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Case Title:  Mechanism of female ejaculation; why hysterectomy can frequently cause female ejaculation even without a sexual orgasm?
Reader 8/8/2002>
I am not sure I have a problem. I just have a question. Feb., five years ago, I had a complete hysterectomy. Since then, when I climax, there is an extreme amount of moisture. I am not comfortable about asking my doctor if this is okay. However, my husband is just fine with this. In fact, we sometimes make jokes about it. I have other friends and family who have had a hysterectomy, but they haven't mentioned this as a side effect. Do I need to be concerned?
p/s I am now 49 years old. (I don't know if the age matters or not)

Dr. Lin: 8/9/2002>
It seems that you have experienced the so-called female ejaculation after having hysterectomy.
The reason is: the hysterectomy operation have destroyed a lot of parasympathetic nerves that works as the fluid release controllers in the so-called Skene's (Paraurethral) ducts in the spongy tissues between the vagina and urethra and female "seminal" vesicles distributed between the uterus and bladder. The removal or weakening of the nervous controllers generally trigger the female ejaculation during sexual excitement or orgasm. The hysterectomy surgery can also leave the Skene's ducts or/ and seminal vesicle ducts open. During sexual arousal, the vesicles are charged with fluids and the ducts release the fluids continuously. This can happen with/without an orgasm. If this won't cause your urinary incontinence, there is nothing to worry.
If the bladder's or urethral parasympathetic nerves have been disturbed or damaged by hysterectomy surgery or over-masturbation on the clitoris and G-spot, urinary incontinence, as a form of the urethral female ejaculation, may result. This generally happens without an orgasm, but the ejaculating flow stimulates the urethral nerves and let you feel the ejaculation pleasure

A healthy woman can ejaculate too when the uterine contraction during a high-level orgasm can squeeze out the fluids trapped in the Skene's ducts and the seminal vesicle ducts. Generally, in the pre-ejaculation or orgasmic state, her entire genital tissues, from the inside (uterus, vagina/urethra) to the outside (clitoris/labia) must be swollen and erected enough to let her feel the fullness of her pelvic cavity - that is the entire pelvic tissues between the low abdomen/pubis and the perineum/groins/tailbone are expanded and filled up with fluids. Once the orgasm is triggered, the uterine contraction paces the contraction of the entire pelvic tissues to force the trapped fluids to ejaculate from he Skene's or seminal vesicles ducts. The fluids can be shoot out from the urethra or vagina..
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