Stress Incontinence – It Gets Worse

Another Stress – Coital Incontinence

As if worrying about when you might accidentally leak a little when you cough or run isn’t bad enough, there are other types of incontinence to add to the concern. These include coital incontinence and fecal incontinence. At the root of the problem is pelvic health.

Women with stress urinary incontinence may be susceptible to coital incontinence, or leakage during sex. This may occur during penetration or during orgasm. The combination of weakened pelvic floor along with an overactive bladder, which creates involuntary muscle spasms of the bladder wall, are typically the cause of coital leakage.

We know that stress urinary incontinence is a negative force in the lives of those who have it. A recent study indicates that coital incontinence deepens the negative experience, lowering the quality of sexual function in addition to other compromises often made for stress incontinence, such as reduced physical activity or sports participation. What does this mean? “Women with urinary incontinence not only change their everyday life to prevent and hide leakage, but also change their sexual function.”

Using a questionairre, the study determined that coital incontinence negatively affected participants’ views of their general health, personal relationships, and emotions, limiting engagement in physical or social activities and performance of daily role or work.

Some suggestions for managing incontinence during sex include talking to your partner, limiting fluid intake to one hour prior to sex, using the bathroom before you get started, trying new positions that put less pressure on the bladder, taking a bathroom break or trying it in the shower.

Consider talking with a healthcare professional for a treatment plan for stress urinary incontinence or coital incontinence.  Healthcare practitioners rarely ask the question so it’s up to individual patients to find the nerve to ask about treatment.  A general practitioner can refer to a urinary gynecologist, or many physiotherapists specialize in pelvic health and do not require a doctor’s referral.

Related Info:

Coital incontinence: a factor for deteriorated health-related quality of life and sexual function in women with urodynamic stress urinary incontinence

12 Ways to Minimize and Improve Coital Incontinence

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One comment on “Stress Incontinence – It Gets Worse

  1. Great article! I can definitely relate to this as my wife is stress incontinent. As for me, unfortunately I’m fully incontinent, but I’m doing my best in helping her as well. We are both doing plenty of exercises – workout, running etc. I know, that it actually intensifies stress incontinence, but from what I have learned from my doctor it also helps fight incontinence in the long term. So far, we have at least stopped progressing her incontinence – shame that it’s unfortunately a lost case already for me, but I’m doing my best to support my wife in any way I can as I really do love her. I think, that we can overcome those issues at least partially, at least we are pretty sure that by constant training, kegels and your body overall and being on a healthy diet with plenty of fluid we minimize the risk of her incontinence progressing further and at the very least this is enough. As you have said in this article, the issue is big during sex, but we recently noticed less leaking during sex – if so, it’s me who is leaking, but I don’t even care about myself in this case as I’m fully incontinent and unfortunately nothing will change this fact. Also, we could really go broke if her incontinence has progressed as we are already spending a lot on diapers for me and pads for her. At least, we found a pretty good company – hexa & co, that is really cheap and it’s not that much of an devastating blow for our wallets, but still, we feel that if her demands increased we would find ourselves in a really though spot. Anyway, we are doing our best in improving her stress incontinence issues, thanks for the article!

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