Feeling the need to pee during sex is more common than many people realize. It’s usually a symptom of urge incontinence, which occurs when pressure on the bladder and urethra is combined with weakened pelvic floor muscles.
It’s important to understand why it happens so you can take steps to prevent it. Read on to learn more about the causes of this issue and effective treatment options.
Feeling the Urge
There’s probably nothing more of a sexual buzzkill than feeling the urge to pee during sex. Whether it causes a pause in climax or has you running out of the room in fear that your bladder is about to spray the sheets, it can take all the fun out of a good time down there.
Women often receive the advice to urinate prior to engaging in sexual activity, which is meant to prevent urinary tract infections (UTIs). The female urethra is shorter than the male urethra, and bacteria that enter the urethra during sex can easily cause a UTI. Urinating before sex can prevent this, since it shifts the focus to the bladder.
The feeling that you need to pee during sex can also be due to other factors. For instance, friction between your penis and vagina during sex can sometimes cause an intense feeling of needing to pee. This is because it can stimulate the front wall of your bladder and evoke feelings of needing to empty it, much like a squirt down there would.
If this happens to you regularly, talk with your partner. They may be able to help alleviate your need to pee during sex by changing positions or using toys that put less pressure on your vagina and clitoris. Additionally, working on strengthening your pelvic floor muscles can help reduce the sensation that you need to pee during sex.
Full Bladder
The urethra and bladder are adjacent to the vagina, so sexual arousal can make it feel like you have to pee. Also, the muscles that control urination relax during orgasm, which can increase your risk for urinary leakage.
If you’re worried about peeing during sex, try emptying your bladder before engaging in sexual activity. You can also experiment with different sex positions to see if any position puts more pressure on your bladder. If you still find yourself leaking during orgasm, talk to your doctor about getting some pelvic floor therapy.
For men, urinary incontinence is often caused by prostate problems. For women, it can be a sign of an overactive bladder or a urinary tract infection. Urinary tract infections cause the frequent feeling of needing to urinate, as well as other symptoms such as pain in the back or abdomen, blood in the urine, and a strong odor.
Some factors can lead to peeing during sex in women, including weak pelvic floor muscles, hormonal changes such as pregnancy or menopause, and certain medical conditions, such as diabetes or multiple sclerosis. The fear of a urine leak can lower sexual pleasure and affect libido, so many women avoid sex altogether. However, there are ways to prevent peeing during sex that range from simple lifestyle changes to surgical procedures.
Pelvic Floor Muscles
Feeling like you have to pee during sex is a lot more common than people expect. It happens when something is inserted into the vagina and puts pressure on the bladder or urethra (the tube that urine flows out of). This can be a sign of stress incontinence, which is caused by weak pelvic floor muscles.
Having a full bladder can also cause the sensation, because the muscles that close off the bladder are working harder when the bladder is full. It’s also possible that the sensation is a false alarm, and it isn’t actually an urge to pee at all. It could be something else, like female ejaculation or the build-up of arousal that occurs down there.
It’s a good idea to use more lubricant during sexual intercourse, which can minimize friction and make it less likely that your bladder will be pushed against. It’s also a good idea to practice Kegel exercises to strengthen the pelvic floor muscles, which can help to control bladder movements and prevent leakage during sex.
Leaks during sex are not only embarrassing, but they can ruin the experience for both partners. They can also be frustrating for those who have to deal with them on a regular basis, since they can wreck libido and even affect quality of life. But the good news is that a variety of lifestyle changes and treatment options are available, from pelvic floor physical therapy to medication in more serious cases.
Stress Involvement
If the feeling of peeing during sex is a constant concern, you can consult a healthcare professional for help. You’ll probably be told that it is normal to feel the urge to pee during sex, especially as many sexual positions can put pressure on the bladder and urethra. It’s a good idea to empty the bladder pre-coitus and experiment with different sexual positions, as this can reduce the likelihood of urinary leakage.
However, there are some cases where the urge to pee during sex isn’t a sign of urinary leakage at all. Instead, it could be a result of female ejaculation. It’s thought that during orgasm, the paraurethral glands release a fluid that can resemble urine.
Urination during orgasm is known as coital urinary incontinence and it’s more common in women than men. It can cause a loss of confidence, reduced libido and a lower quality of life. Fortunately, there are ways to manage the condition and it’s nothing to be ashamed of.
You may be able to reduce or eliminate the feeling of peeing during sex by making lifestyle changes and practising pelvic floor muscle exercises. However, if the feeling is persistent, you should consult a healthcare professional for medical advice, as they can advise on underlying causes and treatment options. In the meantime, it’s recommended that you use absorbent pads to avoid a wet, embarrassing surprise.
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