Everything You Need to Know About Female Ejaculation
Allo Health is dedicated to personalized well-being, offering support and trusted information tailored to individual health goals. The platform emphasizes human-generated content, led by a distinguished medical team of experts, including physicians and sexual health specialists. Their commitment to credibility involves rigorous fact-checking, authoritative research, and continuous updates to ensure accurate, up-to-date information. Allo Health's unique approach goes beyond conventional platforms, providing expert-led insights and a continuous commitment to excellence, with user feedback playing a crucial role in shaping the platform's authoritative voice.
Dr. Aditi completed her undergraduate medical education at AJIMS, Mangalore, after which she worked in multi-speciality hospitals with COVID patients and in the Pain and Palliative medicine department. Driven by her experiences, she developed a keen interest in psychiatry. Dr. Aditi believes that mental health is just as, if not more important, than physical health.
Why This Was Upated?
Our experts continually monitor the health and wellness space, and we update our articles when new information became available.
Updated on 22 February, 2024
- Article was updated as part of our commitment to diversity, equity, and inclusion.
"The following blog article provides general information and insights on various topics. However, it is important to note that the information presented is not intended as professional advice in any specific field or area. The content of this blog is for general educational and informational purposes only.
The content should not be interpreted as endorsement, recommendation, or guarantee of any product, service, or information mentioned. Readers are solely responsible for the decisions and actions they take based on the information provided in this blog. It is essential to exercise individual judgment, critical thinking, and personal responsibility when applying or implementing any information or suggestions discussed in the blog."
Female ejaculation has long been considered a topic shrouded in secrecy and shame, but it’s a completely natural – and pleasurable – bodily function that many women experience. In this comprehensive guide, we’ll cover everything you need to know about female ejaculation. From the science behind it to how to enhance your chances of experiencing it, we’ve got you covered.
What is Female Ejaculation?
Female ejaculation, also known as squirting (comment- these two terms might not be interchangeably used), is when a woman releases liquid from her urethra during sexual climax. It’s important to note that female ejaculation is not the same as vaginal lubrication – it’s a separate bodily function that can vary in amount and consistency.
There is still much debate and controversy surrounding female ejaculation. Some people believe that it is simply urine, while others argue that it is a unique fluid produced by the Skene’s glands. Despite this controversy, many women report experiencing female ejaculation and find it to be a pleasurable and empowering experience.
It’s also worth noting that not all women are able to ejaculate, and that’s completely normal. Just like with any other bodily function, there is a wide range of variation in how women experience sexual pleasure and orgasm. Whether or not a woman is able to ejaculate does not determine the quality of her sexual experiences (comment – can include a point of self-exploration being important to understand one’s sexual experience).
The Science Behind Female Ejaculation
The science behind female ejaculation is still a subject of ongoing research, and there is not yet a complete understanding of all the mechanisms involved. However, here are some key points based on current scientific knowledge:
Skene’s Glands: Female ejaculation is believed to involve the Skene’s glands, also known as the paraurethral glands. These glands are located around the urethra, near the G-spot area, and are analogous to the male prostate gland. The Skene’s glands are responsible for producing fluid that can be expelled during female ejaculation.
Composition of Fluid: The fluid released during female ejaculation has been analyzed in various studies. It has been found to contain various components, including water, enzymes, glucose, prostatic-specific antigen (PSA), fructose, and small amounts of urine. The presence of PSA, which is also found in male semen, suggests a connection between female ejaculation and the production of fluid from the Skene’s glands.
Origin of Fluid: There is ongoing debate regarding the origin of the fluid released during female ejaculation. Some studies suggest that it may be a combination of fluid from the Skene’s glands and urine due to the proximity of these glands to the urethra. Other studies propose that the fluid is primarily produced by the Skene’s glands and does not contain significant amounts of urine.
Stimulation and Arousal: Female ejaculation is often associated with intense sexual stimulation and arousal. It is commonly reported to occur in conjunction with G-spot stimulation, clitoral stimulation, or both. However, it’s important to note that not all individuals experience ejaculation or find it necessary for sexual satisfaction.
Individual Variations: The occurrence, amount of fluid, and sensations associated with female ejaculation can vary greatly among individuals. Some individuals may experience frequent and copious ejaculation, while others may experience it infrequently or not at all.
Different Types of Female Ejaculation
Female ejaculation refers to the release of fluid from the female prostate (also known as the Skene’s glands) and is commonly associated with sexual arousal and orgasm. While there is ongoing debate and limited scientific research on the topic, several types of female ejaculation have been identified and reported anecdotally. It’s important to note that experiences and descriptions of female ejaculation can vary among individuals. Here are some of the different types of female ejaculation that have been reported.
One common type of female ejaculation is known as squirting. This involves the release of a significant amount of fluid during sexual arousal or orgasm. Squirting ejaculations are often characterized by a forceful expulsion of fluid, which may resemble a gushing or spurting motion. The volume of fluid expelled can vary, ranging from a few milliliters to several ounces. This type of ejaculation is typically associated with intense G-spot stimulation and may involve the Skene’s glands.
Gushing ejaculation refers to a more abundant release of fluid during sexual activity. Unlike squirting, gushing ejaculation is typically characterized by a steady and continuous flow of fluid. The fluid may be expelled in larger quantities and may have a more gradual and prolonged release. Gushing ejaculations can also be associated with G-spot stimulation and may involve the Skene’s glands.
Female Prostatic Fluid
Some researchers propose that female ejaculation involves the secretion of prostatic fluid from the Skene’s glands, which are considered the female equivalent of the prostate gland in males. This type of ejaculation is characterized by the release of a milky or whitish fluid during sexual arousal or orgasm. The fluid is believed to contain prostatic-specific antigen (PSA), similar to male semen. The amount and consistency of female prostatic fluid can vary among individuals.
Vaginal ejaculation refers to the expulsion of fluid directly from the vagina during sexual activity. It is distinct from other types of female ejaculation, as it does not involve the urethra or the Skene’s glands. The fluid expelled during vaginal ejaculation is typically clear or whitish and may be accompanied by heightened pleasure and orgasmic sensations. The exact source and composition of vaginal ejaculate are still subjects of scientific investigation.
It’s important to recognize that female ejaculation, including squirting, is a normal variation of sexual response and should not be confused with urinary incontinence or other medical conditions. The fluid released during female ejaculation is distinct from urine and has been found to contain substances similar to prostate-specific antigen (PSA), indicating its origin from the Skene’s glands rather than the urinary bladder.
It’s worth noting that the experiences and descriptions of female ejaculation can vary among individuals, and not all women may experience or identify with these different types. Moreover, the scientific understanding of female ejaculation is still evolving, and further research is needed to explore its mechanisms, variations, and potential health implications.
If you have questions or concerns about female ejaculation or your sexual health, it is recommended to consult with a healthcare professional or a qualified sexual health specialist who can provide accurate information, address any concerns, and offer appropriate guidance tailored to your specific needs.
What Causes Female Ejaculation?
The exact causes of female ejaculation are not yet fully understood and continue to be a subject of scientific research. However, there are several factors that are believed to contribute to the occurrence of female ejaculation. Here are some potential causes:
Skene’s Glands Stimulation: The Skene’s glands, also known as the paraurethral glands, are believed to play a significant role in female ejaculation. Stimulation of these glands, particularly in the area around the G-spot, can trigger the production and release of fluid during sexual arousal or orgasm.
G-Spot Stimulation: The G-spot, a highly sensitive area located on the front wall of the vagina, has been associated with female ejaculation. Stimulation of the G-spot, either through manual stimulation, penetration, or certain sexual positions, can lead to increased arousal and the potential for ejaculation.
Intense Sexual Stimulation: Female ejaculation is often reported in conjunction with intense sexual stimulation and arousal. Engaging in activities that provide heightened pleasure and arousal, such as clitoral stimulation, vaginal stimulation, or a combination of both, can contribute to the occurrence of female ejaculation.
Pelvic Floor Muscles: The pelvic floor muscles, which support the pelvic organs, may also play a role in female ejaculation. These muscles can contract during sexual arousal and orgasm, potentially facilitating the expulsion of fluid from the Skene’s glands.
Psychological Factors: Psychological factors, including a sense of comfort, relaxation, and a strong emotional connection with a partner, can enhance sexual arousal and potentially contribute to the occurrence of female ejaculation.
The Emotional and Mental Benefits of Experiencing Female Ejaculation
Experiencing female ejaculation can have various emotional and mental benefits. While these benefits can vary from person to person, here are some common positive effects reported by individuals who engage in and embrace female ejaculation:
Increased Sexual Confidence: Female ejaculation can contribute to an enhanced sense of sexual confidence and empowerment. It allows individuals to embrace their bodies, explore their sexuality, and experience a deep connection with their own pleasure.
Enhanced Body Positivity: Female ejaculation can help individuals develop a more positive and accepting relationship with their bodies. It encourages a celebration of the body’s natural responses and promotes self-acceptance, regardless of societal expectations or judgments.
Intensified Pleasure and Satisfaction: The release of fluid during female ejaculation is often associated with heightened pleasure and orgasmic experiences. This can lead to increased sexual satisfaction and a greater sense of overall well-being.
Emotional Release and Catharsis: Female ejaculation can provide a sense of emotional release and catharsis. The intense pleasure and release of fluid can help individuals let go of stress, tension, and negative emotions, fostering a sense of emotional well-being.
Deepened Intimacy and Connection: Female ejaculation can deepen the sense of intimacy and connection between partners. The vulnerability and trust involved in sharing this experience can enhance emotional bonds and strengthen relationships.
Self-Discovery and Sexual Exploration: Exploring female ejaculation allows individuals to discover and understand their own bodies on a deeper level. It encourages self-exploration and sexual curiosity, leading to personal growth and a greater understanding of one’s desires and pleasure.
Reduced Sexual Shame and Stigma: Embracing female ejaculation can help individuals overcome sexual shame and challenge societal stigmas. By embracing this natural aspect of their sexuality, individuals can reclaim their autonomy and redefine their own sexual experiences.
Mind-Body Connection: Experiencing female ejaculation can deepen the mind-body connection during sexual experiences. It involves being present in the moment, attuned to bodily sensations, and embracing the full range of pleasure that the body can offer.
Positive Body Image: Female ejaculation can contribute to a positive body image by reinforcing the idea that all bodies are unique and capable of experiencing pleasure. It celebrates the diversity of sexual responses and encourages individuals to appreciate their bodies as they are.
Emotional Well-Being: Engaging in sexual activities that lead to female ejaculation can trigger the release of endorphins and oxytocin, which are known as “feel-good” hormones. These hormones can promote a sense of happiness, relaxation, and overall emotional well-being.
Myths and Misconceptions About Female Ejaculation
Female ejaculation is a topic that has been surrounded by myths and misconceptions. These misunderstandings often arise due to limited scientific research, cultural beliefs, and societal taboos surrounding female sexuality. It’s important to address these myths and provide accurate information to promote a better understanding of female ejaculation. Here are some common myths and misconceptions debunked:
Myth: Female ejaculation is the same as urine.
Female ejaculation is a distinct phenomenon separate from urine. The fluid released during female ejaculation is not urine but rather a fluid that is believed to originate from the Skene’s glands. Scientific studies have found that the fluid contains substances similar to prostate-specific antigen (PSA), which is not present in urine.
Myth: All women are capable of ejaculating.
Not all women experience ejaculation or are aware of their ability to do so. The occurrence of female ejaculation varies among individuals, and some women may never experience it. It is important to remember that every person’s sexual experiences and responses are unique.
Myth: Female ejaculation is a sign of sexual dysfunction.
Female ejaculation is a natural sexual response and is not an indication of dysfunction. It is a normal variation in the way some women experience sexual pleasure and orgasm. However, if a woman experiences any concerns or distress related to her sexual health, it is recommended to consult with a healthcare professional.
Myth: Female ejaculation only happens during intense orgasms.
Female ejaculation can occur during sexual arousal, orgasm, or both. The intensity of orgasm or sexual pleasure does not necessarily determine the occurrence of ejaculation. Some women may experience ejaculation without reaching a full-blown orgasm, while others may have intense orgasms without ejaculation.
Myth: Female ejaculation is rare or abnormal.
Female ejaculation is a relatively common occurrence, although its prevalence is difficult to determine due to limited scientific research. Many women have reported experiencing ejaculation or the release of fluid during sexual activity. However, societal taboos and the lack of open discussions about female sexuality may contribute to the perception that female ejaculation is rare or abnormal.
Myth: Female ejaculation is solely for the pleasure of a partner.
Female ejaculation can provide pleasure and enhance sexual experiences for both the individual experiencing it and their partner. It is not solely for the pleasure of a partner but is a natural aspect of a woman’s sexual response.
Myth: Female ejaculation is exclusive to heterosexual intercourse.
Female ejaculation can occur during a variety of sexual activities, including solo masturbation, same-sex encounters, or any sexual activity that involves the appropriate stimulation and arousal. It is not limited to specific sexual orientations or relationship dynamics.
It’s essential to approach discussions about female ejaculation with an open mind, respect, and accurate information. By debunking these myths and misconceptions, we can foster a more inclusive and informed understanding of female sexuality and promote healthy attitudes towards sexual experiences. If you have questions or concerns about female ejaculation or your sexual health, it is advisable to consult with a healthcare professional or a qualified sexual health specialist who can provide personalized guidance and support.
How to Recognize If You’ve Experienced Female Ejaculation?
Recognizing if you’ve experienced female ejaculation can sometimes be confusing, especially if you’re unsure about the characteristics and signs to look for. Here are some indicators that can help you identify if you’ve experienced female ejaculation:
Release of Fluid: One of the key signs of female ejaculation is the release of fluid from the urethra or vagina during sexual arousal or orgasm. The fluid can vary in consistency, ranging from a thin and watery texture to a thicker, milky fluid. It may be clear, whitish, or slightly yellowish in color.
Intense Pleasure and Arousal: Female ejaculation is often associated with intense sexual pleasure and arousal. If you’ve experienced heightened sensations and pleasurable feelings, accompanied by a release of fluid, it could be an indication of female ejaculation.
Sensation of Fluid Expulsion: Some individuals describe a distinct sensation of fluid being expelled or released from the urethra or vagina during sexual activity. This can include feelings of pressure, warmth, or a sudden gush of fluid.
Increased Wetness: Female ejaculation can result in increased wetness in the genital area. If you notice a significant increase in lubrication or wetness during sexual activity, it could be a sign of female ejaculation.
Post-Ejaculatory Fluid Presence: After experiencing female ejaculation, you may notice the presence of fluid on the body, bedding, or clothing. This can help confirm that ejaculation has occurred.
It’s important to remember that not all individuals with vulvas experience female ejaculation, and the intensity and frequency can vary among those who do. Additionally, the volume of fluid released can differ from person to person. Female ejaculation is a natural and normal variation in sexual response, and it should be embraced without judgment or pressure.
If you’re unsure whether you’ve experienced female ejaculation, it can be helpful to explore your body, engage in open communication with your partner, and focus on enjoying the pleasurable aspects of your sexual experiences.
Techniques to Enhance Your Chances of Experiencing Female Ejaculation
Experiencing female ejaculation can be a unique and pleasurable aspect of sexual exploration. While the occurrence of female ejaculation varies among individuals, there are techniques that some women find helpful in enhancing their chances of experiencing it. It’s important to remember that each person’s body and sexual response are unique, so what works for one person may not work for another. Here are some techniques that you can explore:
Explore your body: Take time to explore your own body and become familiar with what feels pleasurable and arousing to you. Self-exploration through masturbation can help you understand your own sexual responses and preferences.
Relaxation and arousal: Creating a relaxed and comfortable environment is essential for sexual arousal. Engage in activities that help you relax, such as taking a warm bath, practicing deep breathing, or engaging in sensual activities with your partner.
G-spot stimulation: The G-spot, an erogenous zone located on the front wall of the vagina, has been associated with female ejaculation. Experiment with different techniques of G-spot stimulation, such as using your fingers or a curved sex toy, to see if it enhances your pleasure and increases the likelihood of ejaculation.
Sexual stimulation: Engage in sexual activities that provide prolonged and focused stimulation. This can include clitoral stimulation, vaginal penetration, or a combination of both. Explore different types and intensities of stimulation to find what works best for you.
Communication with your partner: Open and honest communication with your partner about your desires, boundaries, and sexual preferences can create a supportive and understanding environment. Share your interest in exploring female ejaculation and discuss ways you can experiment together.
Build sexual arousal gradually: Take your time during sexual encounters and focus on building arousal gradually. Allow yourself to fully relax and enjoy the sensations. Engaging in extended foreplay and incorporating different types of stimulation can enhance your chances of experiencing female ejaculation.
Experiment with different positions: Different sexual positions can provide varying levels of stimulation and access to the G-spot. Experiment with positions that allow for deeper penetration or target the front wall of the vagina to potentially increase the chances of ejaculation.
Patience and self-acceptance: It’s important to approach the experience with patience and self-acceptance. Remember that the goal is not solely focused on ejaculation but on pleasure, connection, and exploration. Embrace the journey and enjoy the sensations without putting pressure on yourself to achieve a specific outcome.
It’s important to note that not all women may experience ejaculation, and that’s completely normal. Every person’s sexual response is unique, and it’s important to prioritize pleasure, comfort, and consent in your sexual experiences. If you have concerns or questions about female ejaculation or your sexual health, consider consulting with a healthcare professional or a qualified sexual health specialist who can provide personalized guidance and support.
How to Deal with Negative Reactions to Female Ejaculation
Unfortunately, there is still a lot of shame and stigma surrounding female ejaculation, and some people may react negatively or judgmentally. It’s important to remember that female ejaculation is a completely natural function and that you have every right to explore your own body and sexual desires.
Dealing with negative reactions to female ejaculation can be challenging, as it involves addressing societal stigmas and misconceptions surrounding female sexuality. Here are some suggestions on how to handle negative reactions:
Educate Yourself: Develop a strong understanding of female ejaculation by seeking reliable sources of information, such as reputable scientific studies, sex education resources, or books written by experts in the field. This knowledge will help you debunk myths, answer questions, and provide accurate information to those who may have negative reactions.
Communicate Openly: If someone reacts negatively to female ejaculation, engage in open and honest communication. Share your own experiences, explain the facts about female ejaculation, and address any misconceptions or concerns they may have. Encourage a respectful dialogue and provide them with opportunities to learn and broaden their understanding.
Assert Your Autonomy: Remember that your body and your sexual experiences are valid. It’s important to assert your autonomy and not let negative reactions or judgments affect your self-worth. Embrace your sexuality and the experiences that bring you pleasure and satisfaction.
Seek Supportive Communities: Surround yourself with supportive and understanding individuals who appreciate and respect diverse expressions of sexuality. Seek out online communities, forums, or support groups where you can connect with others who have similar experiences or can provide guidance and validation.
Set Boundaries: If someone’s negative reaction persists or becomes disrespectful, it may be necessary to establish boundaries. Clearly communicate your limits and expectations regarding discussions about your sexuality. Distance yourself from individuals who are unable or unwilling to respect your boundaries.
Advocate for Sexual Empowerment: Help challenge societal norms and promote sexual empowerment by engaging in conversations about female sexuality, consent, and pleasure. By sharing accurate information and promoting understanding, you can contribute to creating a more inclusive and supportive environment for all individuals.
Seek Professional Support: If negative reactions to female ejaculation significantly impact your well-being or relationships, consider seeking support from a sex therapist, counselor, or other healthcare professionals specializing in sexual health. They can provide guidance, validate your experiences, and offer strategies for navigating challenges related to sexual expression.
Remember that the negative reactions to female ejaculation often stem from societal misconceptions and biases, rather than reflecting any inherent issue with your experiences. Focus on embracing your sexuality, educating others, and fostering an environment of acceptance and understanding.
Common Concerns About Hygiene and Cleanliness During Female Ejaculation
One common concern about female ejaculation is hygiene and cleanliness. It’s important to remember that there is nothing dirty or shameful about female ejaculation, and that any liquid released during climax is completely normal and natural.
However, it is understandable to want to maintain cleanliness during sexual activity. Here are some key points to consider:
Precautions for Comfort: If you are concerned about maintaining personal comfort during female ejaculation, you can take some precautions. Placing a towel or waterproof sheet on the bed or engaging in sexual activities in the shower can help manage any potential mess or make clean-up easier.
Clean-up and Post-Sex Practices: After sexual activity involving female ejaculation, you can engage in regular post-sex hygiene practices. This may include wiping the genital area with a clean cloth or taking a shower. It’s essential to use gentle and non-irritating products for intimate hygiene to maintain the natural balance of the vaginal flora.
Clothing and Bedding: If you’re worried about potential stains on clothing or bedding, you can opt for darker-colored fabrics or use protective layers, such as towels or washable mattress protectors. This can help prevent staining and make laundering easier.
Self-Exploration and Self-Care: If you’re still concerned about hygiene, you can explore female ejaculation through solo masturbation. This allows you to become more familiar with your body’s responses in a private and comfortable setting, giving you the opportunity to manage hygiene according to your preferences.
Sexual Wellness and the Importance of Exploring Your Body’s Capabilities
At the end of the day, exploring your body’s capabilities and finding what brings you pleasure is an important part of sexual wellness. Whether or not you’re able to experience female ejaculation, it’s important to prioritize your pleasure and to communicate openly and honestly with your partner.
It’s also important to remember that sexual wellness goes beyond just physical pleasure. It includes emotional and mental well-being as well. Taking care of your mental health, practicing self-love and self-care, and building healthy relationships can all contribute to a fulfilling and satisfying sex life. Don’t be afraid to seek out resources and support if you need it, and always prioritize your overall well-being in your sexual experiences.
Now that you’re armed with all the information you need, it’s time to start exploring and enjoying your own sexual experiences to the fullest!
Frequently Answered Questions
Q: Is female ejaculation a sign of orgasm?
A: Female ejaculation can occur alongside or separate from orgasm. Some individuals may experience ejaculation as part of their orgasmic response, while others may experience orgasm without ejaculation. The relationship between female ejaculation and orgasm can vary among individuals.
Q: Can female ejaculation be learned or enhanced?
A: Some individuals may learn to enhance or facilitate female ejaculation through exploration, self-discovery, and sexual techniques. Experimenting with different forms of sexual stimulation, including G-spot stimulation and clitoral stimulation, may potentially increase the likelihood or intensity of female ejaculation for some individuals.
Q: Is female ejaculation always accompanied by a large amount of fluid?
A: The amount of fluid released during female ejaculation can vary from person to person. Some individuals may release a significant amount of fluid, while others may experience a smaller amount. The volume of fluid does not determine the occurrence or significance of female ejaculation.
Q: Can female ejaculation occur without orgasm?
A: Yes, female ejaculation can occur without orgasm. While the two can often happen together, some individuals may experience female ejaculation without reaching orgasm. Similarly, orgasm can occur without the release of fluid.
Q: Does female ejaculation happen during every sexual encounter?
A: Female ejaculation does not necessarily occur during every sexual encounter for individuals who experience it. The occurrence of female ejaculation can vary based on factors such as arousal levels, stimulation techniques, and individual differences in anatomy and physiology.
Q: Can medications or medical conditions affect female ejaculation?
A: Certain medications or medical conditions may have an impact on sexual responses, including female ejaculation. Medications that affect hormonal levels or sexual function, as well as medical conditions that affect the reproductive system or nerve function, could potentially influence the occurrence or intensity of female ejaculation. Consulting a healthcare professional can provide more specific information regarding individual circumstances.
Q: Can women experience multiple ejaculations in one sexual session?
A: Yes, some women can experience multiple ejaculations during one sexual session. Similar to multiple orgasms, some individuals may be able to have multiple episodes of female ejaculation with continued sexual stimulation and arousal.
Q: Can women experience female ejaculation after menopause?
A: Yes, women can continue to experience female ejaculation after menopause. Menopause does not necessarily affect the ability to ejaculate, although hormonal changes during this stage of life may cause variations in sexual responses. Each person’s experience may be unique, and individual factors such as overall health, medication use, and sexual practices can influence the occurrence of female ejaculation.
Q: Can female ejaculation lead to dehydration?
A: Female ejaculation, like any bodily fluid release, does not typically lead to dehydration. The fluid released during female ejaculation is usually a small percentage of the total fluid content in the body. However, it’s always important to maintain proper hydration during sexual activities to support overall well-being.
Female ejaculation is a beautiful and natural part of human sexuality that deserves recognition, understanding, and acceptance. It may be a topic that has sparked curiosity or raised questions, but let’s approach it with an open mind and a willingness to learn. Whether you’ve experienced it yourself or are simply curious, it’s important to know that female ejaculation is a valid and wonderful expression of pleasure.
Let go of any misconceptions or societal taboos and embrace the diversity of sexual experiences. Remember, everyone’s journey is unique, and there is no right or wrong way to experience pleasure. So let’s celebrate the amazing capabilities of the human body and foster a culture of inclusivity, acceptance, and open conversation around female ejaculation and all aspects of sexuality.