So let’s review a little anatomy first.
The bladder is close to the vagina and sits on top of the uterus, so it is not unusual to have the sensation you have to pee during sex. When you’re having sex, the friction that occurs can sometimes confuse the feelings that are going on down there, making you feel like you’re going to pee.
Of course, there are other things to consider as to why you might feel like you have to pee during sex. Do you feel like your bladder is full? Emptying your bladder before sex will help. If you have urinary incontinence or leak urine due to an overactive bladder or weak pelvic floor, you may have the urge to pee. Other bladder issues such as a UTI or interstitial cystitis can also irritate the bladder and the urge to pee. This can be exacerbated by sex.
Certain positions may also put more pressure on the bladder. Sometimes, changing positions can help eliminate the sensation of having to pee. Experiment with your partner and see what sexual position works best for you!
Dr. Jodie Horton