Understanding Female Ejaculation
Understanding Female Ejaculation
Female ejaculation
Female ejaculation is characterized as an expulsion of fluid
from the Skene's gland at the lower end of the urethra during or
before an orgasm. It is also known colloquially as squirting or
gushing, although research indicates that female ejaculation and
squirting are different phenomena, squirting being attributed to a
sudden expulsion of liquid that partly comes from the bladder and
contains urine.[1][2][3]
Whether the fluid is secreted by the Skene's gland through and around the urethra has also been a
topic of discussion; while the exact source and nature of the fluid remains controversial among
medical professionals, and are related to doubts over the existence of the G-spot,[9][10][8] there is
substantial evidence that the Skene's gland is the source of female ejaculation.[1][8] The function of
female ejaculation, however, remains unclear.[8]
Reports
In questionnaire surveys, 35–50% of women report that they have at some time experienced the
gushing of fluid during orgasm.[11][12][13] Other studies find anywhere from 10 to 69%, depending on
the definitions and methods used.[14][15] For instance Kratochvíl (1994) surveyed 200 women and
found that 6% reported ejaculating, an additional 13% had some experience and about 60% reported
release of fluid without actual gushing.[16] Reports on the volume of fluid expelled vary considerably,
starting from amounts that would be imperceptible to a woman, to mean values of 1–5 ml.[17]
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The suggestion that women can expel fluid from their genital area as part of sexual arousal has been
described by women's health writer Rebecca Chalker as "one of the most hotly debated questions in
modern sexology".[18] Female ejaculation has been discussed in anatomical, medical, and biological
literature throughout recorded history. The reasons for the interest in female ejaculation have been
questioned by feminist writers.[19]
Western literature
De Graaf
In the 17th century, the Dutch anatomist Reinier de Graaf wrote an influential treatise on the
reproductive organs Concerning the Generative Organs of Women which is much cited in the
literature on this topic. De Graaf discussed the original controversy but supported the Aristotelian
view.[23][24][25] He identified the source as the glandular structures and ducts surrounding the
urethra.
[VI:66-7]The urethra is lined by a thin membrane. In the lower part, near the outlet of the
urinary passage, this membrane is pierced by large ducts, or lacunae, through which pituito-
serous matter occasionally discharges in considerable quantities.
Between this very thin membrane and the fleshy fibres we have just described there is, along
the whole duct of the urethra, a whitish membranous substance about one finger-breadth
thick which completely surrounds the urethral canal... The substance could be called quite
aptly the female 'prostatae' or 'corpus glandulosum', 'glandulous body'...The function of the
'prostatae' is to generate a pituito-serous juice which makes women more libidinous with its
pungency and saltiness and lubricates their sexual parts in agreeable fashion during coitus.
[VII:81] The discharge from the female 'prostatae' causes as much pleasure as does that from
the male 'prostatae'
He identified [XIII:212] the various controversies regarding the ejaculate and its origin, but stated he
believed that this fluid "which rushes out with such impetus during venereal combat or libidinous
imagining" was derived from a number of sources, including the vagina, urinary tract, cervix and
uterus. He appears to identify Skene's ducts, when he writes [XIII: 213] "those [ducts] which are
visible around the orifice of the neck of the vagina and the outlet of the urinary passage receive their
fluid from the female 'parastatae', or rather the thick membranous body around the urinary passage."
However he appears not to distinguish between the lubrication of the perineum during arousal and an
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orgasmic ejaculate when he refers to liquid "which in libidinous women often rushes out at the mere
sight of a handsome man." Further on [XIII:214] he refers to "liquid as usually comes from the
pudenda in one gush." However, his prime purpose was to distinguish between generative fluid and
pleasurable fluid, in his stand on the Aristotelian semen controversy.
19th century
Krafft-Ebing's study of sexual perversion, Psychopathia Sexualis (1886), describes female ejaculation
under the heading "Congenital Sexual Inversion in Women" as a perversion related to neurasthenia
and homosexuality.[26]
the intersexual gratification among ...women seems to be reduced to kissing and embraces,
which seems to satisfy those of weak sexual instinct, but produces in sexually neurasthenic
females ejaculation
It is also described by Freud in pathological terms in his study of Dora (1905), where he relates it to
hysteria.[27]
The pride taken by women in the appearance of their genitals is quite a special feature of
their vanity; and disorders of genitals which they think calculated to inspire feelings of
repugnance or even disgust have an incredible power of humiliating them, of lowering their
self-esteem, and of making them irritable, sensitive, and distrustful. An abnormal secretion
of the mucous membrane of the vagina is looked upon as source of disgust.
However, women's writing of that time portrayed this in more positive terms. Thus we find Almeda
Sperry writing to Emma Goldman in 1918, about the "rhythmic spurt of your love juices".[19][28]
Anatomical knowledge was also advanced by Alexander Skene's description of para-urethral or
periurethral glands (glands around the urethra) in 1880, which have been variously claimed to be one
source of the fluids in the ejaculate, and now commonly referred to as the Skene's glands.[29]
20th century
It appears that the majority of laymen believe that something is forcibly squirted (or
propelled or extruded), or expelled from the woman's body in orgasm, and should so happen
normally, as in the man's case. Finally it is just as certain that such an 'ejaculation' does not
take place in many women of sexually normal functions, as that it does take place in others.
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In 1948, Huffman, an American gynaecologist, published his studies of the prostatic tissue in women
together with a historical account and detailed drawings. These clearly showed the difference between
the original glands identified by Skene at the urinary meatus, and the more proximal collections of
glandular tissue emptying directly into the urethra.[31]
The urethra might well be compared to a tree about which and growing outward from its
base are numerous stunted branches, the paraurethral ducts and glands.
Most of the interest had focused on the substance and structure rather than function of the glands. A
more definitive contemporary account of ejaculation appeared shortly after, in 1950, with the
publication of an essay by Gräfenberg based on his observations of women during orgasm.[32]
An erotic zone always could be demonstrated on the anterior wall of the vagina along the
course of the urethra...analogous to the male urethra, the female urethra also seems to be
surrounded by erectile tissues...In the course of sexual stimulation, the female urethra begins
to enlarge and can be felt easily. It swells out greatly at the end of orgasm...Occasionally the
production of fluids is ...profuse... If there is the opportunity to observe the orgasm of such
women, one can see that large quantities of a clear transparent fluid are expelled not from
the vulva, but out of the urethra in gushes. At first I thought that the bladder sphincter had
become defective by the intensity of the orgasm. Involuntary expulsion of urine is reported in
sex literature. In the cases observed by us, the fluid was examined and it had no urinary
character. I am inclined to believe that "urine" reported to be expelled during female orgasm
is not urine, but only secretions of the intraurethral glands correlated with the erotogenic
zone along the urethra in the anterior vaginal wall. Moreover the profuse secretions coming
out with the orgasm have no lubricating significance, otherwise they would be produced at
the beginning of intercourse and not at the peak of orgasm.
However this paper made little impact, and was dismissed in the major sexological writings of that
time, such as Kinsey (1953)[33] and Masters and Johnson (1966),[34] equating this "erroneous belief"
with urinary stress incontinence. Although clearly Kinsey was familiar with the phenomenon,
commenting that (p. 612);
Muscular contractions of the vagina following orgasm may squeeze out some of the genital
secretions, and in a few cases eject them with some force
as were Masters and Johnson ten years later, who observed (pp 79–80):
Most women do not ejaculate during orgasm...we have observed several cases of women who
expelled a type of fluid that was not urine
(emphasis in original) yet dismissed it (p. 135) – "female ejaculation is an erroneous but widespread
concept", and even twenty years later in 1982,[35] they repeated the statement that it was erroneous
(p. 69–70) and the result of "urinary stress incontinence".
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Female ejaculation (as distinct from female urination during orgasm) has never been
scientifically substantiated and is highly questionable, to say the least.
Some radical feminist writers, such as Sheila Jeffreys (1985) were also dismissive, claiming it as a
figment of male fantasy:[43]
There are examples in the sexological literature of men's sexual fantasies about lesbian
sexuality. Krafft-Ebing invented a form of ejaculation for women.
It required the detailed anatomical work of Helen O'Connell[44] from 1998 onwards to more properly
elucidate the relationships between the different anatomical structures involved. As she observes, the
female perineal urethra is embedded in the anterior vaginal wall and is surrounded by erectile tissue
in all directions except posteriorly where it relates to the vaginal wall. "The distal vagina, clitoris, and
urethra form an integrated entity covered superficially by the vulval skin and its epithelial features.
These parts have a shared vasculature and nerve supply and during sexual stimulation respond as a
unit".[45][46][47]
Anthropological accounts
Female ejaculation appears in 20th-century anthropological works, such as Malinowski's Melanesian
study, The Sexual Life of Savages (1929), and Gladwin and Sarason's "Truk: Man in Paradise" (1956).
Malinowski states that in the language of the Trobriand Island people, a single word is used to
describe ejaculation in both male and female.[48]
Both the male and female discharge are called by the same name (momona or momola), and
they ascribe to both the same origin in the kidneys, and the same function, which has
nothing to do with generation, but is concerned with lubricating the membrane and
increasing pleasure
In describing sexual relations amongst the Chuukese Micronesians, Gladwin and Sarason state that
"Female orgasm is commonly signalled by urination".[49] Catherine Blackledge[22] (p. 205) provides a
number of examples from other cultures, including the Ugandan Batoro, Mohave Indians, Mangaians,
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and Ponapese. (See also Chalker 2002 pp. 531–2, Ladas et al. 1983 pp. 74–5)
Historically in Rwanda, the kunyaza sexual technique has the reputation of triggering female
ejaculation (kunyara). The ancient sexual practice has been exercised for over 150 years in east and
central Africa. Amongst the Buganda tribe of Uganda, the sexual practice is called kachabali (spraying
the wall).[50]
Research
General
There have been few studies on female ejaculation.[6] Much of the
problem in arriving at a consensus relates to a failure to adopt
generally agreed-on definitions[7][51] or research methodology.[7]
Research has used highly selected individuals, case studies, or very
small numbers of subjects, making generalization difficult. For
instance, much of the research into the nature of the fluid focuses
on determining whether it is or contains urine.[6][7] Rodriguez et
al. stated that "many individuals refer to any fluid expressed from
the vagina or urethra during coitus as female ejaculate, which Vaginal fluids after ejaculation
leads to significant confusion in the literature."[8]
There are also problems involved in the collection of specimens and issues of contamination. Since the
area of interest is the para-urethral glands, it is impossible to completely separate the secretions from
urine, especially considering that there may be retrograde ejaculation into the urethra towards the
bladder. Research has attempted to use chemicals that are excreted in the urine so that any urinary
contamination can be detected. Further methodological issues include the fact that the composition of
the fluid appears to vary with the menstrual cycle,[52] and that the biochemical profile of the para-
urethral tissues varies with age.[53] Other issues relate to the sensitivity and specificity of the markers
chosen. The key questions are the source of the fluid produced, and its composition.[41]
Whether the fluid is secreted by the Skene's gland through and around the urethra has also been a
topic of discussion; while the exact source and nature of the fluid remain controversial among medical
professionals, and are related to doubts over the existence of the G-spot,[9][10][8] there is substantial
evidence that the Skene's gland is the source of female ejaculation.[1][8] The function of female
ejaculation, however, remains unclear.[8]
The previously accepted notion that all fluid expelled during a woman's orgasm is urine is
now being challenged... sexologists must take care not to assume now that any fluid
produced at orgasm is "female ejaculate".
Scientific studies from the 1980s and later have demonstrated that the substance produced is distinct
from urine, though it does show similarities such as alkalinity with urine.[16] Davidson's study of 1,289
women found that the sensation of ejaculation was very similar to that of urination.[12] One study by
Gary Schubach used urethral catheterization in order to separate urine from orgasmic expulsions
from elsewhere in the body. Seven women claiming to have ejaculations expelled large volumes of
urine through the catheter at orgasm, and little to no other fluid.[54]
It may be important for physicians to establish whether there is in fact any incontinence in women
who report ejaculation, to avoid unnecessary interventions.[4][5] It is also important for physicians to
distinguish orgasmic ejaculation from vaginal discharges which may require further investigation and
treatment. In individual cases, the exact source of any reported discharge may not be obvious without
further investigation.[55]
A 2007 study on two women involved ultrasound, endoscopy, and biochemical analysis of fluid. The
ejaculate was compared to pre-orgasmic urine from the same woman, and also to published data on
male ejaculate. In both women, higher levels of PSA, PAP, and glucose but lower levels of creatinine
were found in the ejaculate than the urine. PSA levels were comparable to those in males.[14]
Ultrasounds from a 2014 study, involving seven women who reported recurring massive fluid
emission during sexual arousal, confirmed thorough bladder emptiness before stimulation, noticeable
bladder filling before squirting and demonstrated that the bladder had again been emptied after
squirting. Although small amounts of prostatic secretions are present in the emitted fluid, the study
suggests that squirting is essentially the involuntary emission of urine during sexual activity.[2]
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Source of fluid
One very practical objection relates to the reported volumes ejaculated, since this fluid must be stored
somewhere in the pelvis, of which the urinary bladder is the largest source. The actual volume of the
para-urethral tissue is quite small. By comparison, male ejaculate varies from 0.2–6.6 ml (0.01–
0.22 US fl oz) (95% confidence interval), with a maximum of 13 ml (0.44 US fl oz).[62] Therefore,
claims of larger amounts of ejaculate are likely to contain at least some amount of urine. The eleven
specimens analyzed by Goldberg in 1983,[59] ranged from 3–15 ml (0.1–0.5 US fl oz).[60] One source
states that Skene's glands are capable of excreting 30–50 ml (1–2 US fl oz) in 30–50 seconds,[63] but
it is unclear how this was measured and has not been confirmed. One approach is to use a chemical
like methylene blue so that any urinary component can be detected.[60] Belzer showed that in one
woman he studied, the dye was found in her urine, but not her orgasmic expulsion.[37]
PAP and PSA have been identified in the para-urethral tissues, using biochemical and
immunohistochemical methods, suggesting that the ejaculate is likely to arise from the ducts in these
tissues, in a manner homologous to that in the male.[64][65][66][67][68] Another marker common to the
prostate/para-urethral tissue in both sexes is human protein 1.[69]
Social significance
Sexual functions, and orgasm in particular, remain poorly understood scientifically.[71][72][73]
Regardless of the facts relating to the details of female ejaculation, the social significance of the
popular accounts through the feminist health care movement has been considerable.[18]
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the ignorance and/or confusion still prevalent among women about the anatomy and
physiology of their sexual organs may make them mistake either vaginal lubrication or stress
urinary incontinence for an "ejaculation."
Shannon Bell argues that the debate is confused by the discussion of two separate phenomena. She
comments that Alzate simply dismisses women's subjective experiences in favour of rigorous scientific
proof, and is typical of male sexologists withholding the validity of experience from women. Bell's
critique lies at the heart of feminist concerns about this debate, namely a tendency to "disregard,
reinterpret, and overwrite women's subjective descriptions." For some, she states, it is more a matter
of belief than of physiology. Bell further questions why feminists have not been more outspoken in
defense of women's control over female ejaculation, pointing out that the literature frames the
discussion in only five separate ways; procreation, sexual pleasure, deviance, pathology, and a
scientific mystery.[19]
The discussion entered popular culture in 1982 with the publication of the best-selling book The G
Spot and Other Recent Discoveries About Human Sexuality, by Ladas, Whipple, and Perry.[79] The
book discussed female ejaculation and brought the issue back into discussions of women's sexuality
both in the medical community and among the general public.[18][70][80] This was a popular account
of three papers by the authors, the previous year, at the suggestion of Alice Khan Ladas.[37][38][39]
Rebecca Chalker notes that this book was largely met with scorn, skepticism and disbelief.[18] The
chapter on 'Female Ejaculation' is largely based on anecdotal testimony, and illustrates another issue
in the debate, the weight placed on anecdotes and small numbers of observations rather than
biomedical investigation or clinical trials. Importantly, a number of the women stated that they had
been diagnosed with urinary incontinence.
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The continuing debate is further illustrated in the angry exchange of letters between the author and
researchers in the American Journal of Obstetrics and Gynaecology in 2002 following the
publication of 'The G-spot: A modern gynecological myth' by Terence Hines,[80] articles and book
chapters continue to appear with subtitles such as "Fact or Fantasy" (2002).[18] As of 2007,[14][84] and
2008[71] the existence of a female prostate and of ejaculation are a matter of debate.
Health implications
Many women, before learning about ejaculation, experienced shame or avoided sexual intimacy under
the belief that they had wet the bed.[63] Others suppressed sexual climax, and sought medical advice
for this "problem", and even underwent surgery.[18]
Contemporary women's health literature summarises what is considered factual as being that the
amount of fluid varies greatly and may be unnoticeable, occurs with or without vaginal stimulation,
and may accompany orgasm or merely intense sexual pleasure, and orgasm may occur without
ejaculation. Whether it can be learned or not, women report that they can induce it by enhancing their
sexual response.[18] Regardless, countless workshops now exist to teach women that learning how to
ejaculate is an important form of feminine sexual expression. Sundahl describes it as a birthright and
essential part of female creativity.[74]
Legal implications
The presence of chemical markers such as PSA or PAP in the female genital tract has been considered
evidence in rape trials,[89] but Sensabaugh and Kahane demonstrated in four specimens that PAP was
an order of magnitude greater in a woman's ejaculate than in her urine. Recently, knowledge that
these markers can be of female origin has led to acquittal based on forensic evidence.[76][90]
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In pornography
Female pornographic performers who are alleged to ejaculate on film include Hotaru Akane,[91]
Charley Chase,[92] Annie Cruz,[93] Cytherea,[94] Jamie Lynn,[95] Jiz Lee,[96] Missy Monroe,[97] Jenna
Presley,[98] and Flower Tucci.[99] Fallon is known as the first pornographic actress to allegedly
ejaculate on film.[100][101][102] Tiana Lynn can allegedly ejaculate as well, and she claims to have
discovered her ability during a scene with Mark Ashley.[103]
Sarah Jane Hamilton became known as one of the first alleged female ejaculators from Britain,[104]
though this was later dismissed by porn reviewer Pat Riley as urination in his review of The British
Are Coming (1993). However, she has commented that she could not ejaculate on cue even though
producers expect her to, like a male performer.[105]
Censorship
In the United Kingdom, the British Board of Film Classification has requested edits to pornographic
films alleged to show female ejaculation, claiming there is no such thing as female ejaculation (and
therefore the films must promote urolagnia), according to expert medical "advice" provided to the film
board.[106][107] Urination during sex is considered obscene under the Obscene Publications Acts.[108]
The Board later stated that it does not take any view on whether female ejaculation exists or not, but
that all apparent recorded instances (presented to the Board) were of mere female urination being
touted as female ejaculation.[109]
Easy on the Eye Productions released a press announcement on 6 October 2010, stating that the BBFC
passed the DVD Women Love Porn (containing a sequence involving female ejaculation in the scene
"Top Milf") on advice of legal counsel when the director, Anna Span, pushed for a hearing with the
Video Appeals Committee. Easy on the Eye Productions considered this an "historic victory",[110]
although the BBFC maintains that its stance remains "fundamentally unchanged" for future releases.
According to the Carnal Nation site, the issue was first raised by the group Feminists Against
Censorship (FAC) in 2001.[108]
In Australia, a similar view has been taken with regard to Internet censorship proposals, which ban
pornographic websites featuring female ejaculation.[111]
See also
Bartholin's gland Human sexuality
One-sex and two-sex theories portal
Urethral sponge
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External links
Female Ejaculation The Double Standard In the Bedroom ([Link]
Archived ([Link]
2017-02-04 at the Wayback Machine by Eric Jackson, 2008/09/22
[Link] 19/20
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[Link] 20/20