Why do I pee yellow after ejaculating

When women leak urine during sex

SHEFFIELD. When we talk about incontinence problems, we usually mean stress and urge incontinence or an irritable bladder. However, coital incontinence also belongs to the spectrum of disorders associated with the involuntary leakage of urine. This is the name given to the loss of urine during sexual intercourse. It is divided into two forms: incontinence during penetration and incontinence during orgasm.

Coital incontinence often occurs together with the other forms of incontinence mentioned. In previous studies, up to 60% of women who went to a urogynecological clinic for incontinence were also affected by coital incontinence. But those affected tend to remain silent about it. It is estimated that only 0.5–1 percent of women with coital incontinence address the problem on their own.

Web-based questionnaire

Thomas Gray, urogynecologist at the teaching hospitals of the National Health Service in Sheffield, interviewed 2,312 women who had a clinic appointment with colleagues about coital incontinence using a web-based questionnaire (doi: 10.1007 / s00192-017-3380-x).

The researchers were interested in the connections between stress incontinence and overactive bladder and the effects that incontinence has on sex life in particular and on the quality of life of women in general.

21% of all women surveyed reported involuntary urination during sex. 16% became incontinent during orgasm, 10% during penetration. The proportion was even higher among women who were generally affected by incontinence - 62% in the study. In this group, 48% reported coital incontinence. Among women without other continence problems, the proportion was 1%.

Related to overactive bladder?

There was a statistically significant association between stress incontinence and overactive bladder and coital incontinence. However, there was no particular affinity for stress incontinence or irritable bladder at the time of coital urination.

In previous studies, incontinence during orgasm was associated with the presence of an irritable bladder, and urine loss during penetration was associated with stress incontinence. If one looks at the results of the present study, this distinction does not seem to make much sense because of the wide overlap of the symptoms.

Vaginal sling can help

An indication of a common etiology of incontinence during penetration and during orgasm is also provided by the fact that the application of a tension-free vaginal tape (TVT) was able to significantly alleviate both forms of coital incontinence. 45 women underwent such an operation, and in 72% the symptoms improved as a result.

Because so many women are embarrassed to talk about coital incontinence, Gray and colleagues recommend asking patients with urogynecological problems, especially those with other symptoms of incontinence, specifically about it. Appropriate questionnaires could be helpful because it is often easier to disclose the matter in this form than in a personal conversation.

The importance of identifying and treating coital incontinence is illustrated by its effects. The women affected often try to avoid sex. They feel that their partner is avoiding them sexually. And their general quality of life is significantly lower than that of women without coital incontinence due to the sexual difficulties.