(as published in SpaceCoastMedice.com Jul/Aug 2010, page 88)
The all so famous “G-Spot” was first described by Dr. Ernst Gräfenberg. Numerous books have been written about the G-Spot and the special sensations that come with it. A yellow liquid has been noted that comes with a G-spot orgasm or ejaculation. Is this true or is it urine?
I will describe some of the possible scenarios, describe the G-Spot and urinary incontinence that coincides with or follows sexual relations.
The G-Spot is an area on the anterior or front side of the vagina, about 2-2.5 inches inside extending to close to the cervix or start of the uterus. There are no glands in the G-Spot, and even though books have been written about the “G-Spot orgasm and ejaculation,” it seems that most female orgasms are in some way related to clitoral stimulation. However, the G-Spot can definitely enhance or “double” sexual experience
Female ejaculation, that is oft en contributed to the G-Spot, actually comes from the glands around the urethra in front of the vagina (Skene’s glands), and is often brought out by the muscle contractions that come with orgasm. This fluid is obviously not urine, however may look like it.
However, urine loss can occur during sexual intercourse and can definitely dampen the excitement and fun. It is hard to relax and enjoy if you know that pressure or, on the other hand, trying to relax the muscles, will release urine. Oft en, if this occurs, other causes of urinary stress incontinence, such as exercise, sneezing, coughing and laughing, may also lead to leakage.
Pelvic Floor Strength Important In some women who have complaints of urinary frequency and urgency, sexual stimulation can lead to the feeling of having to empty the bladder, and has an adverse effect on excitement and desire. Intercourse definitely rubs on the bladder and vagina and in some women does not lead to urine loss, but gives them an infection afterwards. This can oft en be prevented with antibiotics after intercourse. It has the same mechanism as the “honeymoon cystitis,” however it manifests every time and not just with initial sexual intercourse.
If your sexual experience gets disturbed by urine loss, or, instead of excitement, leads to the feeling of having to go to the bathroom, it is oft en the deciding factor to seek medical help. Intervention will obviously depend on the reason and severity of the urine loss or urgency and can vary from pelvic floor exercises to medications, surgery or nerve stimulation. Strengthening the pelvic floor can prevent or diminish the loss of urine; however control of the muscles of the pelvic floor can also enhance the sexual experience.
The goal will be that if there is a yellow liquid during sexual relations, it is ejaculate from the Skene’s glands and not urine. Wetting the bed is not a negative as long as it is not urine.
Marja Sprock, M.D., FACOG, at Central Florida UroGynecology in Rockledge is a board certified OB/ GYN with fellowship training in urogynecology and special expertise in cosmetic gynecology. She is an expert in the diagnosis and treatment of urinary urgency, frequency and loss, as well as G-spot enhancement and other cosmetic urogynecologic surgeries.