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The Voice

Incontinence during sex
published: Sunday | November 14, 2004

By Avia Ustanny, Outlook Writer


Dr. Errol Daley

IT IS estimated that about that 24 per cent of women have incontinence during intercourse. Most had felt too embarrassed to talk about it.

Some are reported to have leakage of urine during intercourse but not at any other time. In about two-thirds, in one survey, the leakage occurs when the penis enters the vagina (penetration) In about one-third, the leakage occurs only at orgasm.

Dr. Errol Daley, consultant obstetrician/gynaecologist says that the first question to be asked however is, is it urine?

"Having sex stimulates the G spot", Dr Daley explains. "It could be that the fluid only looks like urine. Often the fluid released during orgasm is enough to wet the bed."

Could this bed wetting then, be female ejaculate?

In 1950, a Dr. Grafenberg described what he called 'female ejaculation ... the expulsion of large quantities of clear transparent fluid at the height of orgasm."

In other places it has been claimed that the ejaculate comes from Skene's glands, which are supposed to be similar to the prostate gland in men.

'Female ejaculation'

People who believe in 'female ejaculation' say that analysis of this fluid reveals high levels of an enzyme called acid phosphatase that is made by prostate-type gland tissue.

One study in six women showed that their ejaculate fluid contained the same amount of acid phosphatase as in their urine. A study of just one woman did find high levels of acid phosphatase in the fluid she released at orgasm, but the method used to analyse it was unreliable. The facts have been reviewed in an American medical journal (American Journal of Obstetrics and Gynecology 2001;185:359-62), and it now seems clear that this fluid is just urine. The reason is not understood, but it is likely to be partly due to an irritable bladder or a weakness at the neck of the bladder.

The experts advise that those with this problem of incontinence should empty their bladder before sex. Some doctors prescribe oxybutynin or a similar drug which should be taken this about one hour before sex (if possible).

Alternatively, the doctor might prescribe imipramine, to be taken in the evening. This is normally given as an antidepressant, but it also has effects on the bladder (which is why a similar drug is used to treat bed-wetting in children). If none of this works, you and your partner may simply have to come to terms with the problem, and enjoy your sex life in spite of it.

Says Dr. Daley, "There are some women who do pass urine but its no big thing."

Partial information soruce: www.embarrassing problems.com

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