{"id":7955,"date":"2015-06-24T15:16:08","date_gmt":"2015-06-24T07:16:08","guid":{"rendered":"http:\/\/www.intimina.com\/blog\/?p=7955"},"modified":"2021-08-02T09:06:08","modified_gmt":"2021-08-02T07:06:08","slug":"peeing-during-sex","status":"publish","type":"post","link":"https:\/\/www.intimina.com\/blog\/peeing-during-sex\/","title":{"rendered":"Peeing During Sex: The Why and How to Fix It"},"content":{"rendered":"\n

This article was scientifically fact-checked by Consultant Obstetrician and Gynaecologist Dr. Shree Datta<\/a>.<\/em><\/p>\n\n\n\n

For women who have issues with incontinence, the fear of a urine leak during intimate moments is a valid one \u2013 up to 24% of women who have pelvic floor disorders<\/a> experience leaks during sex (and there\u2019s a very good likelihood that it\u2019s underreported).<\/p>\n\n\n\n

Anxiety over the possibility of an \u201caccident\u201d can lower sexual enjoyment or even completely kill your libido.<\/p>\n\n\n\n

According to the American Foundation for Urologic Disease (AFUD), 1\/3 of women with stress incontinence avoid sexual intimacy because they fear leakage.<\/p>\n\n\n\n

However, there is no reason to just live with the strain of incontinence in your daily life, and there are things you can start doing right now to stop incontinence from sabotaging your love life.<\/p>\n\n\n\n

Understand the Problem<\/b><\/h2>\n\n\n\n

First, it\u2019s important to understand what\u2019s causing you to pee during sex. Coital incontinence can be split into 2 different categories \u2013 urination with penetration and urination with orgasm \u2013 which are caused by two different types of incontinence in women.<\/p>\n\n\n\n

Urination with penetration<\/b> happens when something is inserted into your vagina and puts pressure on your bladder or urethra (the tube that urine flows out of).  This is a form of stress incontinence \u2013 the pelvic floor muscles<\/a> are not strong enough to keep that tube closed if there\u2019s increased pressure on the bladder \u2013 like coughing, sneezing, or sex.<\/p>\n\n\n\n

Urination with orgasm <\/b>can occur because the muscles of the bladder spasm uncontrollably – this is more likely to be associated with urge incontinence or <\/span>Overactive Bladder<\/span><\/a> (OAB) . But recent studies have found that weakness of the pelvic floor also contributes to leaks during orgasm.<\/span><\/p>\n\n\n\n

Other risk factors include chronic cough or constipation, pelvic prolapse, smoking, and vaginal birth – which can all increase the risk of stress incontinence.<\/span><\/p>\n\n\n\n

It may be helpful to track other times that you experience incontinence, outside of sex. If you tend to leak while sneezing, coughing, running, etc. – urinary incontinence during sex may just be a symptom of a larger problem.<\/span><\/p>\n\n\n\n

Treating Urinary Incontinence<\/b><\/h2>\n\n\n\n

Talk to Your Healthcare Provider<\/strong><\/p>\n\n\n\n

Studies have found that only 3% of women take the initiative to talk to their doctors about problems with leaks during sex. Don\u2019t let embarrassment stop you from having a great sex life! Your doctor can only help you fully if they know exactly what your symptoms are and how often you\u2019re experiencing these leaks.<\/p>\n\n\n\n

Your doctor might want to try different treatments depending on what type of incontinence you have.<\/p>\n\n\n\n

Urination with orgasm sometimes responds well to certain OAB medication \u2013 but if you don\u2019t tell your doctor about your issues then you might not get the most effective treatment plan. Your doctor may even refer you to a urogynecologist who specializes in dealing with urinary tract issues in women.<\/p>\n\n\n\n

Kegel, Kegel, Kegel!<\/b><\/p>\n\n\n\n

Kegel exercises<\/a>, the contraction and release of your pelvic floor muscles, are the number one doctor recommended treatment for pelvic floor disorders and studies show that women who complete Kegel exercise routine on a regular basis have fewer leaks during intimacy.<\/p>\n\n\n\n

Be sure to get the right Kegel technique, you can also ask your gynecologist to help you practice or use a Kegel weight<\/a> to help you isolate those muscles.<\/p>\n\n\n\n

If you are not confident with their pelvic floor exercises, don’t forget to consider a physiotherapist appointment. It’s important to characterise the nature of your incontinence and this can be done by doing tests in the hospital with a Urogynaecology nurse. This is important as the treatment you need depends on the type of urinary incontinence you have.<\/p>\n\n\n\n

Work towards Your Ideal Weight<\/b><\/p>\n\n\n\n

Being overweight increases the likelihood of leaks because that weight can strain your pelvic floor and put pressure on your bladder. Even a 7% weight loss can improve your incontinence. Discuss your weight loss plan \u2013 including diet and exercise \u2013 with your doctor.<\/p>\n\n\n\n

Managing Incontinence During Sex<\/b><\/h2>\n\n\n\n

Talk to Your Partner<\/strong><\/h3>\n\n\n\n

Incontinence can be an embarrassing topic, especially when it\u2019s affecting your sex life. While more than half of women with incontinence report feeling concerned about leaks during sex being a problem in their relationships the majority of their partners did not.<\/p>\n\n\n\n

Communicating about the leaks with your partner is extremely important to maintaining a healthy sex life while you\u2019re treating your incontinence. Being open about the issue can bring you closer together \u2013 your partner wants to know why you\u2019ve been avoiding sex and they should also want to make intimacy comfortable for you.<\/p>\n\n\n\n

So telling them could also give you even more support and motivation towards your treatment goals.<\/p>\n\n\n\n

<\/b>Limit Certain Fluids Before Sex<\/h3>\n\n\n\n

Try not to drink liquids that can <\/span>irritate the bladder<\/span><\/a>, in the hour before you have sex. Water is great, stay hydrated throughout the day \u2013 since dehydration can also irritate the bladder and make leaks worse.<\/span><\/p>\n\n\n\n

<\/b>Go Before You Have Sex<\/b><\/h3>\n\n\n\n

Use the toilet just before you get started to lessen the likelihood of leaks. Try the \u201cdouble voiding\u201d method: urinate, then relax your bladder fully (some women also stand up for a few seconds), and try to urinate again to make sure you get as much out as you can.<\/p>\n\n\n\n

<\/b>Try New Positions<\/b><\/h3>\n\n\n\n

Certain positions, like missionary, put more pressure on your bladder, so take this as an opportunity to switch things up. As an added benefit, you both might discover a new favorite way to make love and add a little spice to the bedroom.<\/p>\n\n\n\n

Being on top gives you more control of your pelvic muscles and how much stress is placed on your bladder (not to mention a better chance of hitting your G-spot). Penetration from behind can put less stress on your bladder and urethra. Just experiment a bit to find something you both like.<\/p>\n\n\n\n

<\/b>Take a Bathroom Break<\/b><\/h3>\n\n\n\n

Don\u2019t be embarrassed to take a break during sex \u2013 between foreplay and intercourse, between intercourse and cuddling. Sex doesn\u2019t have to be a sprint, you should both take as much time as you want and enjoy the intimacy of just being together.<\/p>\n\n\n\n

Try it in the Shower<\/b><\/h3>\n\n\n\n

Or, if you\u2019re adventurous, try a little fun in the shower \u2013 a little leak won\u2019t matter so much when the water\u2019s already running and you\u2019re both enjoying getting slippery together.<\/p>\n\n\n\n

Incontinence during sex is a common problem for women of all ages \u2013 but it isn\u2019t something you just have to live with. A little bit of planning, some Kegels, and help from your doctor can get you back in the sack and enjoying your sexuality again. Just don\u2019t be embarrassed to get the help you need.<\/p>\n\n\n\n

\n

Facts checked by:<\/h3>\n

Dr. Shree Datta<\/strong><\/h3>\n
\"Dr.<\/figure>

<\/p>\n

Dr. Shree Datta is a Consultant Obstetrician and Gynaecologist in London and Associate Clinical Dean at King\u2019s College Medical School, specialising in all menstrual problems, including fibroids and endometriosis. Dr. Shree is a keen advocate for patient choice, having written numerous articles and books to promote patient and clinician information. Her vision resonates with INTIMINA, with the common goals of demystifying periods and delivering the best possible care to her patients<\/p>\n

Medical<\/a><\/strong> | LinkedIn<\/a><\/strong> | Twitter<\/a><\/strong><\/p>\n<\/div>\n\n\n\n

Written by:<\/h3>\n","protected":false},"excerpt":{"rendered":"

This article was scientifically fact-checked by Consultant Obstetrician and Gynaecologist Dr. Shree Datta. For women who have issues with incontinence, the fear of a urine leak during intimate moments is…<\/p>\n","protected":false},"author":8,"featured_media":17559,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[384,4],"tags":[],"acf":[],"yoast_head":"\nPeeing During Sex: Can You Pee During Sex and Why?<\/title>\n<meta name=\"description\" content=\"Peeing during sex can happen to women at any age, for a variety of different reasons. 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