Female prostate: myth or reality?

On its blog, ONY tackles 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.

However, embryology teaches us that the tissues forming the prostate in the male fetus are also present in the female fetus. They simply develop differently under hormonal influence.

While women do not have a prostate per se, they do have a prostatic remnant that would have much the same function. This homologous tissue is called Skene's glands (or paraurethral 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 opening near the urinary orifice.

Although microscopic, these glands constitute 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 similar to male prostatic fluid (PSA, enzymes).

In most women, Skene's glands are underdeveloped, making "female ejaculation" almost imperceptible, 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 the "fountain woman" (or squirting).

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

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

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The existence of this prostatic tissue in women opens up the possibility of developing pathologies similar to those in men, although their frequency remains radically different. Distinguishing myths from medical realities helps to clarify the situation.

Can women develop prostate cancer? Technically,adenocarcinoma of Skene's glands exists, but it remains extremely rare. These tumors express the same markers as male cancer:

The risk remains minimal, but it proves the homology of the tissues. Detectable PSA in a woman does not usually indicate cancer, but rather recent stimulation or inflammation.

Benign disorders occur more frequently and can affect sexual health:

In case of persistent urethral pain or sterile urinary infections, consult a urologist or gynecologist. A pelvic ultrasound or MRI may be necessary to make a diagnosis.