FemaleFemaleEjaculationEjaculation

Dr Muhammad El HennawyDr Muhammad El Hennawy

Ob/gyn specialistOb/gyn specialist 59 Street - Rass el barr –dumyat - egypt59 Street - Rass el barr –dumyat - egypt

www.geocities.com/mmhennawywww.geocities.com/mmhennawy www.geocities.com/abc_obgynwww.geocities.com/abc_obgyn Mobile 0122503011Mobile 0122503011

In spite that this lecture contains In 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

The issue of female ejaculation has The issue of female ejaculation has become a source of controversy become a source of controversy among feminists, sexologists, and among feminists, sexologists, and the general public.the general public.

OBGYNs and other physicians often OBGYNs and other physicians often

    misunderstand or even     misunderstand or even misdiagnose misdiagnose     female ejaculation     female ejaculation

With the publication of The With the publication of The G Spot in 1982, G Spot in 1982,

everyone's attention everyone's attention became focused on this tiny became focused on this tiny little organ, otherwise little organ, otherwise known as the urethral known as the urethral sponge ( female prostate ), sponge ( female prostate ), that every woman was that every woman was reported to have. reported to have.

NamesNames

A female semen -- Hypocrates A female semen -- Hypocrates A female seminal liquid -- Galeno A 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)

Female EjaculationFemale Ejaculation

It refers to the expulsion of noticeable It refers to the expulsion of noticeable amounts of clear fluid or the amounts of clear fluid or the emission of liquid by human females emission of liquid by human females from the paraurethral ducts and/or from the paraurethral ducts and/or urethra (through the genitals )during urethra (through the genitals )during orgasm.orgasm.

It is also known colloquially as It is also known colloquially as squirting or gushing or dribblingsquirting or gushing or dribbling

Source Of Fluids Expulsed Source Of Fluids Expulsed By Females During OrgasmBy Females During Orgasm

1-Urethral ejaculate ---Female 1-Urethral ejaculate ---Female prostate fluid ---Female prostate fluid ---Female ejaculationejaculation !!! !!!

2-Excess vaginal secretions ?? ---- 2-Excess vaginal secretions ?? ---- vaginal ejaculation fluid--- leukorrhea vaginal ejaculation fluid--- leukorrhea --- vaginal --- vaginal lubrication lubrication ( 1- 4 ml in 24 ( 1- 4 ml in 24 hour )hour )

which lubricates the vaginal walls and oozes out which lubricates the vaginal walls and oozes out during sexual arousal. , during sexual arousal. ,

it contains vaginal secretions from walls of the it contains vaginal secretions from walls of the vagina..vagina..

its function is partly self-cleansing, partly lubrication its 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

Ejaculate Fluid Comes Ejaculate Fluid Comes FromFrom

From the urethra From the urethra

Not from the bladderNot from the bladder except in a very small number except in a very small number of women complaining from of women complaining from urinary incontinenceurinary incontinence

Not from the vaginaNot from the vagina

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

The Dual Function Of The The Dual Function Of The UrethraUrethra

The fact that the ejaculation comes The fact that the ejaculation comes from the urethra is often pointed to as from the urethra is often pointed to as evidence that the liquid is urine and not evidence that the liquid is urine and not ejaculate. ejaculate.

Can any people claiming that male Can any people claiming that male ejaculate is anything other than a ejaculate is anything other than a sexual fluid. Because of the dual sexual fluid. Because of the dual function of the urethra,function of the urethra,

Most men find it impossible to urinate Most men find it impossible to urinate when they are aroused and have an when 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 can Just like a man can

ejaculate and urinate out ejaculate and urinate out of his urethra can a of his urethra can a woman!woman!

Female UrethraFemale Urethra The male prostate is an distinct organ that The male prostate is an distinct organ that

surrounds the male urethrasurrounds the male urethra but the female prostate lies within the wall but 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 shown as indicated in the illustrations shown

It is part of and contained within the wall It is part of and contained within the wall of the urethra, and the urethra is of 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 is The average size of the female prostate is 1.3 inches long, 0.75 inches wide, 0.4 1.3 inches long, 0.75 inches wide, 0.4 inches in height (3.3 x 1.9 x 1 cm), and inches 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 organ Which 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 all Despite its smaller size "it possesses all the structural components of the male the structural components of the male prostate.“prostate.“

The female prostate comes in many The female prostate comes in many different shapes and sizes but the majority different shapes and sizes but the majority of women have a prostate that is of women have a prostate that is positioned near the external urethral positioned near the external urethral orifice, as shownorifice, as shown

G-spotG-spot

During gestationDuring gestation the male and female start the male and female start with the same tissues, it's only after sex with the same tissues, it's only after sex differentiation at about 40 days that the differentiation at about 40 days that the genitals begin to look different in the male genitals begin to look different in the male and female fetus. The tissue which and female fetus. The tissue which becomes the prostate in the male does not becomes the prostate in the male does not just disappear in the female, it becomes just disappear in the female, it becomes the paraurethral glands which surround the paraurethral glands which surround the urethra.the urethra.

Based on postmortem dissections,Based on postmortem dissections, the the amount of glandular tissue varies from amount of glandular tissue varies from woman to woman, and some women have woman to woman, and some women have no discernible glandular tissue in their G-no discernible glandular tissue in their G-spot.spot.

TypesTypes Most women ejaculate, although they are Most women ejaculate, although they are

variations in the quantity of the emitted variations in the quantity of the emitted liquidliquid

With great force --- With great force --- gushing or gushing or squirtingsquirting --- 6% frequent and 13% --- 6% frequent and 13% infrequentinfrequent

With little force --- With little force --- dribble dribble -- 55-60% -- 55-60% Almost-Almost-drydry orgasm --- orgasm --- don't have any don't have any

glandular tissue can't produce anything to glandular tissue can't produce anything to ejaculate ejaculate or or very scarce secretion very scarce secretion oror the ejection takes the retrograde the ejection takes the retrograde direction towards the bladder, as direction towards the bladder, as occurs in the retrograde ejaculation occurs in the retrograde ejaculation of some menof some men

DirectionDirection

Most women Most women ejaculate, although ejaculate, although they are variations in they are variations in the the direction of the the direction of the emission the emission

Female Prostate Female 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 ducts He 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 or meaning 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 more He said the function of this fluid was to make "women more libidinous with its pungency and saltiness and lubricates their libidinous 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 usually during 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's functional, and was identified as either paraurethral or Skene's glands. glands.

Since modern medicine did not see the female prostate playing Since modern medicine did not see the female prostate playing an active and necessary role in reproduction it wasn't essential an active and necessary role in reproduction it wasn't essential to understand its function and this likely contributed to the lack to understand its function and this likely contributed to the lack of interest within doctor offices and hospitals. 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 when fully accept the concept of a "female prostate" until 2001 when the Federative Committee on Anatomical Terminology agreed the 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.

A Female ProstateA Female Prostate (A Woman's Love (A Woman's Love

Button) Button) The average size of the female prostate is 1.3 The average size of the female prostate is 1.3

inches long 0.75 inches wide 0.4 inches in inches 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 filled An elliptical container about this size when filled

with water would hold 0.17 oz [5 ml] or 1 with water would hold 0.17 oz [5 ml] or 1 teaspoon.teaspoon.

A cylindrical shape 0.75 inches across would A cylindrical shape 0.75 inches across would hold 0.32 oz. hold 0.32 oz.

If the female prostate can contain less than 0.4 If the female prostate can contain less than 0.4 oz oz

Functions Of the Female Functions Of the Female ProstateProstate 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), and prostate-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 the is the releasing of hormones into the blood stream, as a result of stimulation by the nervous blood 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 female The 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.

Ejaculate Fluid AmountEjaculate Fluid Amount

The quantity of fluid mentioned varies The quantity of fluid mentioned varies a lot according to different authorsa lot according to different authors

from a few drops to a few from a few drops to a few tablespoonfuls tablespoonfuls

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

IncidenceIncidence

the investigators that support the existence of the investigators that support the existence of female ejaculation, seem to agree that it is a female ejaculation, seem to agree that it is a possibility that actually occurs in very few possibility that actually occurs in very few women, they do not have voluntary control women, 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 Welch 40% for Darling, Davidson and Conway Welch

(1990) and (1990) and 6% for Kratochvil (1994) 6% for Kratochvil (1994)

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 in doesn't staine color on the bed and it has been proven in many chemical analyses that it is definitely not urine many chemical analyses that it is definitely not urine

it's usually clear, milky and relatively odorless, with a it'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 prostate It is very similar chemically to male prostate The paraurethral glands produce an enzyme called The 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 formerly They 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 to the taste of female ejaculation can vary from bitter to

sweet according to diet, water consumption and a host of sweet according to diet, water consumption and a host of other environmental and biological factors.other environmental and biological factors.

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 arousal may 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 such from leaking, but women have no such sphinctersphincter

With orgasm–With orgasm– with the muscle contractions of with the muscle contractions of orgasm orgasm

After orgasmAfter orgasm – presence of ejaculate in urine, – presence of ejaculate in urine, as the result of a retrograde ejaculation or just as 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

HowHow??

In some womenIn some women the paraurethral glands the paraurethral glands

produce fluid when the woman produce fluid when the woman is highly aroused.is highly aroused.

Because the paraurethral Because the paraurethral glands open into the urethra,glands open into the urethra,

the muscle contractions of the muscle contractions of orgasm force this fluid into the orgasm 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.

Male EjaculationMale Ejaculation

Male Ejaculation is the ejecting of semen from the penis, and is usually Male 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 prostate It 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 nocturnal Ejaculation may occur spontaneously during sleep (a nocturnal emission). emission).

During emission, the two ducts known as vas deferens contract to propel During emission, the two ducts known as vas deferens contract to propel sperm from the epididymis where it was stored up to the ampullae at the sperm from the epididymis where it was stored up to the ampullae at the top end of the vas deferens. The beginning of emission is typically top end of the vas deferens. The beginning of emission is typically experienced as a "point of no return," also known as point of ejaculatory experienced as a "point of no return," also known as point of ejaculatory inevitability. The sperm then passes through the ejaculatory ducts and is inevitability. The sperm then passes through the ejaculatory ducts and is mixed with fluids from the seminal vesicles, the prostate, and the mixed 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 with During ejaculation proper, the semen is ejected through the urethra with rhythmic contractionsrhythmic contractions

British Film ClassificationBritish Film Classification

In the United Kingdom, the British Board of Film Classification In the United Kingdom, the British Board of Film Classification has neither confirmed nor denied the existence of the has 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 during only 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 through Although urine and female ejaculation are both passed through the urethra, urine originates in the bladder and ejaculation the urethra, urine originates in the bladder and ejaculation originates in the Skene's glands. However, since the Skene's originates in the Skene's glands. However, since the Skene's glands are the size of a pea, it's unlikely that women who glands are the size of a pea, it's unlikely that women who ejaculate more than a teaspoon of fluid are ejecting pure ejaculate more than a teaspoon of fluid are ejecting pure ejaculation. It's far more likely that the small amount of fluid from ejaculation. It's far more likely that the small amount of fluid from her Skene's glands is mixed with some urine, producing the her Skene's glands is mixed with some urine, producing the larger quantity larger quantity

The Porn IndustryThe Porn Industry They have distorted and enlarged reality to a They have distorted and enlarged reality to a

ridiculous point.ridiculous point. Pornography and borderline pornography Pornography and borderline pornography

have encouraged the idea that all woman can have encouraged the idea that all woman can ejaculate. ejaculate.

They have also greatly exaggerated the They 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 fluid Stories of putting out a quart or more of fluid in an hour. in an hour.

At least half of the women had a combination At least half of the women had a combination of dilute urine and the "regular" female of dilute urine and the "regular" female ejaculation. Perhaps both these fluids have ejaculation. Perhaps both these fluids have some common biological trigger, or maybe some common biological trigger, or maybe only women who experience "regular" female only women who experience "regular" female ejaculation release the dilute urine. ejaculation release the dilute urine.

Lack of understanding of this phenomenon has Lack of understanding of this phenomenon has caused some women great anguish. Worried caused some women great anguish. Worried that she is urinating, or accused of such by her that she is urinating, or accused of such by her husband, husband,

a woman may find the only way to avoid a 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 convincing Finding out they are normal, and convincing their husbands they are not "peeing" can make their husbands they are not "peeing" can make a world of difference.a world of difference.

Female Ejaculation Female 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 the It is mostly accomplished by stimulation of the urethral sponge (sometimes identified as the urethral sponge (sometimes identified as the G-spot) an area purported to be near the front G-spot) an area purported to be near the front of the vaginal wallof the vaginal wall

More rarely, ejaculation can be accomplished More rarely, ejaculation can be accomplished through external stimulation of the clitoris through external stimulation of the clitoris alone, the internal tissue of the clitoris then alone, the internal tissue of the clitoris then contracting and stimulating the urethral tissuecontracting and stimulating the urethral tissue

I think thatI think that

when the amount of female ejaculate when the amount of female ejaculate is is smallsmall – it contains ejaculation fluid – it contains ejaculation fluid from urethera and vaginal lubrication from urethera and vaginal lubrication fluid from vaginafluid from vagina

when the amount of female ejaculate when the amount of female ejaculate is is largelarge -- it contains ejaculation fluid -- it contains ejaculation fluid from urethera and vaginal lubrication from urethera and vaginal lubrication fluid from vagina and amounts of fluid from vagina and amounts of urine from bladder. urine from bladder.