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首页> 外文期刊>The journal of sexual medicine >Female ejaculation orgasm vs. coital incontinence: A systematic review
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Female ejaculation orgasm vs. coital incontinence: A systematic review

机译：女性射精性高潮与性交失禁：系统评价

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Introduction: Women may expel various kinds of fluids during sexual arousal and at orgasm. Their origins, quantity, compositions, and expulsion mechanisms depend on anatomical and pathophysiological dispositions and the degree of sexual arousal. These are natural sexual responses but may also represent symptoms of urinary incontinence. Aim: The study aims to clarify the etiology of fluid leakage at orgasm, distinguish between associated physiological sexual responses, and differentiate these phenomena from symptoms of illness. Methods: A systematic literature review was performed. EMBASE (OvidSP) and Web of Science databases were searched for the articles on various phenomena of fluid expulsions in women during sexual arousal and at orgasm. Main Outcome Measures: Articles included focused on female ejaculation and its variations, coital incontinence (CI), and vaginal lubrication. Results: Female ejaculation orgasm manifests as either a female ejaculation (FE) of a smaller quantity of whitish secretions from the female prostate or a squirting of a larger amount of diluted and changed urine. Both phenomena may occur simultaneously. The prevalence of FE is 10-54%. CI is divided into penetration and orgasmic forms. The prevalence of CI is 0.2-66%. Penetration incontinence occurs more frequently and is usually caused by stress urinary incontinence (SUI). Urodynamic diagnoses of detrusor overactivity (DOA) and SUI are observed in orgasmic incontinence. Conclusions: Fluid expulsions are not typically a part of female orgasm. FE and squirting are two different physiological components of female sexuality. FE was objectively evidenced only in tens of cases but its reported high prevalence is based mostly on subjective questionnaire research. Pathophysiology of squirting is rarely documented. CI is a pathological sign caused by urethral disorder, DOA, or a combination of both, and requires treatment. An in-depth appreciation of these similar but pathophysiologically distinct phenomena is essential for distinguishing normal, physiological sexual responses from signs of illness.
机译：简介：女性可能在性唤起和性高潮时排出各种体液。它们的起源，数量，组成和驱逐机制取决于解剖学和病理生理学特征以及性唤起的程度。这些是自然的性反应，但也可能代表尿失禁的症状。目的：该研究旨在阐明性高潮时渗漏的病因，区分相关的生理性反应，并将这些现象与疾病症状区分开。方法：进行系统的文献综述。在EMBASE（OvidSP）和Web of Science数据库中搜索有关性唤起和性高潮期间女性各种液体排出现象的文章。主要观察指标：文章重点关注女性射精及其变异，性交失禁（CI）和阴道润滑。结果：女性射精性高潮表现为女性射精（FE）中雌性前列腺分泌的少量白色分泌物或喷出了大量稀释和改变的尿液。两种现象可能同时发生。 FE的患病率为10-54％。 CI分为渗透形式和性高潮形式。 CI的患病率为0.2-66％。渗透性尿失禁的发生频率更高，通常是由压力性尿失禁（SUI）引起的。在高潮性尿失禁中观察到逼尿肌过度活动（DOA）和SUI的尿动力学诊断。结论：排出液体通常不是女性性高潮的一部分。 FE和喷出是女性性行为的两个不同生理成分。 FE仅在数十个病例中得到客观证明，但据报道其患病率高主要是基于主观问卷调查。喷射的病理生理学很少有记载。 CI是由尿道疾病，DOA或两者结合引起的病理征象，需要治疗。深入了解这些相似但病理生理上不同的现象对于区分正常的生理性反应与疾病征兆至关重要。

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