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Sexual relationships

In the recent survey carried out for the Healthy Bladder Campaign, we found that bladder problems came second only to sexual problems as a subject people would not feel comfortable talking about to a friend. So when these two problems are occurring at the same time, it must be even harder to try and cope.

Tricia Barnes, a sex and relationship psychotherapist from London says, "On their own, sexual intimacy and bladder control are often very difficult topics for people to talk about. Coupled together, they can cause people to be even less willing to communicate openly."

Of course bowel problems can also affect your relationships, both emotionally and physically. "It is only natural for people with a problem like fecal incontinence to worry about how the problem will affect their interest in and ability to take part in sexual activities. They may worry even more about how the problem will affect their partner's interest in the sexual side of the relationship. Or how and when to tell a prospective partner about the problem, and how the person will react." (Keeping Control: Understanding and Overcoming Fecal Incontinence, by Dr Marvin M Schuster and Jacqueline Wehmueller, John Hopkins University Press)

The most common piece of advice given to people with any kind of problem within their relationship is talk to their partner about it. Some people might feel fine talking about such personal and intimate issues. For others it can be more of a worry. If you would like more information about how to discuss personal issues with your partner, and think that seeing a counsellor might help, you could contact Relate (branches throughout the UK) on 0845 456 1310.

However, even if you have discussed your feelings with your partner, the practicalities of how to continue a sexual relationship can still be a cause for concern. Here are some suggestions:

  • Empty your bladder or bowel before sex
  • Men can use a condom to collect any small amount of urine that may be lost during sex
  • Cover the bed with a towel, or bedcover with a waterproof backing
  • Catheters can be taped out of the way during sex
  • Light scented candles. Not only are they sensual, but can also help to mask any odours

This is by no means an exhaustive list. Speak to your partner to see what ideas you can come up with together. After all, no-one knows your problems and your body as well as you do.


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