If having sex makes you feel like you have to pee or like your bladder is full, there are several reasons for this.

“The bladder is anatomically located in front of the vagina, and just behind the pubic bone,” says Michael Ingber, MD, board certified in urology, female pelvic medicine and reconstructive surgery, and founder of The Center for Specialized Women’s Health, division of Garden State Urology.

Several Causes of Feeling the Urge to Urinate During Sex


“During vaginal intercourse, the penis may directly hit the bladder wall, and this trauma can cause bladder irritation,” says Dr. Ingber.

To avoid the conviction that you have to “go” when this happens, you should void right before sexual relations.

If sex is planned, then hold off on fluid intake in the few hours preceding, if that’s comfortable. Certainly you don’t want to be distracted by thirst in the middle of the activity.

Overactive Bladder

Dr. Ingber continues, “Also, 20 percent of our population has ‘overactive bladder.’ This is a condition where the bladder muscle will ‘spasm’ intermittently, and can give women the feeling of bladder fullness.”

Urinary Tract Infection

“Other women can get a small amount of bacteria which can travel through the urethra due to penetration during relations.

“This small amount of bacteria, when it proliferates, can cause a urinary tract infection.

“In some women, we recommend that they take a low-dose antibiotic prophylactic pill just after sexual activity to prevent full-blown UTIs.”

Other Symptoms of a Urinary Tract Infection

• Upon urinating there is a burning feeling.

• Urine output only trickles or is small in volume – but frequent.

• If urine is collected in a clear cup it appears cloudy.

• Appearance of blood in the urine (pink, red or tea colored).

• Unusually strong smelling urine.

Having sex should not make you feel like you have to take a bathroom break.

Dr. Ingber is board-certified in Urology and Female Pelvic Medicine & Reconstructive Surgery; is a Fellow of the International Society for the Study of Women’s Sexual Health. The Center for Specialized Women’s Health, division of Garden State Urology & Atlantic Medical Group.
(973) 537-5557
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  



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