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• Click here to download a printable version of this article. Adobe Reader required.• Get the Adobe Reader FEMALE EJACULATION,
MYTH AND REALITY |
ABSTRACT
In our sexual therapy practice, out of a sample of 220 women, we have found three (1.36) whose demand was related to the emission of liquid, through the genitals, during orgasm. This took us to question ourselves about one of the main controversies surrounding the orgasmic response of women, that is, the existence or not of "female ejaculation". Investigations about this issue have been polarized around two clearly differentiated lines. On one hand, we have all those who state that any fluid emitted during orgasm is nothing else than a certain degree of urinary incontinence (Kinsey, 1953; Masters & Johnson, 1988; Bohlen, 1982; Kaplan, 1983; Golberg et al. 1983, Alzate, 1985, etc.). On the other, we have all those authors that try to prove that women emit certain fluid, that differs from vaginal lubrication, during their sexual response (Grafenberg, 1950; Sevely & Bennet, 1978; Belzer et al., 1981; Perry & Whipple, 1981; Addiego et al., 1981; Sensabaugh & Kahane, 1982; Belzer et al., 1984; Zaviavic et al., 1984; Stifter, 1987; etc.). Thanks to this last group, the presence, in the suposed female ejaculation, of specific prostate acid phosphatase and fructose, elements normally present in male ejaculation, seems proven.
Anyhow, the investigators that support the existence of female ejaculation, seem to agree that it is a possibility that actually occurs in very few women: 10% for Whipple and Perry (1981), 14 % for Bullough et al. (1984), 40% for Darling, Davidson and Conway Welch (1990) and a 6% for Kratochvil (1994).
We believe that most women ejaculate, although they are variations in the quantity of the emitted liquid and/or the direction of the emission. We think it is quite possible that the fact that many women do not perceive an ejaculation, during the orgasm, is caused by the product of their "female prostate" being very scarce or because the ejection takes the retrograde direction towards the bladder, as occurs in the retrograde ejaculation of some men. To try and test this hyphotesis, we have analyzed, in the pre and postorgasmic urine, the presence of prostate specific antigen (PSA) in order to find any difference due to the substances elaborated in the urethral and paraurethral glands and in Skene's ducts. All this is what is known as the "female prostate". After doing a Microparticle Enzyme Immunoassay (MEIA) to detect PSA, we observed that 75% of our sample presents PSA levels in postorgasmic urine that is not detectable in preorgasmic urine. The difference in PSA concentration between pre and post urine was tested for the whole set of data by two-tailed Wilcoxon's pairs signet-ranks test. The differences found were significant (p= 0.0002).
With the obtained data, we confirm our hypothesis and intend to confirm the previous works about female ejaculation, calm those women that fear that they have urinated while experiencing orgasm and, finally, break the growing myth of the "ejaculating superfemale" because we state that all, or at least most, women ejaculate.
Reprinted by permission of Dr. F. Cabello Santamarķa and the Scientific Committee of the 13th World Congress of Sexology.
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