Having a weak bladder after sex can affect your libido and quality of life. But there are treatment options to help you enjoy intimacy without worrying about leakage.
Talk to a pelvic health specialist about your concerns. Consider emptying your bladder before sex and avoiding dietary irritants like caffeine. Also, try using a vaginal lubricant such as Flyte.
Stress
Urinating during sex is not uncommon and it’s not something you should feel ashamed of. Urinating during sex is often caused by pressure on the bladder from certain sexual positions or from the uterus. It can also occur when a woman has reached orgasm. This type of leaking is usually not urine, but rather the rush of semen that exits the vulva during female climax.
The muscles that support the bladder and urethra are called pelvic floor muscles. These muscles are weakened by many things, including sex, childbirth, chronic coughing and injury to the lower back or pelvic muscles. When these muscles are weakened, they can lead to leakage. The most common cause of urinary incontinence is stress incontinence, which occurs when there is an increase in abdominal pressure on the bladder. This can happen when you laugh, sneeze, exercise vigorously or have sex.
Women with urinary incontinence often avoid sex because they are afraid of having to deal with peeing during sex or losing control of their bladder. This can cause lack of fulfillment with sex and depression in some women. Fortunately, there are several ways to prevent or reduce urine leakage during sex. Pelvic floor exercises, medications and avoiding stressful activities can help. Using a vaginal lubricant during sex may also be helpful. This can prevent friction between the urethra and the penis and make it less likely for fluid to escape from the urethra during sex.
Anxiety
Urinary incontinence can be caused by a number of things, including:
Over time, repeated episodes of urinary incontinence can lead to anxiety and depression. These symptoms can interfere with everyday activities, including work, social and family life, and sex. In women, urinary incontinence can impact libido and intimacy with partners. Women who experience urinating during sex may feel embarrassed and have trouble enjoying or having sex. This can lead to low self-esteem, lack of a sense of confidence, and avoidance of sexual activity.
One in three women with bladder leakage during sex report avoiding intimate relationships. While it’s not a pleasant topic to discuss, urinary incontinence is common and can be treated.
The good news is that you don’t need to let urine leaks stop you from having a full and enjoyable sexual relationship. It’s possible to manage your condition through lifestyle changes and pelvic floor exercises. You can also try bladder retraining and limit your caffeine intake. It’s important to speak with a healthcare professional to learn more about your symptoms and how they can be managed.
If you are experiencing leaking during orgasm, it’s important to seek care from a specialist who understands how the pelvic floor works. Your gynecologist or urogynecologist can listen to your story and provide recommendations for long-term relief of urinary incontinence after sex.
Physical Activity
Urinating during sex can be embarrassing and frustrating, but it’s not something you need to suffer in silence. It’s a very common symptom of coital urinary incontinence, or CI, which affects women with weak pelvic floor muscles. Fortunately, it is treatable and can be brought under control so that your sex life and happiness don’t have to suffer as a result.
Urine leakage during sexual activity is most often caused by urge incontinence, which happens when a spasm of your bladder muscle causes urine to escape from your urethra. This can happen during sex, especially when you reach orgasm. Typically, these spasms are caused by a sudden change in pressure, and they can be triggered by many different things.
Stress incontinence can also cause urine to leak out during sex. This happens when extra pressure on your abdomen from coughing, sneezing, laughing or intense physical activity causes your bladder to lose control. It’s a much more common cause of urinating during sex in women, but can occur in men as well.
You can reduce your chances of leaking during sex by emptying your bladder before sexual intercourse and wearing absorbent underwear. You can also try changing your sex position so that less pressure is exerted on the bladder. Practicing Kegel exercises or pelvic floor exercises can also help. Finally, avoiding bladder irritants such as caffeine or alcohol can also help prevent urine leakage during sex.
Diet
If you have urge incontinence, consuming a high-protein diet may reduce symptoms. Studies show that protein is a bladder relaxant, which can help ease urinary frequency and urgency. Drinking plenty of fluids and avoiding caffeine can also be helpful. But avoid alcohol because it can increase urine leaks.
Women with urinary incontinence often avoid intimate situations like sex because of their fear of leakage during penetration and orgasm. The condition can occur when a person has weak pelvic floor muscles that don’t provide enough support for the lower urinary tract. Hormonal changes like those that occur during menopause and pregnancy can cause these muscles to become weak. The condition is also known as stress incontinence.
Urinary incontinence can also be caused by increased abdominal pressure, which puts additional stress on the bladder and urethra. This can happen during coughing, laughing, lifting heavy objects and exercise. People with bladder pain syndrome or overactive bladder syndrome can also experience this type of leakage.
Fortunately, most cases of urinary incontinence are treatable. A doctor can recommend medications that can calm the bladder and decrease urge incontinence. These include anticholinergics, such as mirabegron, oxybutynin, fesoterodine, solifenacin and trospium chloride. Other treatments for urination issues are urethral inserts or pessaries, which fit inside the urethra to absorb urine flow. Some doctors can even inject Botox into the bladder muscle, which can ease overactive bladder symptoms.
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