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Female ejaculation orgasm vs. coital incontinence: a systematic review
1Obstetrics and Gynaecology Department, 2nd Medical Faculty, Teaching Hospital Motol, Charles University, Prague, Czech Republic. pastor.zlatko@volny.cz
The Journal of Sexual Medicine
|May 3, 2013
Summary
Female ejaculation and squirting are distinct physiological sexual responses, not typically part of female orgasm. Coital incontinence, however, is a pathological sign requiring medical attention.
Area of Science:
- Female sexual health
- Urology
- Sexual medicine
Background:
- Women may experience fluid expulsion during sexual arousal and orgasm.
- These expulsions can be natural sexual responses or symptoms of urinary incontinence.
- Understanding their origins and mechanisms is crucial for accurate diagnosis.
Purpose of the Study:
- To clarify the causes of fluid leakage during female orgasm.
- To differentiate physiological sexual responses from pathological conditions.
- To distinguish between female ejaculation, squirting, and coital incontinence.
Main Methods:
- A systematic literature review was conducted.
- Searched EMBASE and Web of Science databases.
- Included articles on female ejaculation, coital incontinence, and vaginal lubrication.
Main Results:
- Female ejaculation (FE) involves secretions from the female prostate; squirting involves diluted urine. Both can occur together.
- Prevalence rates vary: FE (10-54%), coital incontinence (CI) (0.2-66%).
- CI can be stress urinary incontinence (SUI) related or due to detrusor overactivity (DOA).
Conclusions:
- FE and squirting are distinct physiological sexual responses.
- High reported prevalence of FE is often based on subjective data.
- CI is pathological and requires treatment; distinguishing it from normal responses is essential.
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