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Peeing During Sex is Very Common – Is it Urination or Orgasm?

Peeing during sex is very common.⁣⁣⁣ Approximately 60% of women with urinary incontinence leak during sex⁣⁣⁣. Dr. Tessa Krantz answers common questions that many women are embarrassed to talk about or discuss with their provider.
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What is the Difference Between a Squirting Orgasm, Female Ejaculation and Sexual Incontinence? ⁣


All three involve fluid coming from the bladder during sex. ⁣⁣⁣

  • Squirting is the expulsion of a large quantity of liquid during sexual stimulation. This type of orgasm includes a rapid ejection of urine from the bladder.⁣⁣
  • Female ejaculation is a release of both urine and a substance from the skene’s glands; the secretion is of thick, milky fluid
  • Sexual Incontenence aka Coital Incontinence is when someone loses control of their bladder during sex.⁣⁣⁣
  • Ejaculation in people with vaginas may include a small release of a milky white liquid that does not gush out. Squirting, on the other hand, is usually a higher volume. It is possible to squirt and ejaculate at the same time. ⁣⁣⁣
  • What Other Research is Available?


    The results of a few studies have indicated that Squirting, FE, and CI are different phenomena.
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What Treatments Are Available?


There are several treatments available for coital incontinence. The most commonly suggested treatments include: Strengthening the pelvic floor with pelvic floor exercises that can be done on your own or with the assistance of pelvic floor physical therapists , bladder retraining and lifestyle changes. Some of the changes we recommend are: ⁣⁣⁣

  • Understand your triggers, and learn patterns to avoid before sex, including avoiding caffeine and alcoholic ⁣⁣⁣
  • Try different sex positions that place less pressure on the bladder ⁣⁣⁣
  • Empty your bladder before sex⁣⁣⁣
  • Weight loss if overweight may help⁣⁣⁣
  • Decrease fluids before sex⁣⁣⁣
  • Lubrication- this will place less pressure on the bladder⁣⁣⁣

If these treatments do not help, seek help from your provider, there are more options available! Dr. Tessa Krantz is a UroGynecologist at Urology Associates. For more information on women’s health topics, visit her Instagram @pelvichelp