N39.491

Clinical Causes: Weakness of the pelvic floor muscles, leading to inadequate support of the bladder during sexual activity Overactive bladder caused by nerve issues or bladder muscle dysfunction Urinary tract infections that irritate the bladder and increase the likelihood of leakage Vaginal atrophy or thinning of the vaginal walls, often due to menopause, making urine leakage more probable during intercourse Surgical or radiotherapy treatments affecting the bladder or pelvic nerves Structural abnormalities within the urinary tract, such as fistulas or urethral diverticula Certain medications that affect bladder control

Key Symptoms: Sudden or involuntary urine leakage during sexual intercourse Feeling of urgency or the need to urinate just before or during sex Possible associated urinary symptoms such as frequency, urgency, or nocturia Discomfort or embarrassment during intimacy due to urine leakage Potential discomfort or irritation in the genital area resulting from urine exposure

Diagnosis Path: Diagnosing coital incontinence involves a combination of medical history, physical examinations, and specialized tests. Healthcare providers may perform:

Treatment Protocols: Management of coital incontinence aims to address the underlying causes and improve quality of life. Treatment options may include: