female ejaculation

1. FemaleFemale
EjaculationEjaculation
 Dr Muhammad El HennawyDr Muhammad El Hennawy
 Ob/gynOb/gyn ConsultantConsultant
 59 Street - Rass el barr –dumyat - egypt59 Street - Rass el barr –dumyat - egypt
 www. Mmhennawy.co.nrwww. Mmhennawy.co.nr
 Mobile 01222503011Mobile 01222503011

2.  In spite that this lecture containsIn spite that this lecture contains
medical evident informationsmedical evident informations
 If you accept this lecture ,If you accept this lecture ,
take it as a sciensetake it as a sciense
 If you do not accept it,If you do not accept it,
take it as a funtake it as a fun

3.  The issue of female ejaculation hasThe issue of female ejaculation has
become a source of controversybecome a source of controversy
among feminists, sexologists, andamong feminists, sexologists, and
the general public.the general public.
 OBGYNs and other physicians oftenOBGYNs and other physicians often
misunderstand or evenmisunderstand or even
misdiagnosemisdiagnose
female ejaculationfemale ejaculation

4.  With the publication of TheWith the publication of The
G Spot in 1982,G Spot in 1982,
 everyone's attentioneveryone's attention
became focused on this tinybecame focused on this tiny
little organ, otherwiselittle organ, otherwise
known as the urethralknown as the urethral
sponge ( female prostate ),sponge ( female prostate ),
that every woman wasthat every woman was
reported to have.reported to have.

5. NamesNames
 A female semen -- HypocratesA female semen -- Hypocrates
 A female seminal liquid -- GalenoA female seminal liquid -- Galeno
 A libidinous fluid --- De Graaf (1672)A libidinous fluid --- De Graaf (1672)
 A female ejaculate--- Grafenberg (1950)A female ejaculate--- Grafenberg (1950)

6. Female EjaculationFemale Ejaculation
It refers to the expulsion of noticeableIt refers to the expulsion of noticeable
amounts of clear fluid or theamounts of clear fluid or the
emission of liquid by human femalesemission of liquid by human females
from the paraurethral ducts and/orfrom the paraurethral ducts and/or
urethra (through the genitals )duringurethra (through the genitals )during
orgasm.orgasm.
 It is also known colloquially asIt is also known colloquially as
squirting or gushing or dribblingsquirting or gushing or dribbling

7. Source Of FluidsSource Of Fluids
Expulsed By FemalesExpulsed By Females
During OrgasmDuring Orgasm
 1-Urethral ejaculate ---Female1-Urethral ejaculate ---Female
prostate fluid ---Femaleprostate fluid ---Female
ejaculationejaculation !!!!!!
 2-Excess vaginal secretions ?? ----2-Excess vaginal secretions ?? ----
vaginal ejaculation fluid--- leukorrheavaginal ejaculation fluid--- leukorrhea
--- vaginal--- vaginal lubricationlubrication ( 1- 4 ml in 24( 1- 4 ml in 24
hour )hour )
which lubricates the vaginal walls and oozes outwhich lubricates the vaginal walls and oozes out
during sexual arousal. ,during sexual arousal. ,
it contains vaginal secretions from walls of theit contains vaginal secretions from walls of the
vagina..vagina..
its function is partly self-cleansing, partly lubricationits function is partly self-cleansing, partly lubrication
and partly protection from infection.and partly protection from infection.
3-Poor bladder control ?? ---3-Poor bladder control ?? --- urinationurination

8. Ejaculate Fluid ComesEjaculate Fluid Comes
FromFrom
 From the urethraFrom the urethra
 Not from the bladderNot from the bladder
except in a very small numberexcept in a very small number
of women complaining fromof women complaining from
urinary incontinenceurinary incontinence
 Not from the vaginaNot from the vagina

9. SayingSaying
-Women lactate, men ejaculate,-----------------Women lactate, men ejaculate,----------------
old sayingold saying
-Most women lactate, also ejaculate ,----------Most women lactate, also ejaculate ,---------
new sayingnew saying

10. The Dual Function OfThe Dual Function Of
The UrethraThe Urethra
 The fact that the ejaculation comesThe fact that the ejaculation comes
from the urethra is often pointed to asfrom the urethra is often pointed to as
evidence that the liquid is urine andevidence that the liquid is urine and
not ejaculate.not ejaculate.
 Can any people claiming that maleCan any people claiming that male
ejaculate is anything other than aejaculate is anything other than a
sexual fluid. Because of the dualsexual fluid. Because of the dual
function of the urethra,function of the urethra,
 Most men find it impossible to urinateMost men find it impossible to urinate
when they are aroused and have anwhen they are aroused and have an
erection.erection.
The same may well be true for women.The same may well be true for women.
 Just like a man canJust like a man can
ejaculate and urinate outejaculate and urinate out
of his urethra can aof his urethra can a
woman!woman!

11. Female UrethraFemale Urethra
 The male prostate is an distinct organ thatThe male prostate is an distinct organ that
surrounds the male urethrasurrounds the male urethra
 but the female prostate lies within the wallbut the female prostate lies within the wall
and along the length of the female urethra,and along the length of the female urethra,
as indicated in the illustrations shownas indicated in the illustrations shown
 It is part of and contained within the wallIt is part of and contained within the wall
of the urethra, and the urethra isof the urethra, and the urethra is
contained within the wall of the vagina.contained within the wall of the vagina.
 The average size of the female prostate isThe average size of the female prostate is
1.3 inches long, 0.75 inches wide, 0.41.3 inches long, 0.75 inches wide, 0.4
inches in height (3.3 x 1.9 x 1 cm), andinches in height (3.3 x 1.9 x 1 cm), and
weighs about 0.2 ounces (5.2 grams).weighs about 0.2 ounces (5.2 grams).
 Which means it is a relatively small organWhich means it is a relatively small organ
about the size of a woman's thumb.about the size of a woman's thumb.
Despite its smaller size "it possesses allDespite its smaller size "it possesses all
the structural components of the malethe structural components of the male
prostate.“prostate.“
 The female prostate comes in manyThe female prostate comes in many
different shapes and sizes but the majoritydifferent shapes and sizes but the majority
of women have a prostate that isof women have a prostate that is
positioned near the external urethralpositioned near the external urethral
orifice, as shownorifice, as shown

12. G-spotG-spot
 During gestationDuring gestation the male and female startthe male and female start
with the same tissues, it's only after sexwith the same tissues, it's only after sex
differentiation at about 40 days that thedifferentiation at about 40 days that the
genitals begin to look different in the malegenitals begin to look different in the male
and female fetus. The tissue whichand female fetus. The tissue which
becomes the prostate in the male does notbecomes the prostate in the male does not
just disappear in the female, it becomesjust disappear in the female, it becomes
the paraurethral glands which surroundthe paraurethral glands which surround
the urethra.the urethra.
 Based on postmortem dissections,Based on postmortem dissections, thethe
amount of glandular tissue varies fromamount of glandular tissue varies from
woman to woman, and some women havewoman to woman, and some women have
no discernible glandular tissue in their G-no discernible glandular tissue in their G-
spot.spot.

13. TypesTypes
 Most women ejaculate, although they areMost women ejaculate, although they are
variations in the quantity of the emittedvariations in the quantity of the emitted
liquidliquid
 With great force ---With great force --- gushing orgushing or
squirtingsquirting --- 6% frequent and 13%--- 6% frequent and 13%
infrequentinfrequent
 With little force ---With little force --- dribbledribble -- 55-60%-- 55-60%
 Almost-Almost-drydry orgasm ---orgasm --- don't have anydon't have any
glandular tissue can't produce anything toglandular tissue can't produce anything to
ejaculateejaculate oror very scarce secretionvery scarce secretion oror
the ejection takes the retrogradethe ejection takes the retrograde
direction towards the bladder, asdirection towards the bladder, as
occurs in the retrograde ejaculationoccurs in the retrograde ejaculation
of some menof some men

14. DirectionDirection
 Most womenMost women
ejaculate, althoughejaculate, although
they are variations inthey are variations in
the the direction ofthe the direction of
the emissionthe emission

15. Female ProstateFemale Prostate
HistoryHistory
 The first person known to have described the "female prostate"The first person known to have described the "female prostate"
was Reinier De Graaf in the year 1672.was Reinier De Graaf in the year 1672.
 He described it as a collection of functional glands and ductsHe described it as a collection of functional glands and ducts
surrounding the female urethra.surrounding the female urethra.
 He said the glands and ducts produced a "pituitoserous juice;"He said the glands and ducts produced a "pituitoserous juice;"
meaning it produces a thick mucous that is pale yellow ormeaning it produces a thick mucous that is pale yellow or
transparent in color.transparent in color.
 He said the function of this fluid was to make "women moreHe said the function of this fluid was to make "women more
libidinous with its pungency and saltiness and lubricates theirlibidinous with its pungency and saltiness and lubricates their
sexual parts in agreeable fashion during coitus.sexual parts in agreeable fashion during coitus.
 female prostate disappear to for 329 years?female prostate disappear to for 329 years?
 during the 20th century the female prostate was usuallyduring the 20th century the female prostate was usually
described as vestigial, i.e. not fully developed and non-described as vestigial, i.e. not fully developed and non-
functional, and was identified as either paraurethral or Skene'sfunctional, and was identified as either paraurethral or Skene's
glands.glands.
 Since modern medicine did not see the female prostateSince modern medicine did not see the female prostate
playing an active and necessary role in reproduction it wasn'tplaying an active and necessary role in reproduction it wasn't
essential to understand its function and this likely contributedessential to understand its function and this likely contributed
to the lack of interest within doctor offices and hospitals.to the lack of interest within doctor offices and hospitals.
 " Despite his observation modern Western medicine did not" Despite his observation modern Western medicine did not
fully accept the concept of a "female prostate" until 2001 whenfully accept the concept of a "female prostate" until 2001 when
the Federative Committee on Anatomical Terminology agreedthe Federative Committee on Anatomical Terminology agreed
to use this term in their next edition of Histology Terminology.to use this term in their next edition of Histology Terminology.

16. A Female ProstateA Female Prostate
(A Woman's Love(A Woman's Love
Button)Button)
The average size of the female prostate is 1.3The average size of the female prostate is 1.3
inches long 0.75 inches wide 0.4 inches ininches long 0.75 inches wide 0.4 inches in
height (3.3 x 1.9 x 1 cm).height (3.3 x 1.9 x 1 cm).
An elliptical container about this size when filledAn elliptical container about this size when filled
with water would hold 0.17 oz [5 ml] or 1with water would hold 0.17 oz [5 ml] or 1
teaspoon.teaspoon.
A cylindrical shape 0.75 inches across wouldA cylindrical shape 0.75 inches across would
hold 0.32 oz.hold 0.32 oz.
If the female prostate can contain less than 0.4If the female prostate can contain less than 0.4
ozoz

17. Functions Of theFunctions Of the
Female ProstateFemale Prostate At present it is known to have two primary functions.At present it is known to have two primary functions.
 The first functionThe first function is produce and store prostatic fluid in ducts,is produce and store prostatic fluid in ducts,
which is the function of an exocrine gland.which is the function of an exocrine gland.
 The prostatic fluid contains prostate-specific antigen (PSA),The prostatic fluid contains prostate-specific antigen (PSA),
prostate-specific acid phosphatase (PSAP or PAP), andprostate-specific acid phosphatase (PSAP or PAP), and
fructose, a sugar.fructose, a sugar.
 The numerous ducts of the prostate drain into the urethra.The numerous ducts of the prostate drain into the urethra.
"Pure prostatic fluid has not yet been isolated and it has"Pure prostatic fluid has not yet been isolated and it has
been studied only as a component of the female ejaculate..."been studied only as a component of the female ejaculate..."
 The second functionThe second function is the releasing of hormones into theis the releasing of hormones into the
blood stream, as a result of stimulation by the nervousblood stream, as a result of stimulation by the nervous
system; a process performed by neuroendocrine cells.system; a process performed by neuroendocrine cells.
 The only hormone known to be produced by the femaleThe only hormone known to be produced by the female
prostate in this way, as of the year 2000, was serotonin.prostate in this way, as of the year 2000, was serotonin.
 Serotonin plays an active role in many functions of the body.Serotonin plays an active role in many functions of the body.

18. Ejaculate Fluid AmountEjaculate Fluid Amount
 The quantity of fluid mentioned variesThe quantity of fluid mentioned varies
a lot according to different authorsa lot according to different authors
from a few drops to a fewfrom a few drops to a few
tablespoonfulstablespoonfuls
 Belzer (1983) estimates 10 ml;Belzer (1983) estimates 10 ml;
 Goldberg (1983), from 3 to 15 ml.;Goldberg (1983), from 3 to 15 ml.;
 Bullough (1984) 12 ml;Bullough (1984) 12 ml;
 Zaviavic (1987), 16 ml. andZaviavic (1987), 16 ml. and
 Heat (1984) from 30 to 50 ml=Heat (1984) from 30 to 50 ml= [6 to 10[6 to 10
teaspoons] in 30 to 50 secondsteaspoons] in 30 to 50 seconds

19. IncidenceIncidence
 the investigators that support the existence ofthe investigators that support the existence of
female ejaculation, seem to agree that it is afemale ejaculation, seem to agree that it is a
possibility that actually occurs in very fewpossibility that actually occurs in very few
women, they do not have voluntary controlwomen, they do not have voluntary control
over its release:over its release:
 10% for Whipple and Perry (1981),10% for Whipple and Perry (1981),
 14 % for Bullough et al. (1984),14 % for Bullough et al. (1984),
 40% for Darling, Davidson and Conway Welch40% for Darling, Davidson and Conway Welch
(1990) and(1990) and
 6% for Kratochvil (1994)6% for Kratochvil (1994)

20. StructureStructure
 The fluid doesn't look like urine, doesn't smell like urine,The fluid doesn't look like urine, doesn't smell like urine,
doesn't staine color on the bed and it has been proven indoesn't staine color on the bed and it has been proven in
many chemical analyses that it is definitely not urinemany chemical analyses that it is definitely not urine
 it's usually clear, milky and relatively odorless, with ait's usually clear, milky and relatively odorless, with a
watery consistency and it's not lubrication.watery consistency and it's not lubrication.
 It is very similar chemically to male prostateIt is very similar chemically to male prostate
 The paraurethral glands produce an enzyme calledThe paraurethral glands produce an enzyme called
prostatic acid phosphatase (PAP), along with prostate-prostatic acid phosphatase (PAP), along with prostate-
specific antigen (PSA)specific antigen (PSA)
 They also produce Human Protein 1, a trait formerlyThey also produce Human Protein 1, a trait formerly
believed to be unique to the male prostatebelieved to be unique to the male prostate
 female ejaculation can vary in color and thickness.female ejaculation can vary in color and thickness.
 the taste of female ejaculation can vary from bitter tothe taste of female ejaculation can vary from bitter to
sweet according to diet, water consumption and a host ofsweet according to diet, water consumption and a host of
other environmental and biological factors.other environmental and biological factors.

21. TimeTime
 Before orgasm-Before orgasm-- It's also possible that the fluid- It's also possible that the fluid
may leak out at any time during sexual arousalmay leak out at any time during sexual arousal
before orgasm; men have a sphincter (valve)before orgasm; men have a sphincter (valve)
"downstream" of the prostate that keeps fluid"downstream" of the prostate that keeps fluid
from leaking, but women have no suchfrom leaking, but women have no such
sphinctersphincter
 With orgasm–With orgasm– with the muscle contractions ofwith the muscle contractions of
orgasmorgasm
 After orgasmAfter orgasm – presence of ejaculate in urine,– presence of ejaculate in urine,
as the result of a retrograde ejaculation or justas the result of a retrograde ejaculation or just
the urine washing a small amount of fluid outthe urine washing a small amount of fluid out

22. HowHow??
 In some womenIn some women
 the paraurethral glandsthe paraurethral glands
produce fluid when the womanproduce fluid when the woman
is highly aroused.is highly aroused.
 Because the paraurethralBecause the paraurethral
glands open into the urethra,glands open into the urethra,
 the muscle contractions ofthe muscle contractions of
orgasm force this fluid into theorgasm force this fluid into the
urethra, and out of the body,urethra, and out of the body,
 creating an ejaculation of sorts.creating an ejaculation of sorts.

23. Male EjaculationMale Ejaculation
 Male Ejaculation is the ejecting of semen from the penis, and is usuallyMale Ejaculation is the ejecting of semen from the penis, and is usually
accompanied by orgasm.accompanied by orgasm.
 It is usually the result of sexual stimulation, which may include prostateIt is usually the result of sexual stimulation, which may include prostate
stimulation. Rarely, it is due to prostatic disease.stimulation. Rarely, it is due to prostatic disease.
 Ejaculation may occur spontaneously during sleep (a nocturnalEjaculation may occur spontaneously during sleep (a nocturnal
emission).emission).
 During emission, the two ducts known as vas deferens contract to propelDuring emission, the two ducts known as vas deferens contract to propel
sperm from the epididymis where it was stored up to the ampullae at thesperm from the epididymis where it was stored up to the ampullae at the
top end of the vas deferens. The beginning of emission is typicallytop end of the vas deferens. The beginning of emission is typically
experienced as a "point of no return," also known as point of ejaculatoryexperienced as a "point of no return," also known as point of ejaculatory
inevitability. The sperm then passes through the ejaculatory ducts and isinevitability. The sperm then passes through the ejaculatory ducts and is
mixed with fluids from the seminal vesicles, the prostate, and themixed with fluids from the seminal vesicles, the prostate, and the
bulbourethral glands to form the semen, or ejaculatebulbourethral glands to form the semen, or ejaculate
 During ejaculation proper, the semen is ejected through the urethra withDuring ejaculation proper, the semen is ejected through the urethra with
rhythmic contractionsrhythmic contractions

24. British Film ClassificationBritish Film Classification
 In the United Kingdom, the British Board of Film ClassificationIn the United Kingdom, the British Board of Film Classification
has neither confirmed nor denied the existence of thehas neither confirmed nor denied the existence of the
phenomenon of female ejaculation,phenomenon of female ejaculation,
 only claiming that all examples they have seen thus far duringonly claiming that all examples they have seen thus far during
classification have been urination during sex.classification have been urination during sex.
 Although urine and female ejaculation are both passed throughAlthough urine and female ejaculation are both passed through
the urethra, urine originates in the bladder and ejaculationthe urethra, urine originates in the bladder and ejaculation
originates in the Skene's glands. However, since the Skene'soriginates in the Skene's glands. However, since the Skene's
glands are the size of a pea, it's unlikely that women whoglands are the size of a pea, it's unlikely that women who
ejaculate more than a teaspoon of fluid are ejecting pureejaculate more than a teaspoon of fluid are ejecting pure
ejaculation. It's far more likely that the small amount of fluid fromejaculation. It's far more likely that the small amount of fluid from
her Skene's glands is mixed with some urine, producing theher Skene's glands is mixed with some urine, producing the
larger quantitylarger quantity

25. The Porn IndustryThe Porn Industry
 They have distorted and enlarged reality to aThey have distorted and enlarged reality to a
ridiculous point.ridiculous point.
 Pornography and borderline pornographyPornography and borderline pornography
have encouraged the idea that all woman canhave encouraged the idea that all woman can
ejaculate.ejaculate.
 They have also greatly exaggerated theThey have also greatly exaggerated the
quantity of fluid that is ejected.quantity of fluid that is ejected.
 Stories of putting out a quart or more of fluidStories of putting out a quart or more of fluid
in an hour.in an hour.
 At least half of the women had a combinationAt least half of the women had a combination
of dilute urine and the "regular" femaleof dilute urine and the "regular" female
ejaculation. Perhaps both these fluids haveejaculation. Perhaps both these fluids have
some common biological trigger, or maybesome common biological trigger, or maybe
only women who experience "regular" femaleonly women who experience "regular" female
ejaculation release the dilute urine.ejaculation release the dilute urine.

26.  Lack of understanding of this phenomenon hasLack of understanding of this phenomenon has
caused some women great anguish. Worriedcaused some women great anguish. Worried
that she is urinating, or accused of such by herthat she is urinating, or accused of such by her
husband,husband,
 a woman may find the only way to avoida woman may find the only way to avoid
ejaculating is to not orgasm at all.ejaculating is to not orgasm at all.
 Finding out they are normal, and convincingFinding out they are normal, and convincing
their husbands they are not "peeing" can maketheir husbands they are not "peeing" can make
a world of difference.a world of difference.

27. Female EjaculationFemale Ejaculation
StimulationStimulation
 Many women claim that through clitoral,Many women claim that through clitoral,
vaginal and/or G-Spot stimulationvaginal and/or G-Spot stimulation
 It is mostly accomplished by stimulation of theIt is mostly accomplished by stimulation of the
urethral sponge (sometimes identified as theurethral sponge (sometimes identified as the
G-spot) an area purported to be near the frontG-spot) an area purported to be near the front
of the vaginal wallof the vaginal wall
 More rarely, ejaculation can be accomplishedMore rarely, ejaculation can be accomplished
through external stimulation of the clitoristhrough external stimulation of the clitoris
alone, the internal tissue of the clitoris thenalone, the internal tissue of the clitoris then
contracting and stimulating the urethral tissuecontracting and stimulating the urethral tissue

28. I think thatI think that
 when the amount of female ejaculatewhen the amount of female ejaculate
isis smallsmall – it contains ejaculation fluid– it contains ejaculation fluid
from urethera and vaginal lubricationfrom urethera and vaginal lubrication
fluid from vaginafluid from vagina
 when the amount of female ejaculatewhen the amount of female ejaculate
isis largelarge -- it contains ejaculation fluid-- it contains ejaculation fluid
from urethera and vaginal lubricationfrom urethera and vaginal lubrication
fluid from vagina and amounts offluid from vagina and amounts of
urine from bladder.urine from bladder.