Female Ejaculation: Health Implications and Concerns - Obstetrics and Gynecology

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Inquiry about the health aspects of female ejaculation?


Hello, Dr.
Huang: Recently, when I help my girlfriend with manual stimulation, if it lasts long enough, she may experience urinary incontinence (squirting), approximately 50ml.
Although I personally don't mind at all and even feel a sense of achievement from it, I would like to ask you: 1.
Does this behavior have any adverse effects on health? 2.
Is this situation (urinary incontinence during intercourse) a sign of poor health? Is it necessary to seek treatment at a clinic? Thank you for your response!

Liao Xiansheng, 20~29 year old female. Ask Date: 2021/05/09

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Mr.
Liao: It is generally not a cause for concern if a woman experiences urinary incontinence during intercourse due to orgasm, as this typically does not indicate any anatomical abnormalities.

Reply Date: 2021/05/09

More Info


Understanding female ejaculation, often referred to as "squirting," has garnered attention in both medical and popular discussions. Your inquiry touches on important aspects of sexual health and the implications of this phenomenon. Let's delve into your questions regarding health implications and concerns related to female ejaculation.

1. Health Implications of Female Ejaculation:
Female ejaculation is a natural physiological response that can occur during sexual arousal or orgasm. The fluid expelled during this process is primarily derived from the Skene's glands, which are located near the urethra. The volume of fluid can vary significantly among individuals, and it is not uncommon for some women to expel a substantial amount, sometimes reported to be around 50ml or more, as you mentioned.

From a health perspective, female ejaculation itself is not harmful. It does not pose any direct health risks to either partner. However, it is essential to ensure that both partners are comfortable and consenting to the experience. Communication is key in any sexual relationship, and discussing preferences and boundaries can enhance intimacy and reduce anxiety.

2. Is Urinary Incontinence a Sign of Poor Health?:
The occurrence of what you describe as "intercourse urinary incontinence" can be a source of concern for some individuals. However, it is crucial to differentiate between female ejaculation and urinary incontinence. While some women may experience involuntary leakage of urine during intense sexual arousal or orgasm, this does not necessarily indicate a health problem.
That said, if your girlfriend is experiencing frequent or uncontrollable leakage of urine outside of sexual activity, it may be worth consulting a healthcare professional. Conditions such as pelvic floor dysfunction, urinary tract infections, or other underlying issues could contribute to these symptoms. A healthcare provider can perform a thorough evaluation and recommend appropriate treatment if necessary.

3. When to Seek Medical Advice:
If the occurrence of female ejaculation or urinary incontinence is accompanied by discomfort, pain, or other concerning symptoms, it would be prudent to seek medical advice. A healthcare professional can provide guidance and reassurance, as well as explore any potential underlying issues. Regular gynecological check-ups are also beneficial for maintaining overall reproductive health.

4. Psychological and Emotional Considerations:
It is essential to recognize the psychological and emotional aspects of sexual experiences. For some women, the experience of ejaculation can be liberating and pleasurable, while for others, it may cause anxiety or embarrassment. Open communication between partners can help alleviate any concerns and foster a supportive environment.

In summary, female ejaculation is a natural phenomenon that does not inherently pose health risks. However, if there are concerns about urinary incontinence or other symptoms, it is advisable to consult a healthcare provider for a comprehensive evaluation. Maintaining open communication with your partner about sexual experiences can enhance intimacy and ensure that both partners feel comfortable and respected.

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