TY - JOUR AU - Marco Siccardi AU - Giorgio Giorgi PY - 2025 DA - 2025/07/31 TI - Female Fetus Sexual Behavior and Maternal Introspection During Sonographic Observation: Case Report JO - Archives of Clinical Obstetrics and Gynecology Research VL - 4 IS - 2 AB - 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. SN - 2768-0304 UR - https://dx.doi.org/10.33425/2768-0304.1027 DO - 10.33425/2768-0304.1027