Sexuality and intimacy are intricately connected to our sense of self and how we connect with others. Having bladder issues can affect our self-image and evoke anxiety around leakage, odour, and discomfort during intimacy. Below are some helpful tips on how you can approach intimacy in a way that works for you.
Talk to your partner –Be open about not only your condition, but your anxieties related to intimacy. Talking through these things will help you both relax and lighten the mood.
Be adventurous and try different strategies – and not everything works perfectly the first-time round! You might like to try absorbent bed protection, have sex in the bath or shower, or connect through alternative ways such as touch and massage.
Extra precautions – unfortunately intermittent self-catheterisation does not always allow you to be completely spontaneous. This is true with intimacy because of a few precautions you should take to avoid infections. Firstly, take time to empty your bladder before and after sex, ensure your genital area is cleaned before and after sex, and be sure to drink plenty of fluids after sex as this helps flush out any bacteria from your bladder.
During sex – painful intercourse for women can occur when you have bladder problems. If the tissue around your genitals tends to remain dry it is a good idea to keep some water-based lubricant on hand to help moisturise and reduce friction during sex. This can also reduce the risk of infection. If you’re a man and you experience leakage during sex, catheterise right before intercourse or try wearing a condom for extra security.
Remember, these are general guidelines only. If you still experience frequent urinary tract infections as a result of sexual activity or have any other concerns– speak to your healthcare professional about other possible solutions.