Why do women leak urine after sex?

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Urinary incontinence in women in general and urinary incontinence after sex in particular makes women feel embarrassed and face some limitations in work and life. However, urinary incontinence in women is treatable.

1. What is urinary incontinence in women?

Urinary incontinence in women is a condition in which urine leaks out involuntarily, urinary incontinence during vigorous activity, exertion such as carrying, carrying heavy objects, coughing, even during sex...
Urinary incontinence in women has two types to distinguish, which are:
Pressure incontinence: The involuntary urination, especially when there is an increase in intra-abdominal pressure on the bladder such as coughing, sneezing steam, laugh, exercise vigorously, have sex... cause urine to flow out. Stress urinary incontinence is more common in women than men; Urinary incontinence: Controlled urination, still needing to urinate, but urinating more often and often is caused by an infection.

Tiểu són gây khó chịu trong cuộc sống hàng ngày
Tiểu són gây khó chịu trong cuộc sống hàng ngày

2. Causes of urinary leakage after sex

Urinary incontinence in women in general and urinary incontinence after sex in particular is mostly pressure incontinence, mainly occurs when the muscles and tissues that support the bladder, the muscles play a role in regulating the release of water. urine in the body is impaired.
When the bladder is full and distended, the muscles in the urethra, like a regulating valve that carry urine out of the body, close to prevent urine from leaking out until you urinate. . However, when these muscles are weakened, if the upper abdominal and pelvic muscles are stressed due to activities such as coughing, sneezing, lifting heavy objects, vigorous exercise, laughing loudly, ... then pressure can be created. bladder and cause urinary incontinence in women.
In women, the cause of weakness of the pelvic floor muscles and urinary sphincter is due to:
Trauma during pregnancy and childbirth: During pregnancy and childbirth, the entire pelvic floor muscle relaxes strongly. so that the baby can come out. After giving birth, vigorous activities will increase intra-abdominal pressure, affecting pelvic floor muscle tone, making these muscles weak and unable to support the abdominal organs, leading to urinary incontinence. in women during exercise; Age: With age, the weakening of muscles due to aging makes women more susceptible to stress incontinence, especially after going through pregnancy and childbirth. However, urinary incontinence can occur at any age. In addition, with age, hormone levels, especially estrogen, decrease. In the body, the hormone estrogen has the effect of increasing the urethral mucosa and creating tension on the urethral surface. With age, estrogen levels decrease, especially in the perimenopausal period, causing the mucosal layer to gradually atrophy, lose surface tension and low pressure in the urethra, easily causing urinary incontinence in women. Urinary incontinence from muscle weakness can occur soon after birth or after several years. In addition, other factors can increase the risk of developing stress incontinence, such as:
Body weight: Women who are overweight or obese are at higher risk of developing stress incontinence due to their weight. excess body weight increases pressure on the pelvic organs; Hysterectomy: Can affect the function and support of the bladder and urethra, causing urinary incontinence in women; Frequent coughing or sneezing: Due to illnesses that cause coughing or smoking.

3. Complications of urinary incontinence in women

Low self-confidence: Urinary incontinence in women in general and urinary incontinence after sex in particular makes women feel embarrassed and less confident. It can more or less affect work, daily communication activities, social relationships and even married life; Skin irritation or inflammation: Urinary incontinence makes the vaginal area often wet, which can easily lead to inflammation and irritation.

4. Treatment of urinary incontinence in women

Mild cases of urinary incontinence can be treated with medication and rehabilitation exercises. Severe disease may require surgical intervention to improve urinary incontinence and to support tight vaginal muscles.
Kegel exercises: Also known as pelvic floor exercises, these are movements that strengthen the pelvic floor muscles and urinary sphincter. Regular exercise will bring more effective treatment of urinary incontinence in women; Build a habit of drinking enough water: Drink plenty and enough water during the day and limit at night. Avoid beverages containing caffeine and alcohol as these are stimulants that affect bladder function;

Nên uống đủ nước hàng ngày
Nên uống đủ nước hàng ngày
If you have a chronic cough, treatment will reduce the risk of urinary incontinence in women; Using medication can reduce urinary incontinence, but symptoms quickly return when the drug is stopped; Surgery: Surgical intervention to treat stress incontinence to improve adjustment of the sphincter or bladder neck support. Surgical options include injecting pressurized medicine into the tissues around the upper part of the urethra to improve the sphincter's ability to close. In addition, to prevent urinary incontinence, especially after giving birth, doctors advise that women should practice family planning, avoid multiple births, weaken the perineum; build a healthy and active lifestyle, regularly practice sports, combined with a reasonable diet and lifestyle to control weight, prolong youth, and push back menopause.
If you have urinary incontinence after sex, the patient needs to go to a specialist facility to get the right diagnosis and advice on appropriate treatment, share with their partner for sympathy and support. aid in the healing process.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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