Urinary Incontinence - Coital Incontinence

Coital urinary incontinence with a couple being intimate with each other

Coital urinary incontinence is when you leak a small amount of urine, or fully empty your bladder, during sexual intercourse or masturbation. In women it is often misinterpreted as female ejaculation when in small amounts. Coital incontinence is likely to occur if you are sexually active and suffer from another form of urinary incontinence. You can be left feeling unclean and no longer desirable. As such, studies suggest coital incontinence has the biggest impact on quality of life, more so than any other form of incontinence.

If you are experiencing it, be reassured that you are not alone, approximately 20% of women under 60 report having coital incontinence. With true figures expected to be higher. Men can also live with coital incontinence, whether they themselves are incontinent or their partner suffers.

There are many treatments available to resolve urinary incontinence. Below, we have listed ways to recognise the symptoms and understand the causes of coital incontinence as well as utilise specific methods to reduce the amount you leak during sex.

Symptoms of Coital Urinary Incontinence

Other than leaking during sex, there are other symptoms you may experience if you suffer from coital incontinence:

Causes of Coital Urinary Incontinence

If you experience any form of urinary incontinence you will likely leak during sex as a result of the penetration, and the contraction and relaxation of your pelvic muscles.

Coital incontinence can be classified depending on what time the urine leaks during sex; penetration incontinence, during intercourse, or during orgasm. There are several events that can cause it to occur in the moment:

  • Penetration incontinence associated with stress incontinence - Penetration puts pressure on the bladder and/or urethra, causing them to leak urine.

  • Penetration incontinence due to a pelvic organ prolapse - If your pelvic floor muscles are weak, your bladder and/or urethra can prolapse (bulge) into the vagina and even outside of the vagina in advanced cases. This leaves the bladder and urethra more vulnerable to penetration incontinence. If you wish to learn more about some common causes and symptoms of prolapse you can visit our prolapse - causes and symptoms page

  • During intercourse as a result of weak pelvic floor muscles - If you have weak pelvic floor muscles, you will have less sensation around the opening to the vagina and urethra, meaning not only will sex feel less exciting, but you can leak urine without always realising.

  • During orgasm as a result of detrusor muscle over activity and/or an overactive bladder - To empty your bladder, you voluntarily contract your detrusor muscles. If it contracts too often, whether involuntarily or provoked when under pressure, it can expel urine at inopportune moments such as when you orgasm. During orgasm you may also relax your urethra, allowing the urine to leak.

To read more about these causes, and the events that can lead to you developing this or any other forms of urinary incontinence, visit the Incontinence Causes and Types page.

How to Stop Coital Urinary Incontinence

To avoid leaking during sex there are a few things you can do:

  • Pelvic floor exercises for men or Kegels for women - The most important thing you can do to reduce any form of incontinence is strengthen your pelvic floor muscles to give you better control. Other benefits include enhancing sexual sensation and improving your bowel movements. Read more in our Pelvic Floor Exercise Hub.

  • Experiment with sexual positions - Try out different positions which put less pressure on your bladder. This is usually when you are in control.

  • Limit how much you drink and avoid bladder irritants (diuretics) - This includes avoiding smoking, caffeine and spicy food.

  • Empty your bladder before sex - If you suffer from overflow incontinence as well you may not be able to fully empty your bladder. However, the less in your bladder, the less you can leak.

  • Have sex in the shower - Disguising any leaks and keeping you feeling fresh.

  • Maintain a healthy weight - Carrying more weight puts you at a high risk of developing a form of incontinence as you are putting your pelvic floor under unnecessary strain which causes it to weaken.

  • Speak to a physiotherapist that specialises in male/female pelvic health and GP - They can support you in developing a specific pelvic floor exercise plan, as well as advising you on the specific treatments that will work best for you.

To read about the other treatments available for general urinary incontinence, visit our incontinence treatment page.


Original article: Kegel8 website

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