Abstract
Women may expel various kinds of fluid during sexual arousal and at orgasm. Their origins, quantity, compositions and expulsion character depend on anatomical and pathophysiological dispositions and the degree of sexual arousal.
These are sexual responses but may also represent symptoms of urinary incontinence. The article distinguishes various type of physiological sexual responses related to fluid leakage at orgasm and differentiates these phenomena from symptoms of illness.
Female ejaculation orgasm manifests as either a female ejaculation of a smaller quantity of whitish secretion from the female prostate or as a squirting of a larger amount of diluted and changed urine. Both phenomena may occur simultaneously.
Coital incontinence is divided into penetration form occurring at stress urinary incontinence or orgasmic form caused by detrusor overactivity. Fluid expulsions are not typically a part of female orgasm.
Female ejaculation and squirting are two different, exceptional but physiological phenomena of female sexuality. Coital incontinence is a sign of illness and requires treatment.