Everytime I Have An Orgasm
Regardless of your age this is a common, but not at all simple, problem. There are many different causes of incontinence, including that occurring during intercourse. Most of these uses are related either to stress incontinence or to detrusor instability (the detrusor is a muscle in the bladder that helps to expel urine). Sometimes incontinence during sex occurs with no other bladder symptoms.
Detrusor instability is the condition that patients refer to as having a weak or nervous bladder. Whatever they call it, the result is that they suffer from frequency of urination, both by night and day, and from urgency - they have to reach the lavatory quickly once they feel the need to pass water and may have a sudden and uncontrollable loss of urine.
Studies have shown that women who suffer from incontinence are likely to wet themselves on one in four occasions when they make love. And although they may try to hide it, in 90 percent of cases their partner is aware of their incontinence.
Leaking is more of a problem for those with detrusor instability than stress incontinence. Stress incontinence is the condition in which women leak when they cough, laugh or sneeze, or take the type of exercise that is likely to make them grunt. Lifting heavy weights, straining when changing a car wheel, serving at tennis and having an orgasm are all examples in which muscular activity may stimulate a leak.
The older the woman, and the more children she has had, the more likely she is to suffer some stress incontinence during sex. When a woman has a strong orgasm all the muscles in her pelvis contract, not only those of the vagina. Her pelvic floor tightens as do her peri-anal and bladder muscles.
Not all incontinence during intercourse occurs when a woman has an orgasm. Research carried out in the late 1980s in two large studies indicated that women are most likely to wet themselves either at the moment of penetration or at the time of orgasm. Interestingly, those with detrusor instability are more likely to leak during orgasm; those with stress incontinence during penetration.
Of the hundreds of women studied, only five had no other obvious urinary tract symptoms and yet leaked during intercourse - three of them on penetration and two on orgasm.
A third of women who suffer incontinence avoid sexual intercourse because of it. Half of these cases - in which women were incontinent but, like you, continued to have sex - found that it affected their ability to enjoy intimacy with their partner. Incontinence is irretrievably mixed up in people's minds either with old people's homes or nappies.
A young, sexually active woman is unlikely to want to evoke images of senility or childhood. Your own partner is understanding and laughs only because he is unable to find another way of reassuring you.
Women may wet themselves without other symptoms of bladder troubles or of incontinence. This is thought to be because sexual activities, however exciting, also can produce considerable emotional stresses and strains.
Cheer up. There is treatment. Ask your doctor about medications such as Detrusitol XL, Lyrinel XL or Vesicare. They can revolutionise many cases, and stress incontinence may be also treated surgically or with exercises.