Coital Incontinence (Bladder Leakage During Sex) | FemFusion Fitness
Urinary Incontinence and Your Sex Life
There are ways to help avoid leakage during sex and ways to lessen your embarrassment if it does happen.
By Dennis Thompson Jr.
Medically Reviewed by Kevin O. Hwang, MD, MPH
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Sexuality can be embarrassing for many people to discuss. The same goes for urinary incontinence. So it can be doubly difficult to address when incontinence gets in the way of a satisfying sex life.
Why urine leakage happens during sex is easy enough to understand. Sexual activity can place extra pressure on the abdomen, causing urine to leak. This causes many people to avoid sex, as it makes them feel unclean or unattractive. But there are ways to minimize the chance of leakage during sexual activity, and ways to discuss the problem with a partner. Incontinence does not have to be a barrier to a healthy sex life.
Incontinence and Sex Problems
Studies have found that many women with incontinence report the same amount of sexual activity as women without incontinence, and that they enjoy the sex just as much.
However, incontinence can cause inhibition, particularly in those suffering from stress incontinence. People who have stress incontinence usually can tell when during intercourse they are most likely to leak. But urge incontinence occurs unpredictably, making it difficult for the person to fully enjoy sex. The chance of embarrassment is also greater — much more urine leaks during an episode of urge incontinence compared with stress incontinence, and women with urge incontinence often leak during orgasm.
Incontinence: Ways to Avoid Leaking During Sex
You can help prevent incontinence during sex by doing any of the following:
- Limit fluid intake prior to sex.Avoid drinking anything for about an hour before you think you’ll have sex. You also should go to the bathroom just before sex.
- Perform Kegel exercises regularly.Studies have shown that women who do Kegels on a regular basis suffer less leakage during sex.
- Choose your sexual position wisely.Certain positions make incontinence less likely. A woman on top can better control her pelvic muscles and the stress caused by penetration. Entry from behind means less pressure on the bladder and urethra. Side intercourse can be less strenuous.
- Talk to your doctor.Don’t be afraid to tell your doctor about your incontinence problem, or about its effect on your sex life. Your physician will be able to help treat your incontinence, give you practical advice, and possibly refer you to a specialist.
You can also relieve some of your worry by placing towels, disposable pads, and towelettes near your bed for easy clean-up if leakage occurs.
Incontinence and Sex: Talk to Your Partner
Discussing incontinence with your sexual partner may seem an embarrassing prospect, but it is a crucial step in making sure the problem does not affect your sex life. All you have to do is tell your partner that a little urine may dribble out during sex. You also can use the fact that urine is sterile to reassure them that your incontinence cannot cause any infection.
Most importantly, keep your sense of humor. If you get upset, you will ruin the mood for you and your loved one. Laughing off a little accident can strengthen your intimacy and improve your self-esteem.
Video: How To Do Kegel Exercises For Bladder Control
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