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Female ejaculation is not a novel issue. Hipocrates had already talked about "female semen". Later, it was Galeno, going against the theories of Aristotle, who defended the existence of a female seminal liquid. De Graaf (1672), claimed the existence of a female "prostate" or "corpus glandulosum" that, according to him, secreted a fluid that made women more libidinous (pp. 103-104). However, in recent times, the strongest bet was placed by Grafenberg (1950) claiming the existence of an area, the G point, in the anterior wall of vagina, that stimulated provoked the emission of a fluid simultaneously with orgasm. Finally, it was the work of Ladas, Whipple & Perry about the G point, in 1982, the one that most contributed to the social diffusion of this issue, generating a period of new investigations about female sexual response. The possible anatomic structure of the supposed ejaculation would be the following: as sustained by Testud & Latarjet (1975), around the urethra we find a lot of urethral and paraurethral glands that, together, receive the name of "female prostate". This name has been assumed by others (Johnson, 1922; Huffman, 1948; Sevely & Bennett, 1978; Zaviavic & Whipple, 1990; Zaviavic, Sidlo & Borsokae, 1933; Gittes & Namakura, 1996, etc.). The urethral glands drain in the urethra, differentiating them from the paraurethral glands because the later drain in the vestibule, around the urethral meatus. Histologically, they are similar to the male prostatic glands (Testud y Latarjet, 1975; Tepper et al., 1984), although the ductal tissue predominates over the glandular tissue. The same authors also claim that, apart from the previously mentioned glands, there exists the yuxtaurethral glands or Skene's glands, which drain below the urethral meatus, in the position 4 and 8 (taking as reference the position of the numbers in the sphere of a clock). With the bibliographical relaunching of the female ejaculation, the investigations have been oriented in two clearly different directions. On one hand we have those who claim that any ejected fluid is a product of 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, different 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 supposed female ejaculation, of prostate acid phosphate and fructose, elements normally present in male ejaculation, seems proven. The quantity of fluid mentioned varies a lot according to different authors. Belzer (1983) estimates 10 ml; Goldberg (1983), from 3 to 15 ml.; Bullough (1984) 12 ml; Zaviavic (1987), 16 ml. and Heat (1984) from 30 to 50 ml. 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). In our clinical experience, we can divide the women according to those that do not believe in female ejaculation (understood as expulsion of fluid during the orgasm or feeling a greater humid sensation that increments itself during the climax), those that believe that they loose urine during the orgasm and those that believe that female ejaculation is a common happening, till the extent of a women coming to inquire about a possible anorgasmia because she "didn't ejaculate". The works appeared on the female ejaculation have partially tranquilized those women who believed that they emitted urine during orgasm but it has created, in certain groups, the quest of the female ejaculation, as in its day happened with multiorgasmia. We do not think to be wrong when we claim that, in a way, all these publications, and the ones referred to the G point, have fattened the list of the sexual myths instead of optimizing the sexual life of women. Reprinted by permission of Dr. F. Cabello Santamarķa and the Scientific Committee of the 13th World Congress of Sexology.
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