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For as long as I've been teaching people about sexuality, I've known that there is confusion about where urine exits a body assigned female at birth. I would ask students on the first day of class if it exits: the clitoris, meatus, vagina, or anus and an astounding number would get it wrong.
This may just seem like an anatomical technicality but it's actually quite consequential. If people misunderstand the vulva's orifices then they have a higher risk of misunderstanding pregnancy, contraception, urinary tract infections, and sexual abuse.
We need to empower ourselves and each other to know what's down there because it does make a difference.


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I’m Dr.

Lindsey Doe, clinical sexologist and host of this sex curious show Sexplanations. [WHIP CRACKING, COUGH]. Last month, I posted a 24 hour poll on Twitter that asked “When did you learn most people with vaginas don’t pee out of them?” I gave four options: childhood ages zero to eleven, adolescence twelve to seventeen, 18+, or just now which could be any of those ages.

I knew from teaching human sexuality at the university lots of people wouldn’t know the answer. But what I forgot is that even if people know urine doesn’t come out the vagina, they still don’t know where it does come out. “It comes out the clitoris!” “Yeah, not the vagina! It comes out the anus.” Noooooooo!

Unless a person has a so-called birth defect or reconstructive surgery, urine exits a body assigned female at birth through a hole called the meatus -- the opening of the urethra, located below the clitoris and above the vagina. “Well, okay that’s easy, clit, pee hole, vagina hole, poop hole. One pleasure spot, three holes!” No. Seven holes!

Meatus, vagina, two openings to the paraurethral ducts (also called the periurethral gland, lesser vestibular glands, and Skene's gland), two openings to the Bartholin’s glands or greater vestibular gland and the anus makes seven. Urine exits through the meatus. Not here or here or here but here.

Which means that you can’t flush semen and the sperm in it out of the vagina by peeing. People think you can though. After all, we say, “pee after sex.” The reason why we say this, though, is because germs can get moved around during intercourse especially from the anus to the meatus.

And peeing reduces the risk of this leading to a urinary tract infection. We need to teach this to kiddos at a young age! To wipe front to back and why!

That urine comes out of a different hole than menstrual blood. Where menstrual products go and don’t go. And that babies aren’t typically born out the anus.

From the time that little ones are able to communicate, they need to know the names for their body parts and what those body parts do. Language is a huge way we connect to ourselves (and to others). It’s also a way we protect our bodies or name parts that have been hurt or violated.

By age two, I would start using vulva, vagina, and anus. By age four add clitoris, meatus, labia and mons. I’d like everyone to ace this quiz before puberty.

Where does urine exit the vulva? The meatus or urethra. Not the anus?

Nope. Or the clitoris? Nunh unh.

How many holes are in the vulva? Six. The anus below the vulva makes seven.

Is peeing after sex an effective form of birth control? Noooooo. Why is it important to pee after sex?

To flush out the pathogens. Do other people in your life know the right answers to these questions? If not, please tell them and stay curious.

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