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Leaky Bladder, No More: How to Conquer Coital Incontinence and Reclaim Your Confidence

Leaky Bladder, No More: How to Conquer Coital Incontinence and Reclaim Your Confidence

 

Coital incontinence is known as a complaint of involuntary loss of urine during sexual activity. Around 20-35% of women experience this embarrassing dysfunction which also affects their confidence and self-esteem. 

If ignored, it could lead to less sexual desire, less ability to achieve your climax, and could affect intimacy and relationship in the long term.

Symptoms of Coital Incontinence

It is generally divided into two types:

  1. Incontinence (leaking urine) during penetration
  2. Incontinence at orgasm 

Not only the fact you might be leaking during sexual activity, but there are also other symptoms you may experience if you experience from coital incontinence:

Bladder pain

Stress incontinence

Urge incontinence

Nocturia – excessive nighttime urination

Slow or reduced stream when urinating

Abrupt urine flow stopping without the bladder having fully been emptied

If you have experienced any of the above, you are advised to seek professional treatment early as it is easier to cure when the symptoms are less frequent and mild. 

Causes of Coital Incontinence

Coital incontinence is a lot more likely to happen if you are having sex and if you are already having some type of urinary incontinence. A ton of research indicates that expelling urine during sex is correlated with the severity of stress incontinence and urethral inadequacy or weakness. When we have symptoms already,  urine leakage in our normal daily lives, no matter how infrequent or small volume, sexual stimulation can put stress and pressure on one's bladder or urethra. When we seem to have weakened pelvic floor muscles, this irritation can cause stress urinary incontinence, or stress urinary incontinence upon sexual pressure.

Coital Incontinence vs Female Ejaculation

Not to be mixed with the enjoyable discharge during orgasm or arousal, Coital incontinence is physiologically unique and tends to be much different from female ejaculation. Female ejaculation can occur as either female ejaculation of a small amount of whitish secretions from the female prostate (Skene gland) or squirting of a larger amount of diluted liquids. Coital incontinence is kind of different, it is just urine that has come from our bladder, uncontrollably and sometimes even unknowingly to the person until the smell of urine has been smelled. But let's be real, it doesn't matter. If you're still feeling a bit "drippy" try one of the many options of Washable Pee Panties offered at Moon Time Store. As a great affordable option, these are the perfect alternative to wetting your normal underwear. 

Treatment for Coital Incontinence

Coital incontinence can be a highly irritating problem for women but fear not; it is a treatable condition. There are more than a couple of ways you can benefit from depending on how bad it is. :

Pelvic floor exercise: 

Also commonly known as Kegel Exercise. This is a specific type of exercise used to strengthen the pelvic floor (muscles that are the opening of the urethra, vagina, and rectum).

This helps your muscle strength and endurance, which as a result of this, gives you better bladder control. Other benefits that also go hand in hand include making sexual sensations better and improving your bowel movements. 

Kegel Exercise Malaysia with a physiotherapist

Pelvic floor training with a pelvic physiotherapist

Sexual positions:

Some therapists (Sexologists and Pelvic Health Physiotherapists) will also be able to consult certain suitable sexual positions according to your condition to find ones that put lesser stress/pressure on your bladder. It is better if you have a position where you can be more in control and less likely to put pressure on your bladder.