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Effect of Bladder Health on Sexual Health

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The state of bladder health can significantly impact overall sexual health and intimacy experiences. A healthy bladder contributes to a positive sexual life.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Ramesh Mohanlal Maheshwari

Published At September 12, 2023
Reviewed AtSeptember 12, 2023

Introduction

Women's midlife sexual health affects their sense of self-worth, emotional stability, and general quality of life. However, sexual function is negatively impacted by urine incontinence, which is common in this population. It has been demonstrated that mid-urethral slings and pelvic muscle training can enhance sexual function in people with stress incontinence.

Evidence suggests that treatment with anti-muscarinic drugs improves sexual function in people with urgent urine incontinence. When the underlying incontinence subtype is treated, coital incontinence frequently improves. Urinary incontinence therapy should be considered when managing sexual dysfunction, even though sexual health issues are complicated and involve both psychological and physical components.

How Does Urinary Incontinence Impact Overall Sexual Health?

Urinary incontinence may significantly impact a woman's sexual health since the bladder and urethra are so close to the vagina and vulva. Middle-aged incontinent women frequently experience sexual health disruptions in clinic settings. Age-related changes in self-rated health and a higher prevalence of depression are observed in older women with urine incontinence, which may impact sexual health. The dysfunction in validated sexual function is larger in women with urinary incontinence.

Negatively affecting a woman's sexual response, significant correlations have been identified between severe urinary incontinence and reduced libido, dryness of the vagina, interest, and satisfaction with sexual intercourse, including orgasmic dysfunction.

An unpleasant partner relationship may bring on these women's decreased desire, concerns over coital incontinence, and unsatisfying somatic health. An unpleasant partner relationship may bring on these women's decreased appetite, concerns over coital incontinence, and unsatisfying somatic health.

What Are the Causes of Urinary Incontinence Associated With Erectile Dysfunction?

A person's sexual health may be affected by their bladder health, a crucial aspect of overall health. From acute (short-term) infections to chronic (long-term) illnesses, the bladder can be afflicted by a number of conditions. Although both men and women can develop these problems due to the shape of their urethra, women are more likely to do so.

The most prevalent bladder conditions that impact sexual health are listed in the list below:

  • Urinary Tract Infection - It is referred to as cystitis when it affects the bladder and causes localized inflammation. For a variety of reasons, a person may have a UTI. Improper hygiene is one factor that can lead to the infection of the urinary system by bacteria originating in the gastrointestinal tract. The vaginal flora and pH of the vagina might change due to hormonal changes, such as those brought on by menopause or some birth control techniques, which may make it easier for dangerous bacteria to enter the urinary tract. UTIs and sexual activity are linked, particularly in women. This could increase sexual apprehension and even make people avoid having sex altogether.

  • Overactive Bladder - Urinary urgency, frequent urination, and nocturia are all symptoms of an overactive bladder, characterized by a strong, sudden urge to urinate, frequent urination throughout the day, and regular urination to urinate at night. Overactive bladder patients may encounter urinary incontinence or leaking pee, another condition. This illness may impact sexual health in a number of different ways. Some overactive bladder sufferers reportedly feel pain or discomfort during sexual activity, according to research. Incontinence during sex, which can increase self-consciousness and anxiety surrounding sex. Sexual activity may need to halt for overactive bladder sufferers to urinate, which can be annoying or embarrassing.

  • Interstitial Cystitis - The illness known as interstitial cystitis is characterized by persistent bladder pain that lasts for at least six weeks and is not brought on by an infection or any other obvious reason. In addition to frequent urination, decreased bladder capacity, and pain during sexual activity, its symptoms include bladder and pelvic pain.

Although the exact etiology of interstitial cystitis is uncertain, a widely accepted idea suggests that it may be due to a condition of the bladder lining that makes it more prone to irritation. Both men and women can develop interstitial cystitis, even though it is more common in women.

As a result, they both may encounter sexual difficulties. Because of the bladder's close closeness to the vagina, having sex with a woman may be uncomfortable, especially during deep penetration. Men may have painful orgasms or more severe bladder pain the day after a sexual encounter.

  • Treatments for various diseases might cause overactive bladder as well as erectile dysfunction.

  • Some drugs, for instance, may cause erectile dysfunction or an overactive bladder. Furthermore, procedures to treat prostate or bladder cancer may result in erectile dysfunction.

  • Either condition may also be brought on by specific medical diseases that affect the central nervous system, such as multiple sclerosis (MS).

  • Stress can result in erectile dysfunction or an overactive bladder. When someone is under stress, the conditions may persist since the individual is under more stress.

What Is the Treatment Plan For Urinary Incontinence Affecting Sexual Health?

Both frequent urination and erectile dysfunction may be treated frequently with excellent results. Both conditions may be treated with a combination of drugs, a change in lifestyle, or surgery.

  • Making lifestyle changes, such as giving up smoking, exercising regularly, and drinking less alcohol.

  • Having therapy to deal with depression, anxiety, or stress using prescription drugs like Sildenafil  or Tadalafil.

  • Adjusting existing prescriptions in conjunction with a doctor.

  • Having an injection of medicine instead of oral medications.

  • Urethral suppositories are used.

  • Attempting to suck blood into the penis with a vacuum device.

  • Inserting surgically implanted devices to aid in the erection-inducing penis.

Conclusion

Urinary incontinence is a distressing ailment that is common in middle-aged women. Urinary incontinence is harmful to sexual function, especially in middle-aged women. Overactive bladder, whether with or without incontinence, has a negative impact on women's sexual health by lowering sexual desire and capacity to attain orgasm.

Given the negative impact an overactive bladder has on sexual health. Both illnesses can have emotional consequences, share a common etiology, and usually improve with treatment. If someone experiences symptoms of either condition, they should consult a doctor online.

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Dr. Ramesh Mohanlal Maheshwari
Dr. Ramesh Mohanlal Maheshwari

Sexology

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