When overactive bladder symptoms strike — with the frequent, strong urge to urinate — it may cause anxiety. This urgency to use the bathroom may happen during sex, particularly after menopause.
“Over the course of a lifetime, most women will have some issue with urgency and/or incontinence during sexual activity,” says Lauri Romanzi, MD, Urogynecologist with NYU Langone Health. “What’s less common is to have that symptom all the time during sexual activity.”
What are ways to cope with overactive bladder during sexual activity?
If you often feel the urge to urinate during sex, here are some tips for how to manage your symptoms:
Empty your bladder before having sex. Sexual activity can press on the bladder in women or the prostate in men. If you are worried about overactive bladder during sex, make sure to go to the bathroom before you start.
Experiment with different positions. A new position may help put less pressure on your bladder or prostate.
Do Kegels regularly. Regular pelvic floor exercises may help both women and men lessen their symptoms of overactive bladder and incontinence. (And here is the right way to do Kegels.)
Talk about it. While overactive bladder symptoms can cause anxiety, talking about it with your sexual partner may help you feel less anxious.
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If your overactive bladder symptoms are affecting your sex life on a regular basis, it’s important to seek help sooner rather than later. According to Dr. Romanzi, the earlier you get treatment, the more likely it is that you’ll have a strong response. Treatment may help reduce symptoms, including during sex.
“The urgency during sexual activity will [generally] reduce when the therapy for overactive bladder is successful,” she says.
Dr. Romanzi is a Urogynecologist and Reconstructive Pelvic Surgeon based in New York City.
References
Cho, Sung Tae, et al. (2021). Journal of Exercise Rehabilitation. Pelvic floor muscle exercise and training for coping with urinary incontinence.
Coyne, Karin S, et al. (2007). The Journal of Sexual Medicine. Overactive bladder and women's sexual health: what is the impact?.
National Association for Continence. (n.d.). Tips to keep incontinence from interfering with your sex life.
Urology Care Foundation. (n.d.). What is overactive bladder (OAB)?
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