By Madeleine Castellanos, M.D.
The U-Spot is the common term given to the area that surrounds the opening of the urethra in women. This area can be particularly sensitive because the female urethra is surrounded by spongy erectile tissue that fills with blood upon sexual arousal. This spongy tissue extends from the anterior vaginal wall, around the urethra, all the way to the pubic bone. Anatomists have called this spongy tissue the Skene's glands, or the periurethral glands. Some even call it the female prostate and believe this is where female ejaculate may come from. The skin that is directly over this spongy tissue, then, is known as the U-spot. It's already very sensitive on it's own, but becomes even more sensitive once a woman gets sexually aroused.
So what am I supposed to do with this U-spot, you ask? First let me say that if you are approaching this with a an attitude of "I've got to find this" then take a step back. So many people develop this performance-based attitude that feeds your ego, but takes away from your enjoyment and the fun of exploration. Plus, women like to feel that you are interested in her body, not in checking off a list of things to do. The sexiest attitude to take is a playful, exploratory experience and then see what feels good to her.
Now that that's out of my system...
The U-spot feels the best when it is wet and touched gently. You do not need to put a lot of pressure on it, and many women have discovered this spot just from their partner rubbing the head of their penis up and down their labia. This is a motion that can be incorporated with stimulation of the clitoris and can be a way to reach orgasm all on its own for some women. The U-spot can also be stimulated with fingers, but remember: gentle stroking across it is usually more pleasurable than pushing on it (it's a spot, not a button). Once again, incorporating this stroking with stroking of the clitoris above it may also be a pathway to orgasm for some women. And as with all things having to do with sexuality and anatomy, some women have very sensitive U-spots, while some do not. When using fingers, you may find she likes to have some wet stroking all the way from the clitoris, over the U-spot and then just into the opening of the vagina.
But most people would agree that oral sex is one of the best ways to stimulate the U-spot. This is because it already makes the area wet and has less friction than the skin of the fingers. The easiest way to find it is to find the opening of the vagina with your tongue, then softly and slowly lick upwards towards the clitoris, as if you are licking an ice-cream cone. This way, you can see which area she is most sensitive in and you won't overwhelm her with too much pressure or speed. Once you find the spot she likes, you can experiment with putting different amounts of pressure with your tongue, or going faster or slower.
So there's the skinny on the U-spot, which you may already know, even if the name is not familiar.