In hebrew, it means thre femail sex organ, and the meaning remains the same, regardless of what she decides to with it.
In English: "Hey, these pants are really tight, it hurts my puta! Aoch!"
How it sound like in Hebrew: "Hey, hamichmnasayim haele mamash tsmudim, ze lohets lee al haputa! Aoch!".
just so that we're clear here: If you only wear skirts, you can still use this word.