Understanding Urinating During Sex: Causes, Concerns, and Solutions

There are many reasons for frequent urinary incontinence during sex. According to the National Association for Continence, approximately 25 million American adults experience either short-term or long-term incontinence. Up to 80 percent of women also experience this. In fact, one in four women over the age of 18 experiences urine leakage at some point.

Women may experience urine leakage during sexual activity or during orgasm, or both. Sexual arousal can put pressure on your bladder or urethra. Combined with weak pelvic floor muscles, this pressure can cause stress incontinence. If you urinate during orgasm, it's often due to your bladder muscles spasming.

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Stress urinary incontinence occurs when sex puts pressure on the bladder. Triggers for stress incontinence are different for each person. Common triggers include:

• cough

• Laugh

• Sneeze

• lifting heavy objects

• doing physical activities like running or jumping

• having sex

Some people may have an increased risk of urinary incontinence during sex. The following are some common risk factors:

• pregnancy and childbirth

• menopause

• Enlarged prostate or prostate surgery

• bladder stones

• being overweight

• Infections in your lower urinary tract, bladder, or prostate

• constipation

• nerve damage from conditions such as stroke and diabetes

• certain medications, including some antidepressants and blood pressure medications

• Natural diuretics and bladder irritants such as caffeine and alcohol

• reduced ability to move independently

• loss of mental function

• Previous gynecological or urinary tract surgery

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When a man has an erection, the sphincter at the base of his bladder closes, preventing urine from flowing into his urethra. This means that most men cannot urinate during sex.

Men who have their prostate surgically removed to treat prostate cancer often experience incontinence, which may include incontinence during sex. They are most likely to urinate either during foreplay or at climax.

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Talk to your doctor if you think you pee during sex. Doctors help you tell whether you are actually urinating or whether it is just a fluid released during sex. If you are urinating during sex, your doctor will prescribe treatment to help control your incontinence.

1. Strengthen Your Pelvic Floor Muscles

If you're a woman, your doctor may prescribe you weighted vaginal cones or biofeedback techniques, in addition to Kegel exercises, to help strengthen your pelvic floor muscles. Kegel exercises can strengthen the pelvic floor muscles, the muscles that support the organs in your pelvis, and the sphincter muscles that open and close when you urinate or have a bowel movement. Kegel exercises may have many benefits, including:

• better bladder control

• improve fecal incontinence

• Increases blood flow to sexual organs and increases sexual pleasure

In men, Kegel exercises can help not only with urinary incontinence, but also erectile dysfunction. A small study showed that 40 percent of men who had erectile dysfunction for more than six months had their symptoms completely resolved with pelvic floor physical therapy and doing Kegel exercises at home. Exercises can be done standing, sitting, or lying down, and they can be done at any time or place. Before doing these, make sure to empty your bladder.

First, locate your pelvic floor muscles. Once you've identified those muscles, tighten them when you're not urinating, hold them for five seconds, then relax them completely. During this, do not tighten the muscles of your stomach, legs or buttocks. Try doing this 20 times at a time.

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2. Bladder Retraining

Bladder training helps you get better control over your bladder. It helps in curing your urinary incontinence problem.

Bladder training involves using the toilet at a set time, whether you feel the urge to go or not. If you feel the need to urinate before the scheduled time, use relaxation techniques but do not go to urinate unless you can hold the urine. Gradually, the time period between bathroom breaks can be increased to 15-minute intervals, with an ultimate goal of three to four hours between urinations. It may take 6 to 12 weeks for you to reach your goal.

3.Change In Lifestyle

For some people, lifestyle changes may help prevent urination during sex:

• Try different positions during sex. This may help you find a method that doesn't put pressure on your bladder.

• Empty your bladder before sex.

• If you are overweight, losing weight may help.

• Limit your intake of beverages and foods that contain caffeine or alcohol. Caffeine and alcohol act as diuretics, as well as irritate the bladder, so they can increase your urge to urinate.

• Avoid drinking too much alcohol right before sexual activity. This will reduce the amount of urine in your bladder.

4. Medicines And Other Treatments

Medications are usually only given when pelvic floor exercises and lifestyle changes are not effective in relieving symptoms. Medications that are often prescribed to treat incontinence include:

• Medications that reduce bladder spasms, such as darifenacin (Enablex), solifenacin (VESIcare), and oxybutynin chloride (Ditropan).

• Antispasmodic, anti-tremor medications such as hyoscyamine (Cystospaz, Levosin, Anaspaz)

• Botox injection into the bladder muscles

• surgery to increase bladder size

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Most people are able to reduce or eliminate urination during sex with lifestyle changes and pelvic floor muscle exercises. If your incontinence is caused by an underlying condition, treating the condition may help reduce urinary continence. Talk to your doctor about any concerns you have.