All About The Female Genitals and Female Sexuality 3

Clitoral adhesions

Less commonly discussed than vulval aroma, sebum, smegma, and clitoral adhesions are worthy of brief discussion. The clitoris has much in common with the penis, including glands that produce sebum, an oily secretion which accumulates into smegma. This has been put forward as spurious justification for routine circumcision, but is rarely discussed in relation to the clitoris. 

Smegma can become a problem if it accumulates beneath the clitoral hood - in fact, it can cause pain or  irritation and eventually cause the clitoral glans and hood to adhere to each other. These adhesions may prevent the clitoral hood from moving smoothly over the clitoral glans during sexual stimulation; this can make orgasm and sexual pleasure hard to achieve. If a clitoris is insensitive as a result of adhesions, and does not respond to sexual stimulation, a woman may think her clitoris is somehow not working.

Like the immature foreskin, the clitoral hood is often attached to the glans in young girls; this is not a matter of any concern unless there is any infection. The labia may also be adherent to each other, but once again, this is not a matter of concern because these issues usually resolve at puberty under the influence of extra estrogen. Apparently, a reduction in estrogen levels at the time of the menopause can cause adhesions to recur. 


Glands inside the clitoral hood and on the tissues of the vulva secrete sebum, which serves as a lubricant and barrier against infection. Sebum is responsible for the smooth and shiny look of the clitoral glans and the inner surfaces of the vulva. In excess, sebum becomes smegma. Sebum is a normal substance and serves a valuable purpose; it does not mean a vulva is dirty or unwashed. Only accumulations of sebum need to be washed away, which can be done by daily gentle washing.  Antibacterial soaps are unhelpful - a "sterile" vulva and vagina are at risk of infection.

Sebum and smegma may smell as a result of bacterial action - this can be an attractive smell, unless it is left unwashed for a few days! Men like the natural smell of a woman, and although women may be brought up to think of it as unclean, the vulva does have these natural scents associated with it. A woman who is in tune with her body will recognize the pattern of changing scent and taste of her vulva as she moves through her menstrual cycle.

Sebum may accumulate and form small hard lumps under the clitoral hood, which irritate both the clitoral glans and clitoral hood. Sexual activities may then be painful. The irritation may result in an urge to  masturbate, a sensation not to be confused with the urge to relieve an engorged or erect clitoris resulting from sexual arousal. (Of course, mild itching or irritation in the clitoral area may be a sign of yeast infection.) If the clitoral hood is long and covers the glans completely or cannot be retracted completely so the glans is exposed, clitoral adhesions can be obscured from view. The smegma may also accumulate in  infants and preadolescent girls, which can cause frequent rubbing which looks like masturbation.

Stimulation of the Clitoris

The clitoris is most pleasurably sensitive to rubbing rather than direct pressure. Pressing on the clitoral glans may produce very little in the way of erotic sensation. A vulval massage moves the clitoral hood rhythmically move across the glans, and is similar to the motion required to make a woman orgasm while having sex. Obviously, the clitoral glans must be lubricated to permit this motion, and sebum fulfills this function.

Many women will use a lubricant on their vulva and clitoris before massage, masturbation and sex. We recommend Probe or Astroglide. If the clitoral hood does not cover the glans of the clitoris, it may dry out and undergo keratinization, just like a circumcised penis. This does not seem to affect sexual pleasure, but female circumcision - removal of the clitoral hood - which used to be practiced for non-orgasmic women as a treatment for anorgasmia - is not recommended in any way whatsoever.

Pre-Orgamic & Orgasmic Women

Research has suggested releasing clitoral adhesions helps about one preorgasmic woman in three experience orgasm for the first time. But this is a very small number: so much so, Masters and Johnson suggest this procedure is unnecessary. If you are pre-orgasmic and your glans is concealed then you may wish to get a medical opinion but you may prefer to try a program for becoming fully orgasmic. In fact, minor adhesions can be released without the need for a doctor's help; repeatedly pulling with gentle but firm pressure in a hot bath may help; there is also a steroid cream used to release foreskin adhesion in men which may help; you may also wish to massage a lubricant or antibacterial ointment into or up your clitoral hood  perhaps twice a day.

Hoods which conceal the clitoral glans can be modified by repeatedly stretching them; alternatively a doctor may remove adhesions with a probe between the glans and hood, using a local anesthetic; most women will never need this because their clitoral hood moves easily.  Of course, the easiest way to prevent adhesions is to stop smegma building up.

Female Ejaculation and The Female Prostate

Female fetuses have structures that can develop into either "male" or "female" reproductive and sexual organs depending on the hormone levels the baby has (which depends on whether it is XX or XY genetically in its sex chromosomes). The tissue that becomes the male prostate gland is present therefore in women. Indeed, the female prostate, urethra, and vagina are closely linked, with the prostate on top of the urethra. In the 20th century the female prostate was often identified as the paraurethral glands. The female prostate is located within the tissue surrounding the female urethra, and the urethra itself is located inside the wall of the vagina. The female urethra and the female vagina both lie in a common structure: see left.

From: M. Zaviacic et. al. 2000 "The Female Prostate"

In most women the prostate is near the external urethral opening. The female prostate is known to produce and also to store prostatic fluid in ducts which drain into the urethra. It also produces serotonin.

Female ejaculate can be ejaculated from the female urethra during sex; it's a fluid with a clear, milky, or yellowish coloration and a distinct musky or pungent scent; it contains Prostate Specific Antigen (PSA), Prostatic Acidic Phosphatase (PAP), Prostate Specific Acid Phosphatase (PSAP), Glucose, Creatinine, blood Urea Nitrogen, Potassium, Sodium and Chloride. Women who ejaculate during orgasm say it is sometimes clear and odorless and sometimes times thick and pungent.

All women have a prostate gland so they all produce ejaculate, even if it seeps out unnoticed during sexual activity - especially at the moment of orgasm. Fluid in the prostate is released or expelled during orgasm as a woman's pelvic muscles contract.

Fluid released during ejaculation can a few drops, a teaspoonful or as much as two cups, according to some exponents of the art...who knows? It may be that these women are actually urinating. But the female prostate produces fluid while a woman is sexually aroused, so multiple releases of fluid can occur. This may account for the larger volumes of fluid.

The heightened effect of the woman's sexual arousal will increase the man's arousal - a definite benefit if you happen to be part of a couple where the man is experiencing delayed ejaculation.
While it has been said that delayed ejaculation treatment is difficult, the truth is rather different - it can be simple and quick if the emotional causes are identified.

What Is and Who Has a G-Spot?

Texture of G-SpotBut the female prostate and the G-Spot may be different; each woman forms a definition of what a G-Spot is by her experience of it; but the swollen "condition" of the female prostate during heightened sexual arousal is one good candidate for the role.

This shows the front wall of the vagina when the prostate is swollen and engorged. The area circled is usually inside the vagina and out of sight, brought here into view by use of hands and pelvic muscles.

How to locate the female prostate? With a speculum you may be able to see the engorged prostate gland dipping into the vagina. The video How to Female Ejaculate shows this.

Or try putting a finger or two into your vagina while you urinate so  you can feel the urine passing through the urethra; this helps find the exact position of the female prostate. In her book Female Ejaculation & The G-Spot Deborah Sundahl suggests 70% of women have a prostate gland where the thickest part is near the urethral opening, 15% have a prostate where the thickest part is near the bladder, in 7% it is thickest around the middle of the urethra, and 8% of women simply show a "rudimentary prostate" with only a few ducts and glands.

The Importance of The Right Clitoral Stimulation

The clitoris holds the key to female ejaculation; it must be stimulated for a woman to be highly aroused and have her prostate fill with fluid; this may assist in the swelling of the G-Spot. And, of course, by stimulating the clitoris she may experience orgasm and enjoy rhythmic contractions of muscles that expel  the ejaculate.

The easiest way to stimulate the female prostate is with your fingers, though a vibrator or dildo may help. How do you choose a vibrator for G-Spot stimulation? Try one curved near the tip, or a  penis shaped dildo with a ridge at the junction of the glans and shaft. Trial and error may help you find the exact one you need.

Learning to release urine from your bladder as you orgasm may help you learn to ejaculate - it's a kind of permission to be wet and messy and not fear the loss of control, but rather to enjoy the sensations. You may want to start this process when you are on your own (you may be less inhibited than when a partner is present).  Doing this in the bath is helpful - there's less mess and less clean up, and the shower head or faucet may be a good way to get aroused and have an orgasm.

Lie back, start to masturbate, fondle your clitoris, put your fingers or a vibrator up your vagina; get some pressure inside your vagina; let your arousal slowly increase; do Kegel exercises; think about letting go; as you get near orgasm hold back on  until you feel you don't wish to hold the contents of your bladder a moment longer; when you come, press out and relax the muscles of your pelvis; welcome the liquid escaping from your body. Try to squirt your urine - as far as possible - the more strength, the more powerful the sensations. Vocalize the release of fluid and make some noise.

When moving on to female ejaculation you should empty your bladder first; you need to let the urge to ejaculate occur without a full bladder; you can do this with stimulation of your prostate or urethra; while you play with your clitoris, use fingers or a vibrator to stimulate the urethra; massage the upper inside surface of your vagina; light pressure, up and down the length of your urethra; maintain clitoral massage; use different pressures and strokes; it will feel pleasant, though you may feel as if you need to release your bladder; if so, go ahead; relax and breathe deeply.

When you find a spot that is very sensitive, concentrate on it; if your G-Spot is very sensitive, work around it; keep playing with your clitoris and urethra to the point of orgasm; a slow build up is best and will produce the strongest orgasm. As you come relax your bladder and press out as if you were taking a pee. If you ejaculate you will feel a different sensation. You may feel wetness after your orgasm has subsided.

Clitoral vs vaginal stimulation and orgasm
Female ejaculation, the clitoris and vulva
Body Image and Female Sexuality