There are many reasons why you may feel the need to pee during sex. Some women experience urinary leakage during orgasm due to weak pelvic floor muscles and some medical conditions.
Urinating during sex can be very pleasurable, but it’s not always easy. In this article we’ll explore why you may feel the urge to pee during orgasm and some effective ways to combat it.
1. Urinary Incontinence
Urinary incontinence is a problem that affects many people. It causes urine to leak out of the bladder when pressure puts too much stress on it. This can happen when you jump, sneeze, laugh, or exert yourself physically. It’s also common to experience it during pregnancy, childbirth and menopause because these events can cause the pelvic floor muscles to weaken.
The urinary system is a complex network that includes the kidneys, ureters, bladder and urethra. A ring of muscle (sphincter) squeezes to keep urine inside the bladder and relaxes when we need to urinate. Urine is then passed out of the body through a tube called the urethra.
If you have urinary incontinence, your doctor will ask you questions about your symptoms and do a physical exam. They may also order a urinalysis, which checks for infection, traces of blood and other issues. They might also ask you to keep a urine diary for a few days so they can see when and how often you leak.
If a health condition is to blame, they may be able to treat your incontinence by resolving the issue. For example, if it’s caused by an enlarged prostate, they might prescribe medicine to help relieve it. If it’s due to weakened pelvic floor muscles, they might recommend exercises to strengthen them. They might also recommend a procedure to support your urethra, like using a urethral insert or pessary.
2. Weak Pelvic Floor Muscles
If you have a weak pelvic floor, a common problem that’s more common in women than men, it’s likely the reason why you pee when you orgasm. Whether you had a vaginal birth, a Caesarean section or any long-standing medical condition, the muscles of your pelvic floor can be weakened. When these muscles are weakened, they can no longer support your bladder and urethra. This can result in stress incontinence – which is leakage caused by increased pressure on the bladder like coughing, sneezing or sexual activity.
Weak pelvic floor muscles can also lead to a type of female ejaculation called paraurethral discharge. The fluid resembles urine but can also cause pain and itching. While some experts believe this fluid is a form of female orgasm, others say it’s actually a mixture of urethral secretions and the vaginal lining.
You can try doing kegel exercises to help strengthen the pelvic floor. Performing these exercises will take time to see results, but it can significantly improve urinary control and orgasm intensity for both men and women. If you aren’t sure what to do or have concerns about your pelvic floor strength, visit a healthcare provider. They can perform a physical exam of your pelvic floor muscles using their fingers and check for spasms or knots in the area. They can also give you an intrarectal exam or a vaginal exam to find the source of the problem.
3. Full Bladder
Women who are regular pee-ers sometimes orgasm while they’re urinating. This occurs because the bladder, urethra, and clitoris are close together, and a full bladder pushes on sensitive structures in these areas that trigger sexual arousal, including the internal clitoris (also called the G-spot), which is located about a finger width from where the urethra opens up into the vagina. This can cause a release of both urine and a milky white substance, which feels very much like peeing.
This sensation may be more likely for women who have urinary incontinence, which is the involuntary loss of urine. Urinary incontinence can be triggered by many different factors, including weak pelvic floor muscles, hormonal changes (especially after childbirth), and certain medical conditions like diabetes or multiple sclerosis.
If you have urinary incontinence, it’s important to empty your bladder before having sex. If you regularly orgasm while delaying urination, it puts your bladder and urethra at risk of injury and can damage the muscle fibers that control your bladder and urethra. Also, routinely delaying urination may lead to bladder infections, which can be painful and require medical attention. Urinary incontinence is a common problem, but it’s treatable. There are many options available for those who are suffering from this condition, including medication and exercise. Visiting a urologist can help you find the best treatment option for your needs.
4. Stress
Feeling like you have to pee during sex is one of the more uncomfortable sensations that can happen, but there are several reasons this may occur. One possibility is that the position of sexual penetration can put pressure on erogenous zones like the urethral sponge and clitoris, and when you urinate, this relieves the pressure and stimulates nerves in these areas which can trigger an orgasm. Another possibility is that you have a full bladder, which can press against the urethra and the Skene’s glands on either side of it, and this can cause a sensation like you need to pee during sex.
Finally, the sensation of feeling like you have to pee can also be a sign that squirting is about to happen. “A lot of women who are orgasming will have this gush or clear fluid that feels like they’re peeing,” Lexx Brown-James, LMFT, tells SELF.
If you’re constantly leaking urine during orgasms, there are many things you can do to help manage the problem. In some cases, urinary incontinence can respond well to certain overactive bladder medications, and Kegel exercises can strengthen the pelvic floor muscles to help prevent leaks. If the issue persists, it is best to consult with a doctor or urogynecologist to determine the underlying cause and find a solution that works for you.
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