Female Ejaculation in Human Females
Yes, human females do experience ejaculation, which is distinct from other fluid expulsions that occur during sexual activity. 1, 2
Types of Female Fluid Expulsion
Female fluid expulsion during sexual activity can be categorized into different phenomena:
Female Ejaculation
- Involves the release of a very scanty, thick, and whitish fluid (a few milliliters) from the female prostate (Skene's glands) during orgasm 1
- Contains high concentrations of prostate-specific antigen (PSA), making it biochemically comparable to some components of male semen 1, 2
- Considered a true ejaculation phenomenon 2
Squirting/Gushing
- Involves the expulsion of a larger amount (approximately 10 milliliters or more) of transparent fluid 2
- Biochemically similar to diluted urine (contains urea, creatinine, and uric acid) 1, 3
- Originates from the urinary bladder rather than the paraurethral glands 1, 2
- Different mechanism from true female ejaculation 2
Vaginal Lubrication
- Ultra-filtrate of blood plasma that enables vaginal lubrication during sexual stimulation 3
- Different from both ejaculation and squirting 3
Prevalence and Recognition
- Female ejaculation resembling male ejaculation has been reported in approximately 6% of women, with an additional 13% having some experience with such expulsions 4
- Release of fluid without forceful ejaculation was reported by approximately 60% of females in studied samples 4
- Historical records show the existence of female ejaculation for over 2,000 years, though it has remained a controversial phenomenon 1
Clinical Significance
- Female ejaculation should be recognized as a normal part of female sexual response 4
- It should not cause feelings of shame or embarrassment 4
- Both female ejaculation and squirting can occur simultaneously in some women 2
- The relationship between stimulation of the Grafenberg spot (G-spot) or "urethral sponge" area and subsequent orgasmic expulsion has been reported but requires further systematic study 5
Differential Diagnosis
- Coital incontinence should be differentiated from female ejaculation and squirting 3
- Coital incontinence can be classified into penetration and orgasm forms, which could be associated with stress urinary incontinence or detrusor hyperactivity 3
- Differentiation can be made according to fluid source, quantity, expulsion mechanism, and subjective feelings during sexual activities 3
Understanding the distinction between female ejaculation and other fluid expulsions during sexual activity is important for proper clinical assessment and to normalize this physiological response for women who experience it.