Sexual urinary incontinence, incontinence during sex.. Discussion on LiveInternet

Sex is a natural component of an adult’s life, which can be overshadowed by physiological abnormalities. Urination during sex is a rare occurrence because the human body is designed in such a way that during sexual arousal the urethra is blocked. The appearance of such a situation in intimate life gives rise to complexes and provokes uncertainty and shyness in partners.

Dry facts of a wet “accident”

The two most common types of urinary incontinence are:

stressful - during physical activity, coughing, laughing, sneezing, sexual intercourse, that is, in cases of a sharp increase in intra-abdominal pressure. Occurs in almost half of cases;
urgent - involuntary - release of urine with a sudden, strong and unbearable urge to urinate, which a woman cannot restrain.

All others are mixed and rarely encountered forms.

Women are more likely to suffer from this disease. Their pelvic floor muscles are initially weaker than those of men. Stress urinary incontinence often occurs after a traumatic birth, accompanied by ruptures of the perineal muscles. Surgical interventions on the pelvic organs do not go unnoticed: removal of the uterus and tumors.

Insufficiency of the female hormone estrogen, which leads to changes in the mucous membrane of the genital organs, can cause symptoms of urge urinary incontinence.

In old age, it is explained by changes in the cerebral cortex - this is where the area responsible for voluntary urination is located. Initial cause: stroke, atherosclerosis, long-term diabetes mellitus type II.

The first signs of cystitis after sex

Cystitis after sex has several differences from acute cystitis. First of all, symptoms of the disease occur either in the first few hours or 1-2 days after intimacy.

The first symptoms are a frequent urge to urinate, which is accompanied by pain, burning, stinging, a feeling of incomplete emptying of the bladder, urine changes color and smell, and becomes cloudy. Body temperature may rise to subfebrile levels, pain or discomfort may appear in the lower abdomen and lumbar region. Some symptoms may be less severe or not appear at all.

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Diagnosis by cough

To make a diagnosis, a consultation with a gynecologist and urologist and an examination in a gynecological chair are necessary. During it, the doctor may ask the patient to cough - this is the so-called “cough test”. If a small amount of urine is released, it is considered positive. During the examination, smears are also taken from the vagina and cervix for microscopic examination. To exclude other pathologies in which urine retention is also poor (for example, cystitis), the doctor may additionally prescribe an ultrasound of the kidneys and bladder.

Treatment with drugs

The main treatment for postcoital cystitis is primarily aimed at blocking the spread of infection. Antibacterial therapy helps with this.

The main treatment of cystitis is supplemented with medications that help reduce the unpleasant manifestations of the disease and normalize the functioning of the urinary system - painkillers, herbal remedies, immunostimulating, vitamin complexes.

In the treatment of inflammatory processes in the bladder, the administration of anti-inflammatory drugs through the urethra into the bladder (instillation) is often used.

Cystitis after sex with proper treatment and following all the doctor’s recommendations goes away within a week, but immunostimulating drugs, herbal medicines and vitamins should be taken longer (2-3 weeks).

With this disease, it is extremely important to complete the full course of therapy, otherwise cystitis will become chronic, and treatment of chronic pathology will be much more difficult.

Secret gymnastics

Women with urinary incontinence that occur after childbirth are most often prescribed conservative treatment methods, as are those for whom surgery is contraindicated due to a medical condition or old age.

Doctors recommend physical exercises to strengthen the muscles of the perineum and pelvic organs for all women with urinary incontinence. The “birch tree”, “scissors”, “bicycle”, “corner” on the wall bars, familiar from childhood, will also help get rid of a saggy tummy. You can also carry a small ball between your legs while doing household chores, holding it as high as possible. Physiotherapeutic treatment, for example, using galvanic currents and electrophoresis, has a good effect. Injections of botulinum toxin into the bladder mucosa have also proven positive.

Increased blood circulation

Another reason why you always want to go to the toilet after sex is increased blood circulation. This is due to active physical activity. Whatever one may say, sex is also a kind of sport. During this process, the body and the organism as a whole are tensed quite strongly, which causes a large influx of blood to these organs. Which ones?

We are talking about the small pelvis. When a lot of blood comes into it, which contains a large amount of oxygen, metabolic processes are significantly enhanced. Accordingly, the processes that affect urine production are also accelerated. Sometimes, even if a girl went to the toilet and took a shower before the act, she may still want to go to the toilet.

By the way, for reference, it is worth noting that the urge to urinate is experienced not only when the organ is full. To create a desire to go to the toilet, even half its fullness is enough.

Let's say stop to the disease

If stress urinary incontinence cannot be cured conservatively within a year, surgical intervention is recommended. The most effective and gentle operation is considered to be the “synthetic loop” operation, or loop plastic surgery with a free synthetic flap. During this procedure, a prolene loop is placed under the middle part of the urethra. This creates reliable additional support for the bladder.

The operation is performed for any degree of urinary incontinence and under local anesthesia. There are no contraindications for it.

Sometimes they are sticky and sticky. It's disgusting. What kind of discharge is this?

Vaginal discharge usually appears as white specks and may be a sign of infection. If the discharge has a strong odor, it may be a symptom of trichomoniasis, so you should consult your doctor.

In most cases, vaginal discharge is normal. They change during the menstrual cycle and throughout a woman's life. However, itching, burning or an unpleasant odor should alert you. This can be either normal or a sign of infection.

Excessive vaginal cleansing can do more harm than good. Wipes and vaginal douches can lead to disruption of the vaginal environment and the appearance of problems that were not there.

Bleeding between periods

Isn't monthly bleeding for 5 days enough? What to do if such bleeding occurs?

Intermittent spotting between periods is normal. Some women may experience spotting and mild abdominal pain during ovulation. However, if spotting occurs for more than 2-3 days, this is worth paying attention to.

Bleeding may be caused by a vaginal or cervical infection, polyps, uterine fibroids, thyroid problems, or blood thinners. If the bleeding is persistent and painful, you should consult a doctor.

Bleeding between periods can be caused by birth control pills.

Pain during sex

There is a very thin line between pain and pleasure, but you feel when you have crossed it. If you experience pain during sexual intercourse, it is better to consult a doctor.

You shouldn't experience pain during sex. There can be several causes of pain: endometriosis, ovarian cyst, bladder infection or pelvic inflammatory disease.

Many women experience some pain during intercourse. Pain can occur from penetration, stretching, and is usually harmless. If a woman has enough lubrication, these problems can be solved.

Pain may occur with deepening of the vagina, pressure on the clitoris or pelvic area, but it should not persist after the load is removed. If the pain does not go away, you should consult a doctor.

If pain during sex is accompanied by bleeding and fever, you should consult a doctor as soon as possible.

Prevention

To minimize the risk of postcoital cystitis, you must follow these rules:

You should regularly take a shower or bath with antibacterial soap (before sex - mandatory);
It is recommended to wash intimate areas with special gels, which can be purchased at the pharmacy;
this measure will eliminate itching in the groin area;
sex should be protected, since both the girl and the guy can be carriers of STDs;
in case of any inflammation, you should increase your immunity: drink vitamins, brew herbs and not overexert yourself;
you need to regularly visit a gynecologist/urologist, as the doctor can assess the patient’s condition and determine the disease in the initial stage;
you should wear comfortable and high-quality underwear (preferably made of cotton fabric), which does not tighten or cause discomfort;
you need to empty your bladder on time so that the infection cannot multiply;
It is important to keep your feet warm, as their hypothermia negatively affects the entire body as a whole.

You should also remember about your diet. You should not indulge in salty, spicy, smoked or overly spicy foods, as salt retains water in the body. At the same time, you need to drink clean water often - about 8 glasses a day (juices and tea do not count).

Also, during sexual intercourse, it is not recommended to experience different types of sex: oral, vaginal and anal, because pathogenic microorganisms from the mouth and colon can enter the urethra.

In Western countries, it is common to use minimal doses of antibiotics for prophylactic purposes. But you should check with your attending physician about the appropriateness of the method: he will approve this measure or reject it - in any case, there is no need to self-medicate.

Feeling "empty"

For a woman after the birth of a child, a feeling of “emptiness” is typical. During delivery, the baby's head is in the vagina for the entire second stage of labor. The fetal head stretches the vagina.

On average, the head of a full-term fetus has a diameter of 10 cm. The vagina can be compared to a pouch, which consists of several layers. The outer layer consists of muscle tissue, the inner layer is the mucous membrane. Both layers are stretched during the process of pushing out the fetus.

The degree of stretching of the vagina depends on its initial state, to which in some women the vaginal muscles do not return soon. Most women believe that their vagina has stretched and has not returned to its original state. The feeling of "emptiness" can occur due to a vaginal tear or episiotomy - these reduce the ability of the vaginal muscles to return to their original state.

Vaginal surgery is very popular. This operation is called vaginoplasty. As a result of the operation, the vagina narrows, and the woman experiences more pleasure during sexual intercourse. It is also possible to correct the diameter of the vagina using a laser.

Methodology for the development of pathology

To begin with, it is worth considering the mechanism of formation of the pathological condition. The excretion of urine by the body is a completely natural process that involves the bladder, ureters, and kidneys, where excess metabolic products and fluid accumulate. Urine is discharged through the urinary canal to the outside. According to its anatomy, the bubble has the appearance of a balloon, and the channel is a hollow tube.

The process of urination consists of the following stages:

the walls of the bladder begin to contract;
As a result, urine is pushed out;
urinary fluid will flow into a special channel for urine excretion;
the liquid is discharged through the channel.

It is important that the muscles that hold urine relax well. Only this will promote the natural process of urination. But when this pathology is detected, they usually talk about the development of excessive weakness of the muscle system or a sharp contraction of the muscles.

In some situations, the problem may arise due to damage to the intimate muscles, in which even minimal fluid pressure will provoke unplanned urine output. Sometimes it is enough for a woman to suddenly change the position of her body so that the bladder shifts, and the pressure in it changes and trouble occurs.

Another reason that can cause urine leakage during sexual intercourse is the excessive body weight of a woman who has previously suffered from incontinence. This factor will contribute to the further development of the pathological process, which is clearly expressed: the amount of urine increases significantly, and sudden release of urine will be observed more often.

Urinary incontinence during sex

Urinating during sex is not as unusual as you might think.

Sometimes women lose a small amount of urine during intercourse. It depends on the position and the orgasm. It is worth emptying your bladder before sexual intercourse and performing Kegel exercises to strengthen the muscles of the vagina and pelvic floor. If you lose a large amount of urine each time you have sex, this may indicate incontinence or tension in the pelvic area. It is important to determine the cause and undergo appropriate treatment.

The bladder is located directly above the uterus, so by contacting the uterus during orgasm, the bladder also contracts, releasing some urine. Many women talk about the increasing pleasure this brings. Also, orgasm releases enough fluid from the vagina that leaking a small amount of urine doesn't matter.

If leaking urine during intercourse is a problem for you, try this before moving on to more serious methods such as surgery.

When urination occurs during sex, a person experiences a lot of psychological discomfort. Unfortunately, such a nuisance can happen to both a man and a woman, but the fairer sex is more susceptible to such danger. This is due to the peculiarities of the anatomical structure of the organs of the genitourinary system.

Many may have noticed that there is frequent urination after sex. The fact is that during intimacy, increased pressure is exerted on the bladder, so the urge to defecate may even become uncontrollable. There are often situations when urination occurs during orgasm. Because muscles weaken after tension. Let's take a closer look at what all this may be connected with.

Man's question

The answer to the question why a man wants to go to the toilet after sex is determined by the physical structure of the penis. So what's next is a little biology lesson. So, urination and ejaculation cannot occur simultaneously in a healthy body. These two separate channels are located in parallel in the male reproductive organ.

When the penis is erect, it fills with a large amount of blood, and the channel through which urine comes out is simply blocked. While in a calm state such overlap does not occur in a healthy penis.

Moreover, during a man's sexual activity, another interesting process occurs, which ensures that urine does not come out during sex. This is called inhibition of the nerve impulses of the bladder. To put it simply, it doesn’t matter whether sexual intercourse occurs or masturbation occurs, the desire to empty the bladder simply does not arise. But where does this information and the answer to the question, why do you often want to go to the toilet after sex?

Causes

In representatives of the fairer sex, the bladder is anatomically located in close proximity to the vagina and clitoris. That is why during sex it is compressed. Frequent urination after sex in women is quite common, since during the entire period of intimacy this organ has undergone increased stress.

Types of urinary incontinence. Source: uromir.ru

There are several provoking factors that cause involuntary urination during sex:

Achieving orgasm;
High level of adrenaline release;
Presence of a history of chronic cystitis;
Entering into intimacy with a full bladder;
Having sex in a non-standard position.

The main reason that urination occurs during sex is considered to be the presence of a condition in a person such as the inability to retain biological fluid, that is, when the urge occurs, it pours out spontaneously. There are several types of incontinence, namely: stress, urgency and mixed.

The very first type is considered the most common. More than 50% of people encounter it, that is, at the time of the act of intimacy, men and women noted a single or regular spontaneous urination, which is caused by a long stay in a stressful situation.

Since the bladder experiences increased pressure during sex, it is subjected to increased physical stress. However, the provoking factor in this case is not only intimacy, but also laughter, coughing, lifting heavy objects, sneezing (any action that tenses the muscles of the lower abdomen).

The urgent type of urinary incontinence is characterized by a completely sudden bowel movement, when before this the person did not even feel the urge. In this case, people are diagnosed with overactive bladder. If this organ is working normally, then the brain will receive a signal that it is necessary to visit the toilet when it is 50% full.

Features of an overactive bladder. Source: propochki.info

Then there is a certain time for the fulfillment of natural needs. In the case of OAB, this signal arrives too early, so the woman or man immediately feels an urgent need to defecate. There is not always enough time to go to the toilet, and if we are talking about sexual intercourse, urination will happen immediately.

With a mixed form, it is quite difficult to establish the exact cause of urine leakage. The fact is that this condition can be caused either by a certain stressful situation or emotional shock, or by physical activity. This type of incontinence is diagnosed more often than the urgent type.

In men

Frequent urination after sex in men also has a physiological explanation. During intimacy, the opening of the bladder is blocked in the area where the urethra exits into the penis. This is necessary to prevent seminal fluid from penetrating into the urine.

Accordingly, we can conclude that men urinate during sex extremely rarely. But if a representative of the stronger sex has previously undergone treatment to eliminate a tumor on an organ, then this condition may be a side effect of the surgery.

Most often, when an oncological process is detected, male patients are prescribed a radical prostatectomy. The intervention is characterized by complete removal of the gland of the same name. However, almost every second patient after this experiences urine leakage or the inability to control urination during sex, coughing, and other stress.

Which doctor should I consult with the problem of cystitis after sex?

To diagnose and quickly treat cystitis in St. Petersburg and its consequences, you need to consult a urogynecologist who has both urological and gynecological knowledge and you will not have to “go in circles” from one specialist to another.

If you suspect cystitis, you should contact a Urologist, gynecologist, or better yet, find a specialist - a urogynecologist.

Frequent urination after sex can be associated not only with cystitis. Gonorrhea, an STD that is especially dangerous to the health of the genital organs and the body as a whole, has similar symptoms. You can distinguish one disease from another using a blood test and analysis of discharge from the urethra, including mucous membranes.

You can diagnose cystitis or its absence without clinical tests by symptoms, but we must not forget that such a definition cannot be considered complete.

Symptoms of frequent urination after sexual intercourse

Not only frequent urination, but also other problems worry a person who, most likely, has contracted cystitis and feels its manifestations after sexual intercourse. Symptoms may include:

false urges;
detection of blood in urine;
itching and burning during urination;
occasionally - a feeling of heat and weakness after visiting the toilet.

Treatment

If a man or woman notices that she is leaking urine, or involuntary urination occurs during sex, then first of all you should contact an experienced urologist, who, after an examination, will be able to determine the true cause of this disorder.

A set of Kegel exercises for women.

Urinary incontinence in women (incontinence) is a pathological disorder of urination in which the patient cannot fully control the process. Most often, literally a few drops of urine are released, but in some cases complete uncontrolled emptying of the bladder is observed.

The causes and treatment of urinary incontinence in women can be different. Understanding the essence of what is happening, namely why the internal muscles have ceased to cope with the usual load, allows the doctor to choose effective treatment tactics and completely overcome the problem. It is important to know that urinary incontinence can be cured at any age; the main thing is to contact a specialist in a timely manner and unconditionally follow all his recommendations.

According to statistics, every fifth woman complains of uncontrollable spontaneous urination. Depending on the anatomy of the genitourinary system, it can be true or false. In the second case, we are talking about pathologies of the location of the bladder or urethra - fistulas, injuries and birth defects.

The vast majority of cases of sudden urination in adult women are true. That is, with normally located internal organs, a woman cannot hold urine during sneezing, coughing, at the sound of flowing water, or in other situations.

Over time, such incontinence can grow from an annoying nuisance into a real problem. If at first we are talking about leakage of a small amount of urine, then without treatment the volume of discharge increases. A woman begins to experience psychological complexes associated with the fear of suddenly wetting herself in the presence of people, during sex, or not making it to the restroom. This condition has a negative impact on your standard of living and can even lead to depression.

Forecast

With a pathology such as cystitis after sex, the prognosis is favorable in most cases, especially if the treatment is under the supervision of a specialist.

Uncontrolled treatment, especially taking antibiotics without a doctor’s prescription, can cause unwanted reactions in the body and form drug resistance, in which case the prognosis is less favorable.

Cystitis after sex is an unpleasant disease that not only causes unpleasant symptoms, but can also affect a woman’s sex life (perhaps fear of sexual intercourse, refusal of sex due to fear of pain, etc.).

It should be remembered that self-medication can lead to undesirable consequences; the basis of successful treatment is an integrated approach to diagnosis and compliance with all doctor’s recommendations.

tell

post

During treatment, a woman should not become pregnant, because conception in the presence of such a disease can lead to an exacerbation of the pathology. The process of coitus should be postponed until complete healing. The disease can begin at any time, and relapses are much more difficult to treat. To further eliminate them, it is necessary to maintain careful personal hygiene of the genitals.

To prevent the disease, it is important to use condoms during any sexual contact. Most doctors agree that timely emptying of the bladder before and after sex helps remove most bacteria from the genitourinary tract.

The prognosis for getting rid of cystitis that occurs after sex is favorable. The basic rule is that treatment should be carried out under the supervision of a professional urologist.

What are the symptoms of involuntary urination in women?

Involuntary leakage of urine in women can manifest itself in different ways:

Urine leakage during exercise. This can be not only heavy lifting, but also banal sneezing, coughing, and straining during bowel movements.
Urinary incontinence during sexual intercourse. Typically, its likelihood increases when choosing positions where the partner puts physical pressure on the bladder, for example, on top.
Morning incontinence occurs when a woman gets out of bed. Weak muscles cannot contain the increased pressure of the bladder, which arose due to a sudden change in body position from horizontal to vertical. Usually the bladder is full after a long sleep.
Spontaneous urination under the influence of an irritant. It can be individual for each woman. Often patients name the sound or sight of flowing water, bright light. Such urges occur frequently and can be so strong that they result in uncontrollable urine leakage.

Frequent urination - more than 8 times a day - is also a symptom of incontinence. With normal fluid intake, this may indicate an overactive bladder. In this case, the woman may not even suspect that she is suffering from urinary incontinence, and therefore does not seek help from specialists.

Bladder fullness

Many girls note that they most often feel the desire to empty their bladder after sex, when the latter happens unexpectedly. Often you want to go to the toilet precisely when you didn’t get into it before sex.

Add to this poses that, one way or another, put pressure on the bladder. What is the result? An already full bladder experiences severe discomfort in tandem with irritation of the ureter. Naturally, after sex you immediately want to go to the toilet! The reason is obvious! But that is not all.

What types of involuntary urination are there?

Depending on the reasons that caused it, doctors developed the following classification:

Stress urinary incontinence in women is associated with weakening of the internal pelvic floor muscles or disruption of the bladder sphincter.
Urgent urinary incontinence in women is also called overactive bladder syndrome, which sends signals for emptying before it physically fills.
Mixed – combines the symptoms of the first two types.
Reflex – manifests itself in cases of disturbances in the innervation of the pelvic organs. It is extremely rare.
Iatrogenic incontinence is the uncontrolled loss of urine due to the use of certain medications, which resolves after discontinuation of therapy.
Situational urination - occurs during sexual intercourse or when the bladder is truly full.

It is worth noting that the vast majority of clinical cases that doctors encounter relate to the first two types of incontinence. They account for about 90% of all requests.

Stress incontinence and its subtypes

Stress incontinence is due to the fact that the pelvic muscles and bladder sphincter in women, for a number of reasons, become incompetent, that is, they cannot cope with the usual load. This first manifests itself as urine dripping during sneezing, coughing, or other physical activity (for example, having sex). In this case, women may complain of the simultaneous separation of small amounts of feces or intestinal gases.

The causes of incontinence are as follows:

Pregnancy. It can provoke incontinence even in young women. Due to the constantly increasing size of the uterus, pressure on the bladder and intestines increases, which contributes to the uncontrolled separation of their contents. In addition, fluctuations in hormonal levels cause atony of muscles, which are unable to withstand ever-increasing physical activity. Uncontrolled urination during pregnancy is the most favorable in terms of prognosis, because after childbirth it can disappear on its own.

Childbirth. Although they are related to the previous factor, delivery is a separate precipitating agent for involuntary urination. Natural childbirth with prolonged pushing, internal ruptures and episiotomy have a particularly negative impact on the condition of the pelvic muscles. Subsequently, girls experience urinary, fecal and gas incontinence, which, depending on the intensity and the presence of other diseases, can go away on its own or, on the contrary, progress with age.

Abdominal surgery on the pelvic organs. Any surgical intervention can contribute to the formation of adhesions. They cause chronic urinary incontinence due to changes in intraperitoneal pressure.

Menopause. Urological problems are familiar to 50% of women who have entered menopause. As they age, the number of women suffering from incontinence increases to 75%. This is due to a deficiency of estrogens - female sex hormones that affect the elasticity of the pelvic muscles and metabolic processes.

Stress incontinence causes many problems for women. Because of it, they refuse to lead their usual lifestyle, appear in public, play sports, or lead an intimate life. It is very important to cast aside false shame in time and consult a doctor. Modern medicine can offer several types of treatment from conservative to surgical intervention.

Urinary urgency

The imperative urge to urinate appears under the influence of external factors. They can be so strong that a woman simply does not have time to get to the nearest toilet. This is due to increased irritability of the bladder muscles, which requires emptying even with a minimal amount of urine. The reasons that cause this overactive bladder are not yet known.

Unlike stress incontinence, this type of incontinence rarely occurs during physical activity, running or fast walking. It can manifest itself as nocturnal enuresis and is worsened by drinking alcohol or due to exacerbation of inflammatory diseases of the pelvic organs. Thus, treatment of urge urinary incontinence in women should begin with giving up bad habits and visiting a gynecologist.

Tests for diagnosing cystitis

Diagnostic measures begin with interviewing the patient:

whether body temperature rises;
is there pain when emptying the bladder;
Do you have difficulty urinating while sitting?
if after urination drops of urine are released, check whether this is accompanied by a stinging or burning sensation;
Are there any pathological impurities in the urine?

Laboratory research methods include general clinical tests of urine and blood.

Laboratory research methods include general clinical tests of urine and blood, urine culture for sterility.

Instrumental methods provide insight into the anatomical and functional disorders of the urinary system. The most common are:

Ultrasound of the bladder, kidneys, prostate.
X-ray examination or computed tomography of the urinary system.
Cystoscopy of the urethra.
Examination of the prostate gland through the anus.

These studies are highly informative and are carried out without pain for the patient.

If you complain of painful and weak urination, you should make an appointment with a therapist or urologist. Treatment of difficulty urinating in men has good results if prompt medical attention is sought.

To confirm the diagnosis of “postcoital cystitis,” a general urinalysis, urine culture for flora and sensitivity to antibiotics, examination of a vaginal smear for microflora, diagnosis of STDs, ultrasound examination of the kidneys and bladder, cystoscopy with a possible biopsy of the altered mucosa are prescribed.

If a urogynecologist diagnoses “postcoital cystitis” (or cystitis after sex), to confirm it, not only anamnesis and examination of the patient is required, but also additional examination.

First of all, analyzes are carried out:

general blood test (the basis for diagnosing most diseases),
general urinalysis (study of the chemical and physical properties of urine, which may indicate pathological processes in the body),
urine culture - bacteriological examination (detects infection in the urinary tract and its sensitivity to antibiotics),
vaginal smear (allows you to identify pathogenic bacteria and identify the inflammatory process).

Instrumental diagnostics, as the name suggests, is carried out using instruments. Cystitis after sex can be confirmed in the following ways:

Kidney ultrasound
Ultrasound of the bladder
Ultrasound of the pelvic organs
Cystoscopy of the bladder in women

Ultrasound examination to detect signs of inflammation in the bladder and kidneys, uterus and its appendages.

Cystoscopy is an examination of the urinary tract using a special optical system to determine the volume and depth of damage to the bladder mucosa. (more details...)

Differential diagnosis consists of excluding diseases that are characterized by similar symptoms.

For example, if there are signs of cystitis (painful and frequent urination, changes in urine composition, etc.) and high fever, then this condition may be caused by inflammation of the renal pelvis, not the bladder, and the presence of blood or pus in the urine may be caused by the presence of stones in the urinary tract.

If cystitis after sex bothers you for a long time and is difficult to treat, you should undergo a full examination; perhaps the reasons lie in the presence of other diseases - for example, an active viral infection, sexually transmitted diseases, etc.

Signs of cystitis that are not confirmed by the presence of bacteria in the urine may be associated with a fairly common female disease - cystalgia. The disease occurs exclusively among the female population, characterized by frequent and painful urination and pain in the lower abdomen. Cystalgia has not been fully studied, but, according to some data, it is associated with hormonal disorders and circulatory disorders due to pathological processes in the pelvic organs.

When making a diagnosis, the urogynecologist relies on the patient’s complaints and the results of the examination.

How to detect urinary incontinence

If a woman suffers from urinary incontinence, then she needs to seek help, first of all, from a urologist and gynecologist. Such a tandem will help not only make a correct diagnosis, but also quickly cure urinary incontinence.

For diagnosis, the following activities and manipulations are carried out:

Medical history – that is, collecting information about the patient’s lifestyle, symptoms and the presence of concomitant diseases.

PAD test - consists of counting the number of pads used by a woman per day. Makes it possible to assess the severity of incontinence in the patient.
Gynecological examination on a chair. Often, with urinary incontinence in women, prolapse or prolapse of internal organs is recorded, which should be noticed by the doctor.
Urinalysis – This simple test looks for inflammation of the bladder (cystitis) or urethra (urethritis), symptoms of which may include pain when urinating and cases of incontinence.
Ultrasound is a quick and painless examination that allows you to visually assess the condition of the bladder, ureters, urethra and other pelvic organs.
MRI is a high-precision imaging method indicated when the results of ultrasound examinations cannot provide an accurate clinical picture.
Urodynamic studies are a set of procedures aimed at studying the functions of the urinary system.

How to find the reason

Establishing the exact reason why a woman does not cum is not as simple as it might seem. The thing is that such female sexual dysfunction can be caused by completely different factors, for example, a moral barrier, hormonal imbalance. A sex therapist will help you most accurately identify the problem and then eliminate it; you should contact him immediately if problems of this kind arise. Perhaps our article will help you, from which you will learn about the main reasons why a woman does not cum during sex.

How is urinary incontinence treated?

Depending on the type of pathology, there are several groups of methods for treating urinary incontinence in women. The most common of them is Kegel gymnastics, which consists of sequential tension and relaxation of the internal muscles of the pelvic floor - periurethral and perivaginal. These exercises are aimed at strengthening the muscles involved in the act of urination and have an excellent therapeutic and preventive effect. With their help, you can cure mild incontinence at home, but gymnastics must be performed regularly, up to 100 repetitions per day.

A more advanced option is biofeedback training, which allows you to control the effectiveness of gymnastics and is guaranteed to increase the tone of the bladder.

Good results are obtained by using various simulators for intimate muscles, as well as psychological training.

Treatment of stress incontinence

Treatment for stress involuntary urination begins with medication. The following groups of drugs are indicated:

Adrenergic agonists that increase muscle tone. Currently rarely used due to side effects.
Anticholinesterase drugs with a similar effect.
Antidepressants and drugs affecting the central nervous system. These drugs are rarely used due to their low effectiveness for stress incontinence.

If drug therapy does not give the desired result, then surgery is indicated.

There are several types of surgeries for urinary incontinence in women. The choice between them always remains with the doctor, who proceeds from the specific clinical picture of the disease.

Sling operations - a loop of synthetic material is placed under the neck of the bladder or urethra, which ensures the physiological position of the internal organs even with a significant increase in load. Injections of tissue-forming drugs, which also guarantee the correct position of the bladder, eliminating urinary incontinence syndrome.

Treatment of urge incontinence

Urgent incontinence is treated only with medication. For this, drugs such as:

Oxybutynin - reduces bladder tone.
Tamsulosin - relaxes the bladder and improves tissue trophism.
Hormone replacement therapy is also provided for women during menopause.

What to do with urge urinary incontinence if the medications listed above do not help? Experts recommend resorting to general methods of therapy, including psychological training.

Surgical treatment of cystitis

If special exercises for urination during sex in men and women do not produce a positive effect, doctors may prescribe the use of certain pharmaceutical drugs that eliminate the problem of involuntary urination not only during sexual relations, but also in everyday life.

But it is worth noting that the use of such funds will be effective when incontinence occurs due to urgent factors. If there is a stressful condition, medications most likely will not have the desired effect.

Changing your lifestyle may help:

it is advisable to reduce or even stop the consumption of coffee and alcoholic beverages, which aggravate the problem;
you should go to the toilet regularly to keep your bladder empty;
it is necessary to maintain an optimal drinking regime, limit the amount of liquid, especially before going to bed or going to public places;
the formation of pathology will also be facilitated by the “leg-to-leg” posture practiced by women;
choosing a comfortable position during sexual intercourse.

In most cases, cystitis after sexual intercourse is treated using medications. Surgical treatment is allowed only when there is a physiological deviation in the development of the abdominal organs.

During the operation, the surgeon will set the displaced organ back into place. The recovery period does not cause complications, and cystitis goes away forever.

If you suspect cystitis, you should contact a Urologist, gynecologist, or better yet, find a specialist - a urogynecologist.

Treatment is both symptomatic and etiotropic in nature (i.e., eliminating the cause of the disease).

For example, the presence of inflammation in the vagina is eliminated with the help of local antifungal and antibacterial drugs. If a sexually transmitted disease is detected, a specialist requires treatment of both partners. If there are anatomical features of the urinary system, the urogynecologist may recommend surgical treatment - urethral transfer, i.e. transposition of the urethra (higher above the vagina), if necessary, the surgeon excises the remains of the hymen, which “stretch” the urethra.

After surgery, recovery takes 7-15 days; in 85% of cases, the operation allows you to forget forever what cystitis after sex is.

Traditional medicine is used to remove inflammatory processes in the bladder, and this is only possible after prior consultation with a specialist. One of the most common methods in folk medicine is to use a heating pad or hot bottle. Yes, there really is relief, but! only for a while, because the cause has not been eliminated, and the bacteria in the bladder has not disappeared.

It is worth remembering that cystitis after sex requires an integrated approach and should include the use of antibiotics, antispasmodics, uroseptics and other medications.

It is important to follow a home regime, diet and drink plenty of fluids. So cold, the use of cold drinks, caffeine, and spicy foods aggravate the symptoms of the disease.

Cystitis after sex is treated mainly with therapeutic agents; surgical treatment may be required to change physiological developmental abnormalities, for example, when the urethra is located close to the vagina, which leads to trauma to the canal and the rapid spread of infection into the bladder. During the operation, the surgeon moves the opening of the urethra to the desired location.

How to deal with urinary incontinence using folk remedies

Of all the methods and means of traditional medicine, there is not a single one that is guaranteed to cure all types of urinary incontinence. However, they may be useful for mild forms of enuresis, as well as for concomitant inflammatory diseases of the urinary organs. For example, yarrow herb increases diuresis. Thus, the amount of urine produced that the woman discharges increases. This helps remove salts and infections from the bladder, relieving the symptoms of cystitis or urethritis.

It is worth noting that you should not self-medicate in case of incontinence. There is a possibility of triggering the disease, which will lead to even greater somatic and psychological problems. It is better to ask a urologist about how to treat urinary incontinence, who will conduct a thorough diagnosis and select the optimal treatment option.

What else can you do to get rid of incontinence?

Very often, you can get rid of urinary incontinence by adjusting your lifestyle and giving up bad habits. If the cause of stress urinary incontinence in a woman is a cough, then you should stop smoking or visit an allergist to identify other causes of constant coughing. Doctors strongly recommend stopping drinking alcohol, which can cause problems with morning incontinence or nighttime urinary leakage. Sometimes losing a few kilograms is enough to prevent voluntary urination. After all, obesity is an important risk factor for all women.

If these steps do not help you get rid of the problem, you should immediately consult a doctor.

Traditional treatment

Traditional medicine is used to remove inflammatory processes in the bladder, and this is only possible after prior consultation with a specialist. One of the most common methods in folk medicine is to use a heating pad or hot bottle. Yes, there really is relief, but! only for a while, because the cause has not been eliminated, and the bacteria in the bladder has not disappeared.

It is worth remembering that cystitis after sex requires an integrated approach and should include the use of antibiotics, antispasmodics, uroseptics and other medications.

It is important to follow a home regime, diet and drink plenty of fluids. So cold, the use of cold drinks, caffeine, and spicy foods aggravate the symptoms of the disease.

To urgently block the symptoms of cystitis, women resort to folk remedies, but the use of alternative medicine methods is best agreed with their doctor.

Urologists often prescribe complex treatment with folk remedies and traditional medicine methods. But the main therapy relies on taking medications:

antibiotics;
drugs that relieve spasms;
uroseptic agents.

Among a large number of various herbs and tinctures, the method of treatment using red brick has proven to be effective. It is distinguished by a minimal set of necessary items and an almost immediate effect on the area of inflammation.

The procedure is carried out using a brick, preferably red, which is heated over an open fire. It is then placed in an enamel-lined bucket, and the patient should sit on top, carefully covering the lower part of the body. After 20 minutes, areas of the body moistened with sweat are wiped with a dry towel, and the person goes to bed (covered with a warm blanket).

You can enhance the effect of such treatment if you drop a small amount of birch tar on the hot surface of the brick. During the therapeutic procedure, there will be a pull into the vagina: this way the inflamed areas are released from infection.

Preventing uncontrolled urination

In a woman’s body, all processes are so interconnected that the best prevention of uncontrolled urine loss is timely treatment of gynecological, endocrine, urological and psychological diseases.

Every girl from her youth should perform Kegel exercises daily, which, in addition to preventing incontinence, is also an excellent preparation of the pelvic muscles for the upcoming birth

Why do I urinate frequently after sex? Sexual life for every person is an important component of not only emotional well-being and satisfaction, but also physiological health. Any disorders in this area can lead to depression and isolation, so you should not ignore unusual manifestations. One of these unpleasant moments after sexual intercourse may be frequent urination.

These symptoms indicate the development of changes or pathologies and require timely diagnosis and treatment. Frequent urination after sex can be normal or a possible pathological reaction if additional signs are present.

Women who are sexually active experience pain associated with urinary functions. These signs indicate the development of postcoital cystitis - a disease of the bladder due to the action of dangerous microorganisms.

Due to the structural features of the female reproductive organs, unpleasant sensations occur much more often, and the development of this disease is accompanied by the following reasons:

Traumatic sexual intercourse, due to which the integrity of the mucous membranes may be disrupted, is a favorable environment for the development of various kinds of diseases.
Lack of normal intimate hygiene leads to the development of fungi and bacteria, which are the main causative agents of gynecological pathologies. This point applies to women and men equally.
Weakened immunity leads to many disorders and disorders, and it also makes the body vulnerable to various viruses. Therefore, in women who suffer from chronic diseases and frequent stress, even minor irritants can cause cystitis.
Problems with metabolism, which can be caused by disruptions in the endocrine system and excess weight. Such disorders reduce local immunity and allow the development of many pathologies.
Hormonal imbalances, on which the general condition of the body depends, also affect the normal functioning of many systems.
Changes in the usual structure of microflora in the vagina. Based on this disease, infectious diseases and any other changes may occur.

Frequent urination after sexual intercourse in men and women, pain in the lower abdomen have certain causes that can be identified with the help of a specialist.

Inflammation of the bladder in men after sex

Infections that cause urinary incontinence in men enter the bladder in different ways.

The ascending path is due to the penetration of pathogenic flora from the following organs:

urethra;
prostate gland areas;
ovaries or their appendages;

The channel responsible for urination in men is elongated, curved and narrow in volume.

In addition, the mucous membrane of the bladder in the male body has the ability to resist bacteria. This is the reason why the stronger sex is less likely to be affected by this disease.

In most cases, with cystitis in men, the penis will hurt when urinating.

Several main features of the development of cystitis in men:

Infectious cystitis most often develops in men who have urethritis, prostatitis, orchitis, vesiculitis, epididymitis.
Microplasmas, chlamydia, trichamonas, bacteria that develop against the background of tuberculosis, and gonococcus provoke the development of specific cystitis.
Additional factors that cause the development of the disease in men: diabetes mellitus, spinal injuries, surgical interventions in the pelvic area. Frequent consumption of alcoholic beverages, spicy foods and hypothermia in most cases lead to the development of cystitis.

At the slightest sign of disease, treatment should begin aimed at restoring bladder function.

Symptoms

Ordinary cystitis differs from postcoital cystitis, not only in pathogens, but also in manifestations and signs. Postcoital cystitis occurs a short time after sex, unpleasant sensations, discomfort, and pain when urinating begin.

Pain during urination after sexual intercourse has the following symptoms:

soreness, burning;
general malaise;
heat;
aching pain in the lower abdomen.

In addition, women may spontaneously release a small amount of urine, and various impurities and color changes may also appear.

These manifestations require an immediate response from a specialist, so any unpleasant manifestations require competent correction from a specialist. Only with the help of a set of diagnostic procedures can pathogens be identified and an accurate diagnosis made.

Men can also have similar manifestations, but much less frequently than women. This disease depends on the structural features of the body, so it is practically reduced to zero in the stronger half. Cystitis in men has the same symptoms, but it manifests itself due to other reasons.

When frequent urination occurs after sex, in most cases the disease is accompanied by other manifestations.

The specialist who treats this pathology is a urologist or gynecologist.

The doctor will make the necessary preliminary conclusion during the examination, and will also refer you for the following studies:

A general blood test, which will determine the extent of the inflammatory process in the body.
A general urine test, which will reveal any inaccuracies in the functioning of the excretory system.
Bacterial culture, using this analysis, can determine the flora, bacteria that are in the urinary system.
Ultrasound of the genitourinary system, this study is the most high-quality marker for determining the condition of the genitourinary system.
A visit to a gynecologist who can determine the presence of other diseases that can cause similar symptoms.

An integrated approach to determining an accurate diagnosis will allow you to determine the root cause of the disease as accurately as possible. It is also important for further treatment to determine the pathogen that can cause this reaction in the body. In order to accurately make a diagnosis, as well as for maximum accuracy of the study, it is necessary for both partners to visit a doctor.

Pain when urinating after sex can bother both men and women, so for a reliable diagnosis it is important to see a doctor together.

Possible complications

With postcoital cystitis, the diagnosis is usually favorable if you consult a doctor in time.

One of the mistakes people suffer from cystitis is taking antibiotics on their own. Sometimes medications are used after each sexual intercourse, supposedly as a prophylaxis against cystitis. But the consequence of such rash measures is an allergy and resistance of the infection to the substances in the drugs.

If treatment is delayed, postcoital cystitis will become more severe and can provoke the appearance of pyelonephritis. In this case, emergency treatment will be required.

Postcoital cystitis is a common occurrence in both sexes. But it is not difficult to get rid of cystitis if you consult a doctor in time and get diagnosed. It is important that both sexual partners begin drug treatment for cystitis and do not forget about prevention: proper nutrition, exercise and folk remedies.

Treatment and prevention

After sexual intercourse, urination may be a painful manifestation; in order to get rid of such symptoms, it is necessary to treat the cause of this disease. For complex therapy, special drug treatment is prescribed, the effect of which is aimed at eliminating the symptoms and signs of cystitis.

Taking into account all the nuances, antibacterial drugs and antibiotics can be prescribed, it all depends on the complexity of the disease, its characteristics, as well as the course of the inflammatory process.

During the treatment period, it is important to follow all the doctor’s recommendations in order to avoid the development of a chronic form of the disease. You should not self-medicate or choose any medications yourself; this approach can aggravate the disease and lead to long-term treatment. During the therapy period, the doctor may prescribe certain painkillers, which should be taken according to the instructions, taking into account all the characteristics of the body.

To ensure that unpleasant manifestations do not bother you, you should use preventive measures that will maximally protect the body from possible diseases:

careful observance of personal and intimate hygiene;
sex should be protected especially with a new partner;
monitor your immune system, take the necessary vitamins;
visit a specialist in a timely manner.

If after sex you experience pain in the lower abdomen and frequent urination, this indicates various diseases. To eliminate complications in the urethra, you should undergo a complete diagnosis, as well as visit a doctor for thorough treatment of the disease. Burning sensation when urinating is a deviation from the norm, therefore it is an alarming signal and an important reason to seek help.

As emergency contraception

There is another so-called reason that after sex you immediately want to go to the toilet. There is a myth that if you go to the toilet after intercourse, the likelihood of getting pregnant will sharply decrease. It is worth noting right away that this is nothing more than a myth. Sperm do not die in an alkaline or neutral environment.

Some girls pretend that they really want to go to the toilet just to supposedly get rid of a possible pregnancy. However, this method does not work, at least because urine never enters the vagina. The excretory canal is located much closer to the labia.