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Susan Kellogg Spadt, PhD, CRNP, IF, CST
Pelvic Pain Specialist
Professor of OB-GYN at Drexel University College of Medicine
Professor of Human Sexuality at Widener University
Assistant Professor at Rutgers Robert Wood Johnson Medical School
Bryn Mawr, PA
Dr. Susan Kellogg Spadt is a nationally recognized expert in pelvic/vulvar pain and sexual dysfunction who treats patients from the greater Philadelphia/tri-state area and throughout the United States. She performs direct patient care and consultative services as a vulvar specialist, sexual dysfunction clinician and therapist.
Dr. Susan Kellog Spadt is a professor of OB-GYN at Drexel University College of Medicine; professor of human sexuality at Widener University; assistant professor at Rutgers Robert Wood Johnson Medical School, and clinical associate faculty at the University of Pennsylvania and Thomas Jefferson University. She is a certified sexual therapist and educator and is a fellow of the International Society for the Study of Women's Sexual Health.
Dr. Susan Kellogg Spadt has authored/co-authored two books, 15 book chapters, more than 75 peer-reviewed articles, and has been a featured columnist in Women's Health Care, The Female Patient, Contemporary Sexuality, and The New York Times.
She speaks internationally on genital health and human sexuality and has been featured in popular venues, including The Today, Show, 20/20, CNN, Cosmopolitan, Discovery Channel and WebMD.
Dr. Susan Kellogg Spadt is currently the director of female medicine at the Center for Pelvic Medicine, Academic Urology of PA, LLC.
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Medically Reviewed
Q:
My question regards ejaculation upon having an orgasm. I am a 46-year-old woman who in the last two years seems to expel a good amount of "fluid" when approaching and/or reaching orgasm. What is this fluid? It has no odor. Is it coming from my bladder? (I do have slight incontinence.) Is there anything that can be done to control it?
A:
Although most women might be surprised to hear it, women, like men, can ejaculate fluid during orgasm. This is thought to be related to an orgasm triggered by the Gräfenberg spot, or G spot, a very sensitive area on the front of the vaginal wall, about a third of the way up from the vaginal opening "on the way" to the cervix. One survey of 2,350 women found 40 percent reported having some ejaculation or fluid release during orgasm. Additionally, 82 percent of women who said they were aware of their G spot reported fluid release during orgasm.
This fluid likely comes from small glands located on either side of the vaginal opening called Skene's glands, which seem to act in women like the prostate in men (the prostate provides the fluid for the male ejaculate). In fact, some researchers have suggested that Skene's glands be renamed "the female prostate."
What I would say is that you shouldn't be concerned about the release of fluid during orgasm. You are perfectly normal! However, if you still have any concern that this may be urinary incontinence, I strongly recommend you see your health care professional. Women do not have to suffer with incontinence; special exercises, drugs, even surgery can help resolve this issue.
And finally, please try not to be embarrassed. Release of fluid is a natural part of the sexual response for many women. Talk to your partner about your concern and get his or her feedback. You may find your partner feels it provides an added excitement to your lovemaking.
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