgasm has subsided. Being able to ejaculate may take practice even if you are able to squirt liquid from your bladder during orgasm. It is not known whether all women can ejaculate so you just have to experiment. In any event it should be a pleasurable experience.

Stimulation by a Partner

A woman's partner can bring her to an orgasm that includes ejaculation. If a woman already knows she is capable of ejaculating she should let her partner know, not pray that it will not happen again. She should discuss the increased wetness that occurs with her partner; at least prepare them for it. Hopefully they will see your ejaculations as desirable and erotic. If they do not, reeducating them about female fluids and ejaculation may persuade them to at least accept the ejaculations as normal even if they do not like the associated wetness.

There is perhaps one big advantage to having a partner stimulate you to orgasm when you are trying to ejaculate, that is because they will not stop the stimulation unless you tell them too. If you are masturbating and you start to feel uncomfortable, out of control, you will likely stop immediately. This could prevent you from experiencing orgasm and ejaculation. With a partner you can agree beforehand that they will not stop, even if you say, "stop." (Doing this requires using a "safe word" that indicates, "Stop!" for real. This is a word you are not likely to say accidentally during sex, without thinking about it.) If you find you pull away you can ask that they hold or follow you so you cannot move away from the stimulation. Of course you should only do these things if you really trust your partner, as they need to be forceful without going to far.

How do you stimulate your partner's prostate? Your hands are excellent tools to use. The best way to stimulate the inside of their vagina, along the upper wall, is to create a hook with your index finger. Imagine you want to signal to someone standing across the room that you want them to come toward you. You turn your hand palm up and signal with your index finger by making a hook, curling it up and straightening it repeatedly. You can do the same thing with two fingers inside the vagina. Massaging the upper wall of the vagina, from the opening back inside two inches. Start out with a very light touch. Press your fingers up and toward the front, pointing toward the pubic bone, or clitoris. Use the urethral opening as a guide. Use a generous amount of lubrication even if she is dripping wet.

Start out by getting her aroused with manual and/or oral clitoral stimulation. Continue the clitoral stimulation as you massage her prostate. Ask your partner if there is a specific spot or area that produces intense or enjoyable sensations when you massage it, her G-Spot. As you sense her getting closer to orgasm apply a firmer touch, if she enjoys it. Maintain a constant and steady rhythm. Follow through, continue the massage up through her orgasm. Then switch to a very light caressing touch as she comes down from her orgasm. If she experiences multiple orgasms her orgasms and ejaculations may become more intense, and the amount of ejaculation may increase. If she orgasms with your fingers inside her vagina her vaginal muscles may squeeze them very tightly, do not pull out but rather press in gently.

You can also stimulate your partner to ejaculation using a dildo. This requires more verbal communication, as you cannot feel exactly what the dildo is doing. She needs to let you know what feels good, or bad. Some women may like for the tip of the dildo to be pointed at their urethra, others may prefer a full feeling. The stretching and pressure created by large dildos or an entire hand may stimulate the urethra enough to cause an ejaculation even if that is not the intent.

A woman may also ejaculate during intercourse, with a penis or a dildo in a harness. What seems to work the best are positions that result in the penis or dildo stimulating the upper wall of the vagina. Like when a woman's partner kneels between her knees when she is on her hands and knees, or when she is on top controlling the direction and force of the thrusting. Some women may ejaculate during intercourse without even trying, while others may find it a challenge. It is more likely if she already ejaculates frequently during manual massage. Practice makes perfect.

Prostate Massage
For Men and Women

Men and women have a prostate gland, and both can be stimulated through manual massage, using fingers and other devices. The male prostate is a walnut sized organ located at the base of the bladder whereas the female prostate is a collection of ducts and glands that surround their urethra, and as stated above, both produce prostatic fluid. The male prostate is primarily accessible through the anus, but the female prostate is accessible through the anus, vagina, and in some cases the vestibule.

Prostate massage is basically the same for men and women. Prostate massage may result in the spontaneous release of fluid from the male and female prostate. A medical article mentions that in addition to the spontaneous release of fluid, "palpation" results in the release of fluid from the prostate of some women, meaning orgasm isn't required to produce this result. The resources linked to below describe prostate massage for men, but the principles described work equally well for women. Perhaps if men are used as a reference, the female prostate and its stimulation will be more intuitive, as the existence of the male prostate isn't questioned, and is a more concrete concept for us all.

Couples may want to explore both male and female prostate massage, as then each can relate to some of the sensations experienced by the other, and perhaps as a result, learn better technique; what is appropriate and what isn't. The article about Anal Sex will assist couples choosing to do this.

Video Clip:

Jaiya: Prostate Massage

Articles:

Sacred Spot Massage
Wikipedia: Prostate Massage
Prostatitis Prostate Massage or Drainage
Step By Step Directions for Milking the Prostate

Some authors, linked to below, describe using prostate massage to empty the male prostate of its stored fluids without orgasm occurring. In some examples of power exchange, men are not permitted the pleasures of orgasm, and it is believed that if the fluid stored in the prostate isn't emptied on a regular basis, nocturnal emissions (wet dreams) and spontaneous ejaculations are more likely; it may simply play into the idea of being totally controlled by another person. Given that the prostate gland in men and women is supplied by different nerves than the penis, clitoris, and outer third of the vagina, this implies that women too may release the contents of their prostate during prostate massage without orgasm occurring, but this doesn't necessarily mean pleasure is totally absent. Clitoral and prostate focused stimulation may each result in a unique sexual experience. It also means women may want to explore their prostate or G-Spot with a desire to experience something other than orgasm, perhaps female ejaculation, or other forms of pleasure; cervical stimulation is another non-clitoral possibility.

This will likely require an investment of time, but should nevertheless be a relaxing and pleasurable experience. Deborah Sundahl, author of Female Ejaculation & the G-Spot, mentions in her book and videos that learning to ejaculate could take up to a year, as it may take repetition for the mind-body connection to form. It is a learning process for the mind and body rather than being a reflex response, though some postulate it is a reflex response at birth that is unlearned or blocked during childhood.

Prostate Milking (Adult Websites):

Prostate Milking
Chastity UK's information: Prostate Information and Milking
Chastitylifestyle.com: Prostate Massage - Milking

Some Health Concerns

Unfortunately, there can be some possible negative side effects associated with massaging the urethra. The urethra is highly sensitive and is easily irritated. Even normal intercourse can irritate a woman's urethra resulting in painful urination and infection. This is especially true of virgins and women with tense pelvic muscles, as they are too tight and there is too much friction between their vagina and the thrusting penis or dildo. Intentionally stimulating the urethra increases the chances of there being irritation and infection. To help prevent infections and reduce the chances of irritation a woman should drink lots of water and urinate just before and right after urethral stimulation, or sex in general if you are prone to urinary tract infections. Just release a little bit of liquid from your bladder before sex if you are trying things with a full bladder. They also recommend women drink cranberry juice, or take a cranberry supplement available at health food stores, as its acidic level helps to ward off the bacteria that cause infections. If you experience irritation, painful urination, or infection, try using less pressure when massaging or stimulating the urethra. The urethra may become accustomed to the stimulation with time, but do not torture yourself or inflict multiple infections. Have fun but do not hurt yourself.

Addressing the Wetness

If you ejaculate there may be a small amount of liquid expelled or there could be a lot. If you are intentionally squirting liquid from your bladder or ejaculate repeatedly there may be a liquid everywhere. Since you usually sleep where you have sex female ejaculation can present a logistical problem. If you only ejaculate a small amount simply keeping a couple towels near the bed may be the solution. If you gush then towels may not be enough. Having a plastic cover on the mattress and extra sheets may do the trick, though changing the sheets and cleaning up afterwards may not be the way you want to relax after sex. You can buy the disposable bed pads hospitals use, as they are absorbent and have a plastic backing. They are sometimes sold with incontinence supplies at your local store too. We sell in our store reusable cotton bed pads that remove the inconvenience associated with body fluids and sex. You can try having sex in the tub or shower or having a second bed or an air mattress to have sex on. For women who ejaculate every time, regardless of whether they want too, cleanup can be bothersome at times, and does take some getting use too. Just try to keep a positive attitude and be prepared with extra towels and sheets. A supportive partner always helps.

Real or Faked?

I hate to be the barer of bad news but chances are the women seen ejaculating in mainstream adult movies are likely releasing liquid from their bladder rather than ejaculating. They fake their ejaculations just as they fake their orgasms. They are intentionally squirting liquid from their bladder to simulate orgasm and true female ejaculation, or rapidly expelling liquid they place inside their vagina. The proof of this is the shear volume and/or the white color of the liquid they expel. Enjoy mainstream ejaculation videos but keep in the back of your mind that it is all fantasy.

The main source for the information presented above is the article The Female Prostate: History, Functional Morphology and Sexology Implications. By Zaviacic M., Zaviacic T. Ablin R.J., Breza J., Holoman K. The full article in PDF format can be found here. The article is presented in English beginning on page 7.

From the May 2000 issue of Self magazine.

Women ejaculate, too

There's more than one way to make a wet spot - in fact, there's a whole camp of doctors who believe that all women ejaculate when they have an orgasm. In one study from Florida State University in Tallahassee, 82 percent of women said they experienced a release of fluid at the moment of orgasm. Haven't noticed this yourself? "Since most women are lying on their backs during sex and the amount of fluid is so small [about a teaspoon], it sometimes doesn't come out," explains Beverly Whipple, professor at Rutgers University and president of the American Association of Sex Educators, Counselors and Therapists. "But research has demonstrated that all women ejaculate a substance through the urethra that is not urine.""

Additional Articles About Female Ejaculation and the G-Spot

In New Scientist magazine:

28 May 2009
Everything You Always Wanted to Know About Female Ejaculation But Where Afraid to Ask

20 February 2008
Ultrasound nails location of the elusive G spot

Female Ejaculation in 18th Century Erotica

Hello,

First of all, I would like to say that this is a great site, full of very usefull information.

But the main point of this message is about female ejaculation. It seems like it is something "new", and doctors, etc. are still trying to decide wether it exists or not.

The thing is that I heve been reading Marquis de Sade's "Philosophy in the bedroom" and it seems that in the 18th century they new certainly that women ejaculate.

Here are some excerpts of the third dialog in that play:

"DOLMANCE: Well then, Eugénie, you observe that after a more or less prolonged pollution, the seminal glands swell, enlarge, and finally exhale a liquid whose release hurls the woman into the most intense rapture. This is known as discharging. When it pleases your good friend here, I'll show you, but in a more energetic and more imperious manner, how the same operation occurs in a man."

[...]

"EUGENIE: I am dead, exhausted! but I beg you to explain two words you pronounced and which I do not understand. First of all, what does womb signify?

MADAME DE SAINT-ANGE: 'Tis a kind of vessel much resembling a bottle whose neck embraces the male's member, and which receives the fuck produced in the woman by glandular seepage and in the man by the ejaculation we will exhibit for you; and of the commingling of these liquors is born the germ whereof result now boys, now girls.

EUGENIE: Oh, I see; this definition simultaneously explains the word fuck whose meaning I did not thoroughly grasp until now. And is the union of the seeds necessary to the formation of the fetus?

MADAME DE SAINT-ANGE: Assuredly; although it is proven that the fetus owes its existence only to the man's sperm, this latter, by itself, unmixed with the woman's, would come to naught. But that which we women furnish has a merely elaborative function; it does not create, it furthers creation without being its cause. Indeed, there are several contemporary naturalists who claim it is useless; whence the moralists, always guided by science's discoveries, have decided - and the conclusion has a degree of plausibility - that, such being the case, the child born of the father's blood owes filial tenderness to him alone, an assertion not without its appealing qualities and one which, even though a woman, I should not be inclined to contest."

[...]

"MADAME DE SAINT-ANGE, swooning: [...] How I love to play the whore when my sperm flows this way![...]"

Extracted from: http://www.sin.org/tales/Marquis_de_Sade--Philosophy_in_the_Bedroom.pdf

Well, it looks pretty obvious that in the 18th century they knew that women ejaculate, although they didn't know very well how babys are made.

Anyway, I hope you keep adding great content to this great site. Thank you

Best regards
Paul

Medical Research Concerning Female Ejaculation

The History of Female Ejaculation

Introduction. The existence of female ejaculation and the female prostate is controversial; however, most scientists are not aware that historians of medicine and psychology described the phenomenon of female ejaculation approximately 2,000 years ago.

Aim. To review historical literature in which female ejaculation is described.

Methods. A comprehensive systematic literature review.

Main Outcome Measure. Emission of fluid at the acme of orgasm and/or sexual pleasure in females was considered as a description of female ejaculation and therefore all documents referring to this phenomenon are included.

Results. Physicians, anatomists, and psychologists in both eastern and western culture have described intellectual concepts of female ejaculation during orgasm. In ancient Asia female ejaculation was very well known and mentioned in several Chinese Taoist texts starting in the 4th century. The ancient Chinese concept of female ejaculation as independent of reproduction was supported by ancient Indian writings. First mentioned in a 7th century poem, female ejaculation and the Gräfenberg spot (G-spot) are described in detail in most works of the Kāmaśāstra. In ancient Western writings the emission of female fluid is mentioned even earlier, depicted about 300 B.C. by Aristotle and in the 2nd century by Galen. Reinjier De Graaf in the 16th century provided the first scientific description of female ejaculation and was the first to refer to the periurethral glands as the female prostate. This concept was held by other scientists during the following centuries through 1952 A.D. when Ernst Gräfenberg reported on "The role of the urethra in female orgasm. Current research provides insight into the anatomy of the female prostate and describes female ejaculation as one of its functions.

Conclusions. Credible evidence exists among different cultures that the female prostate and female ejaculation have been discovered, described and then forgotten over the last 2,000 years. Korda JB, Goldstein SW, and Sommer F. The history of female ejaculation. J Sex Med 2010;7:1965–1975

Genetic and Environmental Influences on self-reported G-Spots in Women: A Twin Study

Webmaster's Note: I believe just about everyone has found fault with the following study and their conclusion, in part because they ignore the existence of the female prostate gland, which has been documented by the medical community.

Introduction. There is an ongoing debate around the existence of the G-spot—an allegedly highly sensitive area on the anterior wall of the human vagina. The existence of the G-spot seems to be widely accepted among women, despite the failure of numerous behavioral, anatomical, and biochemical studies to prove its existence. Heritability has been demonstrated in all other genuine anatomical traits studied so far.

Aim. To investigate whether the self-reported G-spot has an underlying genetic basis.

Methods. 1804 unselected female twins aged 22–83 completed a questionnaire that included questions about female sexuality and asked about the presence or absence of a G-spot. The relative contribution of genetic and environmental factors to variation in the reported existence of a G-spot was assessed using a variance components model fitting approach.

Main Outcome Measures. Genetic variance component analysis of self-reported G-spot.

Results. We found 56% of women reported having a G-spot. The prevalence decreased with age. Variance component analyses revealed that variation in G-spot reported frequency is almost entirely a result of individual experiences and random measurement error (>89%) with no detectable genetic influence. Correlations with associated general sexual behavior, relationship satisfaction, and attitudes toward sexuality suggest that the self-reported G-spot is to be a secondary pseudo-phenomenon.

Conclusions. To our knowledge, this is the largest study investigating the prevalence of the G-spot and the first one to explore an underlying genetic basis. A possible explanation for the lack of heritability may be that women differ in their ability to detect their own (true) G-spots. However, we postulate that the reason for the lack of genetic variation—in contrast to other anatomical and physiological traits studied—is that there is no physiological or physical basis for the G-spot. Burri AV, Cherkas L, and Spector TD. Genetic and environmental influences on self-reported G-spots in women: A twin study. J Sex Med 2010;7:1842–1852

Related News Articles:

The G-spot 'doesn't appear to exist', say researchers

Finding the G-spot: Is it real?

G-Spot Study: Erogenous or Erroneous Zone? Sex Educators Say Study Dismissing G-Spot Is Flawed, Didn't Account for Positions, Partners

Magnetic Resonance Imaging of Female Prostate Pathology

By Florian Wimpissinger, MD, FEBU, Karl Stifter, PhD, Walter Stackl, MD *

Introduction. The female prostate (paraurethral glands) is a well-known, yet poorly understood, anatomic structure. Imaging studies of the female prostate, its physiology, and pathologies are still highly controversial.

Aim. To study the anatomy of the female prostate with contemporary magnetic resonance imaging (MRI) techniques and correlate these findings to clinical features.

Main Outcome Measures. Female prostate pathologic anatomy on MRI.

Methods. Women with clinical signs of function (or dysfunction) of paraurethral glands have been examined with 1.5 or 3 Tesla MRI and urethroscopy.

Results. Seven women aged 17 to 62 years (median 40 years) have been prospectively included into the study. Clinically, one of the seven women reported ejaculation at orgasm, whereas three women presented with occasional secretions independent of sexual stimulation. In two women, paraurethral glands have been randomly found on MRI that has been performed in the diagnostic workup of other diseases. One woman presented with swelling of the external urethral meatus at puberty. In this woman, a paraurethral gland has been found, besides the erectile tissue at the external meatus. Two women reported lower urinary tract symptoms (LUTS) with mainly urethral symptoms (recurrent infections in one and paraurethral stones in the other). On MRI, paraurethral glands could be visualized in six of the seven patients. There was no relation between glandular volume and ejaculation status. In cases where glands or related pathologies could be found on physical examination, there was a clear correlation with MRI anatomy.

Conclusions. MRI has the potential to become the standard imaging modality for female prostate pathology. Exact visualization of this highly variable structure is possible by tailored MRI protocols. This tool can aid in understanding an individual woman's symptoms related to paraurethral glands with an impact on her sexual life. J Sex Med 2009;6:1704–1711.

The Female Prostate Revisited: Perineal Ultrasound and Biochemical Studies of Female Ejaculate

By Florian Wimpissinger, MD, FEBU, Karl Stifter, PhD, Walter Stackl, MD *

Introduction. Many speculations have been made on the possible existence of a "female prostate gland" and "female ejaculation." Despite several reports on the subject, controversy still exists around the "female prostate" and whether such a gland might be the source of fluid emitted during orgasm (ejaculation).

Aim. To investigate the ultrasonographic, biochemical, and endoscopic features in two women who reported actual ejaculations during orgasm.

Main Outcome Measures. Perineal ultrasound studies, as well as biochemical characteristics of ejaculate and urethroscopy, have been performed in two women.

Methods. Two premenopausal women—44 and 45 years of age—who actually reported fluid expulsion (ejaculation) during orgasm have been investigated. Ultrasound imaging, biochemical studies of the ejaculated fluid, and endoscopy of the urethra have been used to identify a prostate in the female. Ejaculated fluid parameters have been compared to voided urine samples.

Results. On high-definition perineal ultrasound images, a structure was identified consistent with the gland tissue surrounding the entire length of the female urethra. On urethroscopy, one midline opening (duct) was seen just inside the external meatus in the six-o’clock position. Biochemically, the fluid emitted during orgasm showed all the parameters found in prostate plasma in contrast to the values measured in voided urine.

Conclusions. Data of the two women presented further underline the concept of the female prostate both as an organ itself and as the source of female ejaculation.

Wimpissinger F, Stifter K, Grin W, and Stackl W. The female prostate revisited: Perineal ultrasound and biochemical studies of female ejaculate. J Sex Med 2007;4:1388–1393.

Do Women with Female Ejaculation Have Detrusor Overactivity?

By Rufus Cartwright, MA, MBBS, Susannah Elvy, BSc, and Linda Cardozo, MD, FRCOG

Introduction. Questionnaire surveys suggest that 40–54% of women have experienced an expulsion of fluid at orgasm. Some of these women have coital incontinence, whereas others identify the fluid passed as female ejaculate.

Aim. To assess whether women who have experienced female ejaculation have detrusor overactivity or the bothersome lower urinary tract symptoms associated with coital incontinence.

Methods. We recruited six women who self-identified as having experienced female ejaculation and six controls who had not. Each woman completed a 3-day bladder diary and two validated bladder questionnaires: the Urgency Perception Scale (UPS) and the Incontinence Impact Questionnaire (IIQ). Each woman underwent short provocative ambulatory urodynamics, a modified form of urodynamics, with a high sensitivity for detrusor overactivity.

Main Outcome Measures. Prevalence of detrusor overactivity, 24-hour urinary frequency, IIQ and UPS scores.

Results. No woman in either group had detrusor overactivity. The bladder diaries and questionnaire results were within the normal range for all women.

Conclusion. Women who experience female ejaculation may have normal voiding patterns, no bothersome incontinence symptoms, and no demonstrable detrusor overactivity. Women who report female ejaculation, in the absence of other lower urinary tract symptoms, do not require further investigation, and may be reassured that it is an uncommon, but physiological, phenomenon.

Cartwright R, Elvy S, and Cardozo L. Do women with female ejaculation have detrusor overactivity? J Sex Med 2007;4:1655–1658.

Evidence for the Presence of the Spinal Pattern Generator Involved in the Control of the Genital Ejaculatory Pattern in the Female Rat

Note: The research cited in the following medical article abstract found evidence to suggest women have similar nervous system components as those that play a roll in male ejaculation. When female rats were subjected to the same stimulation used to trigger ejaculation in male rats, a muscle surrounding the top portion of their urethra contracted. These muscular contracts may expel the contents of the female prostate, which also exists in female rats.

By M. Carro-Juáreza and G. Rodríguez-Manzob

Substantial progress has been made during recent years in elucidating the control of male ejaculatory function by the central nervous system. These efforts have revealed the participation of a central pattern generator in the control of ejaculation. There is a strong similarity in the neural organization of male and female sexual functions. In the present study, the hypothesis that the spinal generator for ejaculation was present and functional in the female rat was evaluated. To this purpose, the expression of the ejaculatory motor pattern and its pharmacological activation in spinally transected female rats were investigated. Results revealed the presence in females of the already described rhythmic ejaculatory motor pattern of male rats. This ejaculatory motor pattern could be registered in the urethralis muscle of the female rat after mechanical stimulation of the urethra, vagina and clitoris and consisted, as in the male rat, of a first ejaculatory motor train followed by an after-discharge component. Besides, the female genital ejaculatory motor pattern could be pharmacologically induced by the systemic injection of sodium nitroprusside with similar motor characteristics. No significant differences between the sensorial and pharmacologically induced female genital motor patterns were found. Present findings provide evidence for the presence of the genital motor pattern of ejaculation in female rats and suggest that the spinal generator for ejaculation is also present and functional in this gender.

Brain Research: Volume 1084, Issue 1, 21 April 2006, Pages 54-60

Sexual Arousal & Orgasm Index

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