Editing Female ejaculation (section)

===Relation to urinary incontinence===
Towards the later part of the 20th century, there was significant confusion between female ejaculation and [[coital incontinence]]. In 1982, Bohlen explained the accepted wisdom:<ref name="bohlen">{{cite journal |author=Bohlen JG |title="Female Ejaculation" and urinary stress incontinence |journal=J. Sex Res. |volume=18 |issue=4 |pages=360–8 |year=1982 |doi=10.1080/00224498209551161}}</ref>

{{blockquote|The previously accepted notion that all fluid expelled during a woman's orgasm is urine is now being challenged... sexologists must take care not to assume now that any fluid produced at orgasm is "female ejaculate".}}

Scientific studies from the 1980s and later have demonstrated that the substance produced is distinct from urine, though it does show similarities such as alkalinity with urine.<ref name=Kratochvil>{{cite journal |author = Kratochvíl Stanislav |date=April 1994 | title = Orgasmic expulsions in women | journal = Českoslovenaká Psychiatrie | volume = 90 | issue = 2 | pages = 71–7 | pmid = 8004685 }}</ref> Davidson's study of 1,289 women found that the sensation of ejaculation was very similar to that of urination.<ref name="davidson"/> One study by [[Gary Schubach]] used [[urethral catheterization]] in order to separate urine from orgasmic expulsions from elsewhere in the body. Seven women claiming to have ejaculations expelled large volumes of urine through the catheter at orgasm, and little to no other fluid.<ref name=Schubach>{{cite journal |author = Gary Schubach |date=August 2001| title = Urethral Expulsions During Sensual Arousal and Bladder Catheterization in Seven Human Females | journal = Electronic Journal of Human Sexuality | volume = 4}}</ref>

It may be important for physicians to establish whether there is in fact any incontinence in women who report ejaculation, to avoid unnecessary interventions.<ref name=Pastor2013/><ref name="pmid19170835"/> It is also important for physicians to distinguish orgasmic ejaculation from vaginal discharges which may require further investigation and treatment. In individual cases, the exact source of any reported discharge may not be obvious without further investigation.<ref name="pmid15166070">{{cite journal| author=Mitchell H| title=Vaginal discharge--causes, diagnosis, and treatment. | journal=BMJ | year= 2004 | volume= 328 | issue= 7451 | pages= 1306–8 | pmid=15166070 | doi=10.1136/bmj.328.7451.1306 | pmc=420177 }}</ref>