The squirt game. Psychosexual characteristics of women experiencing squirting: insights from a case-control study

Background: The psychosexual characteristics of women who report experiencing squirting (Sq)—ie, the copious expulsion of fluid during sexual stimulation, typically coincident with female orgasm, and distinct from other forms of periorgasmic fluids (POF)—have been scarcely investigated. Aim: To delineate the psychological and sexual functioning profile of women who report the ability to squirt, through the integration of clinical data of enrolled women as well as validated psychosexual assessments and biochemical analysis of POF samples. Methods: This single-center, cross-sectional, case-control study involved 13 selected women who self-reported the production of POF. Participants completed a comprehensive battery of validated psychometric instruments, including the Female Sexual Function Index (FSFI), Orgasmometer-F, Body Uneasiness Test (BUT), Middlesex Hospital Questionnaire, Attachment Style Questionnaire, and the Sexual Inhibition/Sexual Excitation Scale (SIS/SES). Each participant provided POF samples collected at home, which were subjected to biochemical analysis to distinguish Sq from other potential types of POF. Outcomes: The psychosexual characteristics of the women able to produce Sq were compared with those of a sample of age-matched women unable to produce Sq. Results: Among the 13 individuals from whom POF samples were obtained, 8 were classified as Sq producers, 4 as exhibiting coital incontinence (CI), and 1 as displaying female ejaculation (FE). Compared to controls, women in the Sq group demonstrated significantly higher scores on the FSFI Total (P<.001), as well as in the Desire (P=.044), Arousal (P<.001), and Lubrication (P=.013) subdomains. Additionally, they reported higher scores on the Orgasmometer (P=0.008) and the SES scale (P=.017), alongside significantly lower scores on the BUT (P=.018) and the Discomfort with Closeness subscale (P=.017). Clinical implications: These findings suggest that women who report Sq may exhibit better overall sexual functioning, more positive body image, and more secure relational attachment. Encouraging open, evidence-based discussions within clinical settings may facilitate more personalized care and contribute to improved sexual well-being. Strengths and limitations: The use of validated psychometric instruments and the inclusion of a control group enhance the reliability of the findings. However, the small sample size and reliance on self-reported data limit the generalizability of the results. Conclusion: Women who report Sq appear to exhibit more active psychosexual characteristics than those who do not. Further research with larger and more diverse samples is warranted to validate and expand upon these findings.