In 2002, Emanuele Jannini of University of L'Aquila in Italy showed that there may be an explanation both for female ejaculation and for the frequent denials of its existence. Skene's glands have highly variable anatomy, and in some extreme cases they appear to be absent entirely. If Skene's glands are the cause of female ejaculation and G-spot orgasms, this may explain the absence of the phenomenon in many women.
It has been demonstrated that a large amount of fluid can be secreted from this gland when stimulated from inside the vagina. Some reports indicate that embarrassment regarding female ejaculation, and the debated notion that the substance is urine, can lead to purposeful suppression of sexual climax, leading women to seek medical advice and even undergo surgery to "stop the urine"