The case report describes the observation of spontaneous genital self-stimulation by a female fetus
during a routine third-trimester ultrasound. The fetus exhibited focused, rhythmic movements involving
the clitoral area, accompanied by pelvic and full-body contractions resembling an orgasmic response.
The episode, lasting approximately 20 minutes, was interpreted intuitively by the mother, without clinical
prompting. This unexpected observation, combined with the sonographer’s empathetic communication,
triggered a deep process of maternal introspection.
The experience prompted the woman to reflect on her own sexual development, education, and relational
patterns. She later described this moment as a turning point, leading to significant life changes: ending
an unfulfilling marriage, experiencing orgasm for the first time, forming a healthy new partnership, and
encouraging her daughter’s autonomy in emotional and sexual development.
The case highlights the psychodynamic potential of routine obstetric ultrasound, which can evoke
profound emotional insight and influence parental identity. The report also raises broader questions
about fetal behavior, the early emergence of sexual response, and the shaping of sexual identity through
sociocultural and familial norms. Observing the fetus as a separate and active subject invites healthcare
providers to consider the emotional and ethical dimensions of prenatal care. Encouraging reflective,
supportive environments during ultrasound may foster empathy, autonomy, and more inclusive
approaches to sexuality and parenting.
