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