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==== Debate on the existence of ejaculation ==== In an extensive survey, Darling and colleagues claim support for the existence of ejaculation,<ref name="darling"/> while in a sharply critical response, Alzate<ref name=alzate85/><ref>Alzate H. Hoch Z. The "G-Spot" and "Female Ejaculation": A current appraisal. J Sex Marital Therapy 12: 217, 1986</ref> states that direct experimentation fails to provide any evidence.<ref>{{cite journal | title = Vaginal erogeneity, "female ejaculation," and the "Grafenberg spot" | author = Alzate H |date=December 1990 | volume = 19 | issue = 6 | pages = 607β11 |pmid=2082864 | journal = Archives of Sexual Behavior | doi = 10.1007/bf01542469 | s2cid = 189876845 }}</ref> Alzate states: {{blockquote|the ignorance and/or confusion still prevalent among women about the anatomy and physiology of their sexual organs may make them mistake either vaginal lubrication or stress urinary incontinence for an "ejaculation."}} [[Shannon Bell]] argues that the debate is confused by the discussion of two separate phenomena.{{specify|date=January 2011}} She comments that Alzate simply dismisses women's subjective experiences in favour of rigorous scientific proof, and is typical of male sexologists withholding the validity of experience from women. Bell's critique lies at the heart of feminist concerns about this debate, namely a tendency to "disregard, reinterpret, and overwrite women's subjective descriptions." For some, she states, it is more a matter of belief than of physiology. Bell further questions why feminists have not been more outspoken in defense of women's control over female ejaculation, pointing out that the literature frames the discussion in only five separate ways; procreation, sexual pleasure, deviance, pathology, and a scientific mystery.<ref name="bell"/> The discussion entered popular culture in 1982 with the publication of the best-selling book ''[[The G Spot and Other Recent Discoveries About Human Sexuality]],'' by Ladas, Whipple, and Perry.<ref name="Holt, Rinehart, and Winston">{{cite book |author1=Ladas, AK |author2=Whipple, B |author3=Perry, JD | year = 1982 | title = The G spot: And other discoveries about human sexuality |url=https://archive.org/details/gspototherrece00lada |url-access=registration | location = New York | publisher = Holt, Rinehart, and Winston|isbn=9780030618314 }}</ref> The book discussed female ejaculation and brought the issue back into discussions of women's sexuality both in the medical community and among the general public.<ref name="chalker"/><ref name="santamaria"/><ref name="hines">{{cite journal |author =Hines, T |s2cid=32381437 |date=August 2001 |title =The G-Spot: A modern gynecologic myth |journal =Am. J. Obstet. Gynecol. |volume =185 |issue =2 |pages =359β62 | pmid = 11518892 |doi =10.1067/mob.2001.115995}}</ref> This was a popular account of three papers by the authors, the previous year, at the suggestion of Alice Khan Ladas.<ref name="belzer">{{cite journal |author =Belzer, EG.|year =1981|title =Orgasmic expulsions of women: a review and heuristic inquiry |journal =Journal of Sex Research |volume =17 |issue =1|pages =1β13 |doi =10.1080/00224498109551093}}</ref><ref name="addiego">{{cite journal |author1=Addiego, F |author2=Belzer, EG |author3=Comolli, J |author4=Moger, W |author5=Perry, JD |author6=Whipple, B. |year =1981|title =Female ejaculation: a case study |journal =Journal of Sex Research |volume =17 |issue =1|pages =13β21 |doi =10.1080/00224498109551094}}</ref><ref name="perry">{{cite journal |author1=Perry, JD |author2=Whipple, B. |year =1981|title =Pelvic muscle strength of female ejaculators: evidence in support of a new theory of orgasm |journal =Journal of Sex Research |volume =17 |issue =1|pages =22β39 |doi =10.1080/00224498109551095}}</ref> Rebecca Chalker notes that this book was largely met with scorn, skepticism and disbelief.<ref name="chalker">{{cite book | url = https://books.google.com/books?id=m3m3_Uq8qWkC&pg=PA91 | author = Chalker, Rebecca | title = The Clitoral Truth: The secret world at your fingertips | publisher = Seven Stories | location = New York| year = 2002 | isbn = 978-1-58322-473-1}}</ref> The chapter on 'Female Ejaculation' is largely based on anecdotal testimony, and illustrates another issue in the debate, the weight placed on anecdotes and small numbers of observations rather than biomedical investigation or clinical trials. Importantly, a number of the women stated that they had been diagnosed with urinary incontinence.
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