Read Female Ejaculation and the G-Spot Online
Authors: Annie Sprinkle Deborah Sundahl
However, scientific studies from the 1980s and later have demonstrated that the substance produced is distinct from urine, though it does show similarities such as alkalinity with urine.
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However, women claiming to have ejaculations who have agreed to
urethral catheterization
prior to intercourse expelled large volumes of urine through the catheter at orgasm.
citation
needed
A recent study of women who report ejaculation found no evidence of any urological problems, suggesting these two conditions (ejaculation and coital incontinence) are quite distinct physiologically, although perhaps not always distinguishable in a particular individual's mind.
citation
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Davidson's study of 1,289 women found that the sensation of ejaculation was very similar to that of urination.
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It may be important for physicians to sort out whether there is in fact any incontinence in women who report ejaculation, to avoid unnecessary interventions.
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It is also important for physicians to distinguish orgasmic ejaculation from vaginal discharges which may require further investigation and treatment. In individual cases, the exact source of any reported discharge may not be obvious without further investigation.
Nature of fluid
Critics have maintained that ejaculation is either stress incontinence or
vaginal lubrication
. Research in this area has concentrated almost exclusively on attempts to prove that the ejaculate is not urine,
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measuring substances such as
urea
,
creatinine
,
prostatic acid phosphatase
(PAP),
prostate specific antigen
(PSA),
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glucose
and
fructose
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levels. Early work was contradictory; the initial study on one woman by Addiego and colleagues reported in 1981,
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could not be confirmed in a subsequent study on 11 women in 1983,
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but was confirmed in another 7 women in 1984.
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In 1985 a different group studied 27 women, and found only urine,
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suggesting that results depend critically on the methods used.