La incontinencia limita las relaciones sexuales
La incontinencia limita las relaciones sexuales:
Cualquier alteración fisiológica tiene un efecto directo sobre quien la padece, y en el caso de los pacientes con incontinencia urinaria, se genera un problema higiénico y social que incide indirectamente sobre su situación familiar, laboral y sexual.
El 50% de las mujeres incontinentes rechaza la actividad sexual, según un estudio reciente que busca la relación entre esta patología y la satisfacción personal y la sexualidad.
Se ha demostrado que la falta de control voluntario de la orina durante el sexo genera vergüenza e inseguridad en la mujer, lo que conlleva un impacto negativo en el plano emocional y relacional de la paciente.
“La IU y los prolapsos hacen que la mujer se infravalore y se sienta insegura porque reduce su autoestima y la convierte en una persona retraída, alterando así su comunicación afectiva y llegando a bloquear su respuesta por la ansiedad sexual que le genera este problema” explica el Dr. Eduardo Martínez Agulló, coordinador del Comité de Expertos del Instituto Indas.
De hecho, diversos estudios demuestran que las personas con IU registran una tasa significativamente más alta de depresión, tristeza y sensación de soledad.
Recuperar la normalidad funcional
Un considerable número de mujeres con incontinencia urinaria sufren pérdidas de orina durante su actividad sexual, ya sea durante el coito, el orgasmo o post-orgasmo.
La causa de la I.U, la posición (decúbito supino), la replección vesical, el incremento de la presión abdominal, el estímulo clitorideo y el orgasmo pueden ser los desencadenantes de las pérdidas.
Pese a todo, son muy pocas las mujeres que consultan a su médico por vergüenza o pudor, sentimiento se acentúa en estos casos.
“No podemos afirmar que con la recuperación de la continencia la sexualidad vaya siempre a mejorar, puesto que estaríamos confundiendo sexualidad con genitalidad”, asegura el Dr. Martínez Agulló.
Sin embargo, el tratamiento de la patología -ya sea con fármacos, cirugía o con unos sencillos ejercicios de suelo pélvico- permitirá al paciente normalizar la función fisiológica y, en consecuencia, mejorar su calidad de vida.[:en]
Women Urinary Incontinence; Sexual Health & Menopause
Women Urinary Incontinence: Sexual Health & Menopause, Incontinence; Causes of Sexual Problems and Urinary Incontinence.
Women Urinary Incontinence: Urinary leakage during intercourse is estimated to affect up to a quarter of women with incontinence.
Reduced levels of estrogen starting around menopause can cause thinning of the lining of the urethra, the short tube that passes urine from the bladder out of the body.
The surrounding pelvic muscles also may weaken with aging, a process known as «pelvic relaxation.»
As a result, women at midlife and beyond are at increased risk for urinary incontinence, or the involuntary leakage of urine. The main risk factors for developing urinary incontinence are vaginal childbirth and increased age.
The most common types of urinary incontinence in women are:
Stress incontinence, which is caused by weak pelvic floor muscles. The most common symptoms are leakage of urine with coughing, laughing, sneezing, or lifting objects. Stress incontinence is common during perimenopause but typically doesn’t worsen because of menopause.
Urge incontinence (also called «overactive bladder»), which is caused by overly active or irritated bladder muscles. The most common symptom is the frequent and sudden urge to urinate, with occasional leakage of urine.
Although urinary incontinence is common during perimenopause and beyond, it’s not an inevitable result of aging and should not be considered normal or passively accepted if it proves bothersome.
Sex is one area where urinary incontinence can prove troubling. Urinary leakage during intercourse is estimated to affect up to a quarter of women with incontinence.
This can be embarrassing for women and lead them to avoid intercourse or to worry about leakage to the point that they are unable to relax and enjoy sex.
You need not endure problems with urinary incontinence.
Exercises to train and strengthen the pelvic floor muscles may help (see the discussion of Kegel exercises later in the program), as may a number of medications and surgical treatments.
The simple practice of urinating right before intercourse can also be helpful.
Impact of urinary incontinence on female sexual health in women during midlife
Urinary incontinence is a bothersome condition that is prevalent in middle age women.
There is significant data to support that urinary incontinence is detrimental to sexual function, especially in women in midlife.
While data on the effect of urinary incontinence treatments on sexual function is limited by the lack of large trials and high quality trials, treatment of any incontinence has been shown to improve sexual function.
For stress UI, non-surgical and surgical treatments – pelvic muscle training and midurethral slings – have been shown to improve sexual function.
For urgency UI, treatment with pelvic muscle training and anti-muscarinic medications has the most evidence of improvement in sexual function.
Coital incontinence generally improves with treatment of the underlying incontinence subtype.
Though problems with sexual health in middle-aged women with incontinence are admittedly complex, and involve both psychological and physical factors, evaluation and treatment of urinary incontinence is important in the management of this important issue.
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