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Case Study - Problems associated with teenage girl's urethral ejaculation and orgasmic dysfunction - no sexual orgasm.
Reader: 11/6/2001>
I never had an orgasm, I have been sexually active for almost 3 years, with the same guy. When I am about to orgasm, I think, I pee on myself. What is the reason? I pee before sex every time hoping that doesn't happen. Please answer. 

Dr. Lin: 11/6/2001> 

Your parasympathetic nerves (S1-S5) on the urethral/bladder sphincter muscle and spongy tissues are too weak.
You must erect your G-spot and urethral spongy tissues with a proper parasympathetic nervous function, so that your G-spot can get a proper stimulation to orgasm.
If you can not erect your urethral spongy tissues (your inner penis), your urethra will be overstimulated to pee.
This is similar to an impotent or semi-impotent man ejaculating his fluid without orgasm.
At age 18, your body is full of estrogen which stimulates your liver to produce excessive SHBG proteins that freeze up your testosterone and your vaginal lining is too thick to expose the G-spot for stimulation. I also wonder that your G-spot nerves and tissues have been abraded and your G-spot has been covered by a thick layer of scar tissues since you started your vaginal sex too young. If this happens to you, you won't feel your G-spot existing. That is why women starting vaginal sex too young or during (prior to) their puberty are likely to experience orgasmic dysfunction. I think that abrasion of the g-spot nerves is your main problem associated with orgasmic dysfunction and incontinency.  When your G-spot nerves are dead (due to abrasion)  or sleeping (due to excessive estrogen ),  you want to a violent stimulation on your urethra in an attempt to revive it without erecting your  urethral spongy tissues under a weak parasympathetic nervous function.  In fact, a weak parasympathetic nervous function in the urethral/bladder tissues triggers your urethral ejaculation without orgasm. 
Yet, Vaginal orgasm requires a lot of testosterone to fuel the brain's pituitary for release the orgasmic hormone to initiate orgasmic contraction of the vaginal and uterine contractile fibers. Thus, teenage girls are likely to experience clitoral orgasm, rather than vaginal orgasm. Generally speaking, as women become more matured, the orgasm pattern is shifted from the clitoral one to the vaginal one. The main reasons is the increase of the testosterone-estrogen ratio, which alternates the brain functions and the thickness of the vaginal lining.

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