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Women's Health

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Sex, Exercise, and Stress Incontinence

Workouts and romance may both trigger 'accidents,' but stress incontinence treatments can bring relief.
WebMD Feature
Reviewed by Louise Chang, MD

Stress incontinence has an annoying way of showing up at the most inopportune times.

You're jogging along, feeling great -- and then you realize your running shorts are damp with urine. Later that night, during a romantic rendezvous with your partner, a trickle of urine appears again, definitely spoiling the moment.

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Lest you think stress incontinence is a problem only of middle-aged or elderly women, think again. Surprisingly, young women actually have more stress incontinence during sex than older women, according to Amy Rosenman, MD, a gynecologist at Santa Monica -- UCLA Medical Center, Santa Monica, Calif., and co-author of The Incontinence Solution.

While only 3% of women over age 65 reported incontinence during sexual activity, 29% of women under age 60 did, Rosenman reports in her book, citing an Israeli study that polled 100 women and was published in the International Urogynecology Journal in 1999. When incontinence occurs during intimate moments, women feel anxious, Rosenman says, even if they are in stable marriages.

The same anxiety can occur, of course, during a workout, where you may end up with an embarrassing wet spot on your pants for the world to see.

Stress Incontinence Due to Weak Pelvic Floor Muscles

The problem, whether the stress incontinence occurs during exercise or sex, has a common denominator, says Beverly Whipple, PhD, RN, professor emerita at Rutgers, The State University of New Jersey, and a sexuality researcher.

"Stress incontinence is related to the strength of the pelvic floor muscles," Whipple says. The weaker those muscles are, the more likely you are to have symptoms of stress incontinence -- leaking urine during physical activity, such as exercise, sex, sneezing, laughing or jumping.

While many women experience minor leakage from time to time, at any age, if it becomes more frequent or interferes with your normal routine, you should tell your doctor. There is an array of very effective treatments for stress incontinence.

If you have had several pregnancies and childbirths, your pelvic muscles and tissues may have gotten stretched and damaged. With age, the muscles can weaken, too, although stress incontinence is not an inevitable part of aging. Excess weight can also weaken pelvic floor muscles and cause stress incontinence.

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