The real doctor approved answer: Is squirting pee?

Is Squirting Actually Pee? What Women Need to Know

“Squirting” during sex refers to the release of a significant amount of fluid from the urethra at or near orgasm. Many women—and their partners—wonder whether this fluid is simply urine, or something different. Here’s an evidence-based, doctor-approved overview written in clear language.

What Happens During Squirting

• During sexual arousal and orgasm, some women experience involuntary, forceful expulsion of fluid through the urethra.
• This phenomenon can vary greatly in volume—from a few teaspoons up to several ounces.
• It’s often called “female ejaculation,” though technically that term can also refer to a smaller, milky fluid produced by the Skene’s glands (sometimes called the female prostate).

What Scientific Studies Tell Us

Several studies have analyzed the composition of the fluid released during squirting:

• Urinary markers
• High levels of urea and creatinine (chemical waste products normally found in urine) have been measured in squirted fluid.
• This suggests at least part of the fluid comes from the bladder.

• Prostate‐specific markers
• Small amounts of prostate‐specific antigen (PSA)—produced by the Skene’s glands—are sometimes detected.
• This indicates that some glandular fluid can mix with urine during emission.

• Bladder involvement
• Real‐time ultrasound studies show the bladder fills and then empties during squirting.
• Blocking the urethra stops squirting entirely, further confirming a bladder connection.

How Squirting Differs from Urinary Incontinence

It’s important to distinguish squirting from true urinary incontinence (unintentional leakage):

• Coital incontinence
• Defined as involuntary urine leakage during intercourse or orgasm.
• Associated with pelvic floor weakness or urinary tract issues.
• If you leak small amounts of urine unintentionally and feel distress, that could be a sign of incontinence rather than pleasurable squirting.

• Purposeful squirting
• Often associated with pleasure and orgasmic release.
• Voluntary or semi‐voluntary in the sense that it’s tied to sexual arousal.
• Fluid typically shoots out under pressure, not just drips.

Why the Debate Persists

• Overlap of fluids
  The urethra can carry both urine and glandular secretions, so samples are often mixed.
• Variability
  Some women report a clear, odorless fluid; others notice a mild smell or slight color, depending on recent hydration or bladder contents.
• Cultural and anecdotal factors
  Personal accounts and media can shape expectations, but individual bodies vary widely.

Key Takeaways on Composition

• The majority of “squirted” fluid is urine.
• A smaller component may originate from Skene’s glands (female prostate), containing PSA and other proteins.
• The exact mix depends on hydration, bladder fullness, and individual anatomy.

Should You Worry About Health Risks?

For most women, squirting is a normal sexual response and not harmful. However, consider medical advice if you experience:

• Pain or burning during or after squirting
• Frequent urinary tract infections (UTIs)
• Leakage at times unrelated to sexual arousal
• Pelvic pain, pressure, or sudden changes in bladder control

If any of these apply, you might consider doing a free, online “symptom check for ” to help decide whether to seek medical evaluation.

Tips for Healthy, Comfortable Squirting

• Stay hydrated. Drinking water can reduce any strong urine odor or color.
• Empty your bladder first. Go to the bathroom before sex to control how much fluid is available.
• Use waterproof bedding or towels. Protect sheets and surfaces against unexpected fluid.
• Practice pelvic floor exercises. Strengthening your pelvic muscles (via Kegels) can improve control over squirting and reduce unwanted leakage.

When to Speak to a Doctor

While squirting is usually harmless, get medical attention for:

• Severe pelvic pain or spasms
• Frequent, unexplained UTIs
• Sudden incontinence outside of sexual activity
• Any symptom that feels life-threatening or is significantly affecting your quality of life

Always trust your instincts. If something feels wrong, talk to a healthcare professional right away.

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Understanding squirting can help you feel more comfortable and informed about your body. Remember, every woman is unique—and whether or not you experience squirting, your sexual pleasure and health matter. If you’re ever unsure, “symptom check for ” or schedule an appointment to speak to a doctor about your concerns.