Electronic Journal of Human Sexuality, Volume 4, August 25, 2001


Urethral Expulsions During Sensual Arousal and Bladder Catheterization in Seven Human Females

Chapter 4


Important issues that need to be examined are what is known about the nature of female sexuality and orgasm and how scientific information has both been impacted by, and has an impact on, society’s construction of female sexuality.  If there were to be a new scientific paradigm regarding female urethral expulsions, what social impact would it have, particularly if it were introduced as pure science and not accompanied by a new social construct that would make it useful to women’s lives.

Stating that women’s expulsions are solely the result of urinary stress incontinence is probably a vast oversimplication.  The process may share common physiological attributes but what can be different is the intention and perspective of the individual woman.  The same muscles, nerves, sphincters and reflexes may be involved.  However, if the expulsions are viewed as natural and pleasurable and a woman feels good about her body as well as all fluids that come out of it, she can experience the expulsions more positively than a situation where these expulsions are considered “dirty“ or a malfunction of the bladder, urogenital system or any of its components.

In support of this concept, Mark Winton, in his editorial in The Journal of Sex Education and Therapy,The Social Construction of the G Spot and Female Ejaculation,” wrote that “historically, we have discovered, ignored and rediscovered biological capabilities of women that relate to their sexuality.”   He goes on to point out that the G spot and “female ejaculation” are biological issues with significant social ramifications, many as a result of society’s previous denial of these phenomena.  Winton writes:

“If women are ejaculating as opposed to urinating, the implications for a woman’s sexual feelings and desires are affected to the degree that she had been misled to view a potentially pleasurable event as embarrassing and pathological.  This may affect her ability to achieve orgasm and pleasure as she attempts to suppress this pseudourination.  Her partner’s response to female ejaculation could also affect her sexual response.”56

It should be noted that both Kinsey and Masters and Johnson have stated firmly and repeatedly that women only have clitoral orgasms.  Further, Masters and Johnson have established a great deal of professional credibility and public recognition by their description of the Sexual Response Cycle.  With or without clitoral contact, G spot stimulation along with vaginal orgasm with urethral expulsion are not part of the current Masters and Johnson paradigm.

Winton also discusses the possibility of new sexual dysfunctions being created such as, “female premature ejaculation, or perhaps female retarded ejaculation or even lack of ejaculation.”57   Women, particularly in a male dominated, goal-oriented society, could put the ability to expel fluid through their urethras as one more test of whether they and their sexuality are okay.

Men might also experience some anxiety at the idea of such changing sexual potentials for women.  They might become concerned that they may be less needed as sexual partners and, in an ironic twist, they might come to fear the expulsion of fluid by the woman as a signal of the end of a lovemaking session before the men are ready to have it end.  Finally Winton conjectures that “A change in definition of an orgasm may be seen as complex, confusing and frightening possibility.  Both men and women may find the G spot and female ejaculation as disrupting and adding new performance pressures.”58

It should be noted that, at least in American culture, there are strong negative associations with urination and defecation.  Urine, of course, is sterile and not all cultures have the same biases regarding it.  Winton also sees the possibility for positive effects from a closer examination of the phenomenon of “female ejaculation.”  Many women could be more free of guilt and shame about “urinating” during sex with the knowledge that urethral expulsions are natural sexual bodily functions.

Another benefit of a paradigm shift that would recognize female urethral expulsions as a natural sexual bodily function could be the creation of an additional sexual activity that is not necessarily a prelude to intercourse.  Our subjects and their partners reported that the process of creating a vaginal orgasm and/or a urethral expulsion separate from intercourse, is pleasurable for both the woman and a partner assisting in stimulation.  Also, these sexual practices are low risk for AIDS and STDs and no risk for unwanted pregnancy.

Perhaps, the greatest potential positive effect of women experiencing a broadening of their sexuality and sexual repertoire could be the learning of new pleasurable behaviors that are without a goal other than pleasure from that activity.  This is very similar to the lessons of the Masters and Johnson “sensate focus” exercises.  The test subjects from the current research project reported that by taking the emphasis off intercourse and putting it onto the pleasure of each activity in the moment, that the occasions in which they do decide to experience intercourse are far more pleasurable to both parties and sometimes more frequent than when intercourse was the goal. (See Appendix A).

55. Winton, pg. 151
56. Ibid, pg. 154
57. Ibid., pg. 154
58. Ibid, pg. 154


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