Losing control of the bladder even a little bit can be uncomfortable and embarrassing. For women entering menopause, this can occur during sex, which can make what is supposed to be an intimate moment, humiliating. The inability to control the bladder is referred to as urinary incontinence, and there are a few different types.


Overflow Incontinence:

This kind of incontinence occurs from an inability to completely empty the bladder. As a result, sufferers experience a somewhat constant dribble of urine.

Urge Incontinence:

This type is experienced as a sudden, uncontrollable urge to urinate. Also known as overactive bladder, this is the most common type of incontinence among aging individuals. For women in menopause, this loss of control can occur during sex with penetration, due to pressure on the bladder.

Stress Incontinence:

This type of incontinence occurs with abnormal contractions of the bladder. These contractions can be caused by diseases like Parkinson's, multiple sclerosis or diabetes. This type of incontinence can also affect menopausal women in a few ways. Stress incontinence can occur with sneezing, laughter or during orgasm.


Why Do Menopausal Women Experience Incontinence during Climax?

Due to hormonal fluctuation, the onset of menopause can weaken all muscles in women, and the pelvic floor muscles are no exception. Usually during climax, these muscles tighten. However, if they are weakened, women may be unable to simultaneously control the bladder and have an orgasm.

Unfortunately, incontinence during sex can affect relationships and intimacy. In fact, the American Foundation for Urologic Disease has determined that one of every three women who have experienced incontinence during sex will avoid further sex due to fear of another incident.

What can Menopausal Women do about Sexual Incontinence?

There are several things that women can do about incontinence during sex. Talk to a partner. While it may be uncomfortable, women can explain to a partner that this is one of the unfortunate side effects of menopause. It is better to be honest than have a partner thinking that lack of sex is due to disinterest. Remember that men also experience age-related sexual issues. Talking through these issues may actually foster intimacy in a relationship.


Avoid coffee or tea for several hours before being intimate, and don't drink other fluids for a full hour before sex.

Double-void the bladder prior to sex. This means: go to the bathroom, and urinate. Then, completely relax the bladder by massaging the abdomen, and urinate again.

Put towels down, to protect linens and dispel worry.

Take a bathroom break between foreplay and intercourse if needed.

Experiment with sexual positions try those that may not put as much pressure on the bladder. This requires practice to determine what works best.


Try Kegel Exercises to Strengthen Pelvic Muscles:

Women can rebuild strength in pelvic muscles with Kegel exercises. To identify pelvic floor muscles, women should try to halt urination in midstream. If successful, these are the muscles to target. Basically, Kegels involve simply contracting and relaxing these muscles for up to ten seconds at a time at various periods throughout the day. Kegels can be done anytime during the day either lying down or sitting.

Take Supplements for Kidney Health:

Kidney supplements may help you control and even eliminate incontinence. Unfortunately, loss of bladder control becomes more common with age, especially in women. This condition can be particularly embarrassing during sexual intercourse. Thankfully, the above measures can provide relief for many women. Some women, however, may want to consult with a health care provider for more ideas and possible medications.