Sexual Activity and Incontinence

Can urinary incontinence affect sexual activity?

Up to half of the women suffering from urinary incontinence complain of problems with their sex lives, according to research and men also despair of the impact incontinence has on their sex lives .Unfortunately the numbers continue to grow expoentially every year.

Sex and incontinence share not only the same anatomical region, but both depend on the same nervous system which is linked to the body’s central nervous system.

With men and women, the reduction of pelvic muscle tone can contribute to stress and or urge urinary incontinence at the same time as a decrease in sexual satisfaction.

With less efficient blood vessels to the area and poorly toned muscles for both sexes it stands to reason the pelvic muscle area becomes less efficient, weaker and hence less sensitive to the rigours of active sex and normal continence. The muscles become flaccid and poor in blood supply and strength and the nerves in the area do not function as efficiently.

Combine this with age and lack of exercise in that area (50% of people struggle to contract their pelvic floor muscles correctly) during the menopause, oestrogen deficiency all these influences exacerbate the problem.

Birth Surgery and Trauma

Birth, surgery and trauma to this part of the body affects the motor and sensory functions, increasing the incidence of incontinence as well as a lack of sensitivity in the vagina and vulva, leading to less than normal or deficient sensitivity in the genital area. Commonly called hypo orgasmia.

Another condition linked to this is a pudendal nerve block.(The pudendal nerve is a sensory nerve in the pelvic region which stimulates (a nerve, muscle, or body part) to action in this case the external genitalia of both sexes, as well as sphincter for the bladder and the bowel functioning.

It originates in the lower region of the spinal cord, and travels in the nerves to the pelvic region.

This nerve in the pelvis allows the contraction of the perineum and transmits messages of general sensitivity to the central nervous system.

It is then that urinary leaks take place, and often during sexual relations, and this is what is known as coital incontinence. This concerns 60% of women suffering from incontinence.

Think of a muscle you have not used for a while .As an example let’s use your arms. You have spent a long time behind a desk in your working life and the strength has diminished over time without you realising how much.Your wife’s brother asks you to come to the farm for a week to help with the hay making and on arrival you're put to work in the field to lift some hay bales.

Given you are now older since last visiting and have spent a sedentary work life you can hardly lift a bale.

Well that’s exactly what has happened to your pelvic muscles over time, but by exercising and strengthening you’re able to correct the problem.

What’s even more remarkable that these muscles can recover their strength in a matter of weeks and the problem of incontinence goes, and also sexual vitality improves as well.

Firmer vagina, better erections and generally a better overall sense of well being.

How long does it take?

It can be as little as 3-5 weeks providing you exercise these muscles everyday.


With over 200 million people in the world suffering incontinence it has been researched over and over again to conclude that 70% of people can be healed with and respond favourably to Kegel Exercises.

When we are young we never think about the pelvic region to look after in the sense of exercising it, but it is a remarkable set of muscles and with daily and regular exercise many people have successfully got back them old selves. What about you? Give it a go you've got nothing to lose and everything to gain!

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