Can You Pee During Sex

Can You Pee During Sex

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Caroline Shannon-Karasik
Caroline Shannon-Karasik is a writer and mental health advocate based in Pittsburgh, PA.

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Any number of things might run through your mind during sex—and hopefully all of them are a version of "this is amazing."
But every now and then—in addition to random thoughts, like "did I remember to turn the oven off?"—you'll realize that, crap, you feel like you need to pee. Mood killer, amiright?
Alyssa Dweck , M.D., a gynecologist in New York, says there are a number of things that might contribute to the feeling that you need to run to the bathroom. Chief among them? You had to pee before sex and didn't realize it until you were already getting hot and heavy.
Dweck says that pressure on the bladder—whether it's from thrusting or because you decided to try a more creative sex position —can make you realize you need to pee.
Vaginal dryness, as well as sensitivity to a lubricant or condom, might also cause irritation and swelling around the urethra, and subsequently lead to the urge to pee, says Dweck. In order to figure out what the root cause is, Dweck recommends eliminating potential irritants, then reintroducing them one at a time to see if symptoms resolve (or worsen). (Just don't eliminate the condom! Try experimenting with other brands.)
Weak pelvic floor muscles (say hi to kegels ) may also be the culprit behind that need-to-pee feeling. According to the National Institutes of Health, nearly one quarter of women in the United States are affected by pelvic floor disorders, leading to incontinence , general discomfort, and a need for reduced activity.
Feeling like you need to pee during sex could also indicate that you're about to orgasm. Before you cut and run to the restroom, consider waiting it out a bit—as long as you aren't in pain.
Of course, there's also female ejaculation. Research shows 10 to 54 percent of women experience female ejaculation during sex, or a gush or clear fluid that, well, can feel a lot like peeing.
But is it actual pee? "Some feel it's just urine, while others say the fluid has a different chemical makeup," says Dweck. It's true: Some experts think the fluid comes from the Skene’s glands (tiny glands surrounding the urethra), while others say that it’s just urine. Others say it's both, including one study in the Journal of Sex Medicine . So yeah, that one's still up for debate.
Well, first of all, make sure you pee before sex next time. Otherwise, you can try to hold it, or just take a T.O. from your bedroom sesh.
But if you think female ejaculation is behind your urgency, you might want to roll with it, says Dweck, adding that "some women opt for water play—such as sex in shower or bath—so it's masked."
You could even throw some toys in the mix to stimulate your G-spot (which might encourage squirting ) or by trying different positions. (Sex therapist and sexologist Alex Robboy told Women's Health woman-on-top positions are ideal for achieving female ejaculation .)
Depends. If you constantly feel like you need to pee during sex (or you're always leaking), then you might be dealing with an underlying health issue, like a urinary tract infection (UTI) . Dweck says urgency, the frequent need to urinate (and a burning sensation when you do), and symptoms that worsen during sex are all hallmarks of a UTI. A fever, blood in your urine, back pain, a foul smell, and chills are all signs that it's time to see a doc.

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What’s one more bodily fluid between friends, right?
Welcome to the new BuzzFeed Sex Q&A, where you can ask us your awkward, confusing, gross, embarrassing, or thought-provoking questions, and we'll provide answers from leading sexual health experts. Have a question about sex or sexual health? Send it to sexQs@buzzfeed.com .
Q: My wife and I (both 23) have what I would call an extremely healthy, adventurous sex life. I have a question about something we do once in a while. Can I safely urinate inside my wife during intercourse? We don't do it all the time, but it feels amazing and turns us both on a lot. What are the risks to this? I haven't been able to find much information on it. We have done this in the past with no problem, but she is pregnant right now and we want to be safe. Thank you for the help; I was really excited to see you guys are doing this for people!
Hi Joe! Thanks so much for your question. To help answer it, we checked with sexual health expert Madeleine Castellanos, M.D., author of Wanting to Want , and certified OB-GYN Mary Jane Minkin, M.D., clinical professor of obstetrics, gynecology, and reproductive sciences at Yale School of Medicine. Here's what they had to say:
That's because urine is typically sterile, though it may contain some bacteria if you have an infection, like a bladder infection. "If a person's healthy and doesn't have any bacterial infections, there's not a whole lot of bacteria coming through urine, and if there is, it's the same as what would be in ejaculate," says Castellanos. So getting some pee on you isn't really anything to worry about health-wise (as long as it's consensual).
The only real concern would be messing with vaginal pH levels, which is the natural balance of acidity and bacteria in the vagina. A healthy vagina is naturally acidic, with a pH between 3.8 and 4.5, which helps protect against infections, says Castellanos. Tons of things can affect vaginal pH, including semen, but it's usually too small an amount to cause much trouble.
Although pee is also generally pretty acidic, it is possible that it could throw the vaginal pH out of whack, says Minkin. If this happens, it could make your wife more susceptible to things like yeast infections and bacterial vaginosis. "Some women — but not everyone — may be more susceptible to infection just because of the bacteria already present [in the vagina]," Castellanos says. "And this is assuming the urine is totally sterile."
But every vagina is different — while some are more prone to infections, others very rarely get them. If your wife has never ever experienced any irritation from this and she's never gotten a vaginal infection since you've started doing it, it's probably fine. "If [you] want to do it every once in a while, it probably wouldn't be a problem especially if she's not that susceptible to infections," says Castellanos. "But if it's done very frequently, some women might find it irritating afterwards."
That said, there are a few more things to keep in mind…
You definitely wouldn't want to do this with a bladder infection, since that could pass bacteria along to your wife. You should also be careful if you're diabetic, since there's a chance some glucose could pass through your urine, and you definitely don't want to introduce sugar into the vagina, warns Castellanos.
STIs are another concern, since anything that could be passed along through sexual contact could be passed when urinating inside your partner. "These do not come from the urine or bladder itself, but can be passed along from the inside of the urethra or prostate during urination," says Castellanos, since urine passes through prostatic tissues on the way out.
This could even be an issue if you're peeing externally and you have an STI that could infect regular skin, like herpes or HPV. It's highly unlikely, but it's possible that traces of the virus could be carried along from the urethra, says Castellanos. But if you and your wife are mutually monogamous and have recently been tested, this wouldn't really be an issue.
Even if you're both free of STIs and totally healthy, there's still a chance that urinating inside of her can screw with her vaginal pH levels and make her more susceptible to infections. "I would imagine that most physicians would advise not doing it during pregnancy because why increase your chance of infections, even if it is very slight?" Castellanos says. Still, she suggests checking with your wife's doctor if you're concerned.
It's not like the urine is really going to go anywhere but the vagina, says Minkin. While there's a remote possibility it could get up into the cervix, it really wouldn't do anything as long as your urine is free of bacteria. (This is especially true during pregnancy, when the cervical mucus is much thicker and harder to penetrate.) If you want to be extra safe, you can get a urinalysis to make sure everything's in order down there. As an alternative, you could always try peeing on her instead of in her. It's not the same, but it's completely safe.
The bottom line: As long as you're both infection-free, you only do it occasionally, and your wife doesn't experience any irritation from it, you're probably in the clear.
ALSO, the more details you give, the better answers you'll get. Judgment-free zone! Feel free to sign it however you want (first name, alias, anonymous, some kind of descriptive sign-off, whatever), and we'll reach out if we end up answering your question. Check out some of the questions we've already answered:
Casey Gueren is a senior health editor for BuzzFeed News and is based in New York.
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As mortifying as it may be to come and go at the same time, it's not unusual. "When the uterus contracts during orgasm, it can stimulate contractions in nearby organs, including the bladder," explains Gunhilde Buchsbaum, a urogynecologist at the University of Rochester in New York. In the process, some urine may get squeezed out. You can reduce the risk of leakage by going to the bathroom before sex.

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Another possibility: "There's good evidence that some women's orgasms produce a vaginal fluid that's not urine," she notes. Sometimes called female ejaculation, this orgasmic release tends to occur when a woman's G spot is stimulated, and it's perfectly natural.

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