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Female ejaculation does not happen to all women, but some experience fluid coming from the urethra during orgasm. Columbia University have described this fluid as not being urine or vaginal fluid.

However, a different study claims that this fluid is the uncontrolled release of urine. In this article, we examine the causes of urination during sex.

We also take a look at treatment and management options, along with how to prevent urination from occurring at this time.

The main reason for women urinating during sex is because of incontinence. This is when someone urinates unintentionally and uncontrollably.

The National Association for Continence estimate that around 25 million people in the United States are affected by bladder or bowel incontinence in some way.

Urinary incontinence UI is a common condition among women. As female reproductive and urinary systems share parts of the body, this condition can interfere with sexual intercourse.

One study reported that around 60 percent of women with UI experience some sort of urinary leakage during sex. This is the most common type of UI that occurs during sex, with around 51 percent of cases being caused by stress urinary incontinence.

It occurs when an activity, such as sex, puts stress on the bladder. Other common triggers include:. Urgency urinary incontinence refers to the sudden and uncontrollable need to urinate, which is a symptom of an overactive bladder.

In a properly functioning bladder, the need to urinate usually arises when it is around half full. People are able to wait until an appropriate time to use the toilet.

In urgency urinary incontinence, the bladder contracts too early, making a person suddenly need the toilet and sometimes leaking urine before they get there.

The exact cause is unknown, but it appears to be more common in older people. Mixed urinary incontinence is when incontinence can either be caused by stress or urgency.

This form of UI is more common than just urgency urinary incontinence on its own. As a result, urination during sex does not often occur among men.

However, some men can experience incontinence during sex as a side effect of treatment for prostate cancer.

The American Cancer Society estimate that around 1 in 9 men will be diagnosed with prostate cancer during their lifetime.

A common form of treatment for prostate cancer is radical prostatectomy , which is the complete removal of the prostate. While often effective in treating cancer , one side effect can be incontinence when sneezing, coughing, exercising, or during sex.

Some women can be born with risk factors that make their chance of having UI more likely. These includes:. There are some common risk factors for UI, which include:.

If someone thinks that they may be urinating during sex, they should speak to their doctor. This can help determine whether it is because of incontinence or something else.

If it is incontinence then the doctor will be able to discuss what may be the best treatment going forward. Exercises for the pelvic floor muscle, also known as Kegel exercises, look to strengthen this part of the body.

Stronger pelvic floor muscles can hold in urine better than weaker ones. An operation can help treat UI.

Surgery tends to be used if the area around the urinary tract needs extra support or if the bladder neck needs to be repositioned.

The surgery will require general anesthesia, and it will often take people around 2 to 3 weeks to fully recover. There can be serious complications with surgery for UI.

It is important for people to discuss this treatment option with a doctor, to see if it is the right course of action for them.

Kegel exercises can have a number of benefits, including:. In men, Kegels may help with not only urinary incontinence, but also erectile dysfunction.

One small study showed that 40 percent of men who had erectile dysfunction for more than six months had their symptoms completely resolve with a combination of pelvic floor physical therapy and at-home Kegel exercises.

The exercises can be done standing, sitting, or lying down, and they can be done just about any time or place.

First locate the muscles. This is done while peeing and stopping midstream. The relaxing part is important, too.

Muscles function by contracting and relaxing. Work up to a goal of 20 at a time, three to four times a day, and tightening your pelvic floor muscles for five seconds at a time.

Bladder training helps you gain better control of your bladder. This enables you to go for increasingly longer periods of time between urinating.

It could be done in conjunction with Kegel exercises. Bladder training consists of using the restroom on a fixed schedule, whether or not you feel the urge to go.

Relaxation techniques help suppress the urge if you feel the need to urinate before the scheduled time. Gradually, the periods of time between bathroom breaks can be increased by 15 minute intervals, with an ultimate goal of going three to four hours between urinating.

It may take 6 to 12 weeks before you get to your goal. Medications that are often prescribed to treat incontinence include:. Most people are able to reduce or even eliminate urination during sex with lifestyle changes and pelvic floor muscle exercises.

If your incontinence is caused by an underlying condition, treating the condition may help reduce your incontinence. Talk to your doctor about any concerns you have so that you can begin finding a cause and treatment plan for your incontinence.

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Medically reviewed by Judith Marcin, M.

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