The female prostate: myth or reality?

On its blog, ONY addresses all anatomical subjects directly, and this one is no exception. In the strict medical sense, no, the prostate is part of the male reproductive system. It is an exocrine gland exclusive to men.

Embryology tells us, however, that the tissues forming the prostate in the male foetus are also present in the female foetus. They simply develop differently under hormonal influence.

While women do not have a prostate as such, they do have a prostatic remnant that serves much the same function. This homologous tissue is known as the Skene's glands (or para-urethral glands). Located on either side of the distal urethra, they share striking histological characteristics with the male prostate:

• Biological markers: they produce PSA (Prostate-Specific Antigen).

• Structure: they have ducts that open near the urinary orifice.

Although microscopic, these glands form a functional erogenous zone often associated with the G-spot.

Research confirms that these glands play an active role during sexual arousal. Once stimulated, they produce an alkaline fluid whose composition is close to male prostatic fluid (PSA, enzymes).

In the majority of women, the Skene's glands are underdeveloped, which makes "female ejaculation" barely perceptible, as the fluid is produced in very small quantities. In other women, this phenomenon may be more noticeable. However, this "ejaculation" should not be confused with the phenomenon of female squirting (or squirting).

To fully grasp the specificity of female anatomy, a detour through male standards is necessary. The prostate in men is a chestnut-sized gland nestled beneath the bladder. Its main function? To secrete part of the seminal fluid (20 to 30%) to nourish sperm. Sensitive to testosterone, this organ is prone to common pathologies with age (hypertrophy, cancer). This is precisely what makes the term "prostate" somewhat anxiety-inducing when applied by analogy to women.

Where the male prostate is compact, its female equivalent is diffuse. The Skene's glands are located in the anterior vaginal wall, embedded in connective tissue along the urethra. This positioning explains why stimulating the vaginal wall (the famous "G-spot") can activate these tissues. Unlike in men, this glandular tissue remains intertwined with muscles and mucous membranes, invisible to the naked eye except in cases of inflammation or a cyst. 🔍

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The existence of this prostatic tissue in women opens the possibility of developing pathologies similar to those seen in men, even if their frequency remains radically different. Separating myths from medical realities helps to see things more clearly.

Can a woman develop prostate cancer? Technically, adenocarcinoma of the Skene's glands does exist, but it remains extremely rare. These tumours express the same markers as male prostate cancer:

The risk remains minimal, but it proves the homology of the tissues. A detectable PSA level in a woman does not generally indicate cancer — rather a recent stimulation or inflammation.

Benign disorders occur more frequently and can affect sexual health:

If you experience persistent urethral pain or sterile urinary tract infections, consult a urologist or gynaecologist. A pelvic ultrasound or MRI may be necessary to reach a diagnosis.