Q: When a women squirts, is it purely vaginal fluids or vaginal fluids and urine?
A: Squirting (or female ejaculation) is when fluid is released from the Skene's gland during orgasm. This gland only contains vaginal fluid. So, for a majority of women, if they're squirting, only vaginal fluid is released. For most women, it's nearly impossible to urinate while sexually aroused, because blood flow increases to the diaphragm below the bladder, inflating the urinary sphincter and blocking the urinary tract. This makes it difficult/impossible to urinate, which we likely evolved to make sure that urine doesn't come into contact with sperm when we have sex (since urine kills sperm cells).
The exception to this rule is if a woman is suffering from a disorder that causes urine to leak out during sex. This is often due to a pelvic floor disorder that is most common among women who are age 65 or older and have given birth to multiple children. These women tend to suffer from general incontinence (inability to control urine flow), so it's usually part of a larger problem for these individuals. But, if a woman doesn't suffer from general incontinence, it's most likely that she releases only vaginal fluid when she squirts.
Q: Is it possible for all women to squirt? And what causes squirting compared to other orgasms?
A: Women actually “squirt” every time they orgasm, but most women squirt toward the inside of the vagina, with most of the fluid traveling up the urethra and up into the bladder. Squirting is caused by a release of vaginal fluid from the Skene’s gland, which is right next to the urethra and its main purpose is to clean urine (and its acidity) out of the vagina/urethra. For a woman to ejaculate outside of her body, it usually requires the Skene’s gland to be naturally positioned toward the outer vagina and pointed outward. Some women are just born this way. If a woman is not a “natural squirter” she can develop her squirting ability by building up her Kegel muscles, which can point the Skene’s gland outward when flexed. A woman can also spread her vaginal lips and lift the upper vagina up and out during orgasm, to make it more likely the Skene’s gland will squirt outward.
Answers provided by Dr. Ross Avilla
Dr. Ross Avilla has been teaching Human Sexuality since 2013 and has a PhD in psychology from UC Davis. Dr. Avilla is not a clinician and all information and advice offered on this website is for educational purposes only.