Why Do I Pee When I Orgasm?
Experiencing incontinence or leakage during orgasm is more common than you might think. An estimated 60% of women experience incontinence during sex at some point. Let's explore why this happens and what you can do about it.
Why Do People Pee When They Orgasm?
Everyone's body is unique, and while several factors can contribute to peeing during orgasm, pinpointing the exact cause without consulting a healthcare professional can be challenging. Here's a look at some common reasons:
Urinary Incontinence: This condition, where you frequently feel the urge to pee or leak urine, can be exacerbated by physical pressures and stimulations, including during sex or orgasm. It's particularly common, affecting up to 80% of women.
Physical Factors:
Urinary Tract Infections (UTIs)
Pregnancy and Birth: Both can weaken the pelvic floor muscles, increasing the likelihood of incontinence.
Pelvic Floor Injuries: Damage or weakening of these muscles can lead to leakage.
Certain Medications: Drugs like antidepressants or those for blood pressure can contribute to incontinence.
Men and Incontinence: While less common in men due to the bladder closing during an erection, those who have had their prostates removed are more likely to experience incontinence during sex.
Pee vs. Squirt: The Great Debate
Understanding the difference between peeing and squirting can be confusing. While squirt does contain some urine, they are not the same thing.
Squirt: Produced by the Skene's glands (sometimes called the female prostate), squirt is a combination of uric acid, creatine, and urine. It often occurs with G-spot stimulation but can also result from clitoral or anal stimulation.
Female Ejaculate: This is a milky fluid released during orgasm, distinct from squirt, which is usually clearer and more watery.
How to Tell the Difference:
Peeing: Typically comes out in a continuous stream.
Squirting: Often happens in bursts and feels different, with squirting having more of a sudden, sexual sensation.
How to Stop Peeing During Orgasm
If you believe you are peeing rather than squirting, consider consulting a medical professional. They may refer you to a gynecologist or a pelvic floor physical therapist for specialized treatments:
Sex Positions: Try positions that put less pressure on your bladder.
Bladder Retraining: Techniques to manage the urge to urinate.
Pelvic Floor Physiotherapy: Strengthening these muscles can reduce incontinence.
Botox: Injecting Botox into the bladder muscle can help control spasms.
Electrical Stimulation Therapy: This can improve muscle function.
Lifestyle Changes:
Limit Diuretics: Reduce intake of caffeine and alcohol before sex.
Pre-Sex Urination: Empty your bladder before and after sex.
Kegel Exercises: Strengthening your pelvic floor muscles can also help. Here's a quick guide:
Step 1: Urinate before starting.
Step 2: Find a comfortable position (lying down, sitting, or standing).
Step 3: Identify the muscles you use to hold or pause urination.
Step 4: Tighten these muscles for five seconds, then relax.
Step 5: Avoid clenching your glutes or abdomen; focus on the pelvic floor muscles.
Step 6: Aim for about 20 Kegels at a time, multiple times a day.