Dear Dr. Kate,
I am wondering if it is possible for a woman to urinate during orgasm? I realize that what I am experiencing may be female ejaculation, but everything I’ve read about it seems to stipulate that it usually happens during G-spot stimulation. The only times I’ve ever experienced this was during clitoral stimulation. Is it possible that it is female ejaculation even without G-spot stimulation, or could I really be urinating when I orgasm?
— Old Faithful
Women’s anatomy can be strange sometimes. You’ve got the pleasure button of the clitoris located right above the functional button of the urethra, and it’s difficult to stimulate the former without some sort of sensation going to the latter. So it’s definitely possible that you’re urinating when you come — especially if you have noticed that you leak urine at other times (like when you cough or laugh).
Female ejaculation is still very controversial among doctors. Some believe that it represents fluid coming from the glands around the urethra, but many others think that any kind of fluid release is either urine or lubrication.
Emptying your bladder before sex can reduce the chance of urine leakage when you climax. And if you do notice pee leakage at other times, Kegel exercises can help strengthen your pelvic muscles (which has the added bonus of more pleasure during intercourse).
— Dr. Kate
Dr. Kate is an OB/GYN at one of the largest teaching hospitals in New York City. She also lectures nationally on women’s health issues and conducts research on reproductive health. Check out more of her advice and ask her a question at Gynotalk.com.