New Insights from One Case of Female Ejaculation



      Although there are historical records showing its existence for over 2,000 years, the so‐called female ejaculation is still a controversial phenomenon. A shared paradigm has been created that includes any fluid expulsion during sexual activities with the name of “female ejaculation.”


      To demonstrate that the “real” female ejaculation and the “squirting or gushing” are two different phenomena.


      Biochemical studies on female fluids expelled during orgasm.


      In this case report, we provided new biochemical evidences demonstrating that the clear and abundant fluid that is ejected in gushes (squirting) is different from the real female ejaculation. While the first has the features of diluted urines (density: 1,001.67 ± 2.89; urea: 417.0 ± 42.88 mg/dL; creatinine: 21.37 ± 4.16 mg/dL; uric acid: 10.37 ± 1.48 mg/dL), the second is biochemically comparable to some components of male semen (prostate‐specific antigen: 3.99 ± 0.60 × 103 ng/mL).


      Female ejaculation and squirting/gushing are two different phenomena. The organs and the mechanisms that produce them are bona fide different. The real female ejaculation is the release of a very scanty, thick, and whitish fluid from the female prostate, while the squirting is the expulsion of a diluted fluid from the urinary bladder. Rubio‐Casillas A and Jannini EA. New insights from one case of female ejaculation. J Sex Med **;**:**–**.


      To read this article in full you will need to make a payment
      ISSM Member Login
      Login with your ISSM username and password.
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Purchase one-time access:

      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Korda J.B.
        • Goldstein S.W.
        • Sommer F.
        History of female ejaculation.
        J Sex Med. 2010; 7: 1965-1975
        • Gravina G.L.
        • Brandetti F.
        • Martini P.
        • Carosa E.
        • Di Stasi S.M.
        • Morano S.
        • Lenzi A.
        • Jannini E.A.
        Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm.
        J Sex Med. 2008; 5: 610-618
        • Isidori A.M.
        • Pozza C.
        • Esposito K.
        • Giugliano D.
        • Morano S.
        • Vignozzi L.
        • Corona G.
        • Lenzi A.
        • Jannini E.A.
        Development and validation of a 6‐item version of the Female Sexual Function Index (FSFI) as a diagnostic tool for female sexual dysfunction.
        J Sex Med. 2010; 7: 1139-1146
        • Wimpissinger F.
        • Stifter K.
        • Grin W.
        • Stackl W.
        The female prostate revisited: Perineal ultrasound and biochemical studies of female ejaculate.
        J Sex Med. 2007; 4: 1388-1393
        • Zaviacic M.
        • Ablin R.J.
        The use of prostate‐specific antigen as a criterion for condom effectiveness.
        Am J Epidemiol. 2005; 162: 704-705
        • Jannini E.A.
        • Whipple B.
        • Kingsberg S.A.
        • Buisson O.
        • Foldès P.
        • Vardi Y.
        Who's afraid of the G‐spot?.
        J Sex Med. 2010; 7: 25-34
        • Buisson O.
        • Foldes P.
        • Jannini E.
        • Mimoun S.
        Coitus as revealed by ultrasound in one volunteer couple.
        J Sex Med. 2010; 7: 2750-2754
        • Wimpissinger F.
        • Tscherney R.
        • Stackl W.
        Magnetic resonance imaging of female prostate pathology.
        J Sex Med. 2009; 6: 1704-1711
        • Khan Z.
        • Bhola A.
        • Starer P.
        Urinary incontinence during orgasm.
        Urology. 1988; 31: 279-282
        • Perry J.
        • Whipple B.
        Pelvic muscle strength of female ejaculators: Evidence in support of a new theory of orgasm.
        J Sex Res. 1981; 17: 22-39
        • Cartwright R.
        • Elvy S.
        • Cardozo L.
        Do women with female ejaculation have detrusor overactivity?.
        J Sex Med. 2007; 4: 1655-1658