What happens if you come while wearing a catheter?

Having a catheter in place should not affect an erection or ejaculation.

continence.org.au - Sexuality | Incontinence - Continence Foundation of Australia

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Bladder or bowel control issues can have an enormous impact on sexuality and the way we feel about ourselves. Many people report that they feel embarrassed about leaking and wetting their clothes in public. As a result, people restrict their movements outside of the home and alter the clothes they wear to disguise any wetness or staining (for example by wearing dark or patterned clothing). Our choice of clothing is an outward expression of our sexuality. People report continually washing themselves during the day to stay fresh and avoid the risk of smelling. Others need their partners to undertake this aspect of personal care for them. Partners can experience emotional difficulties providing continence care, which can in turn affect their sexual relationship with the person they are caring for. Cleaning urine (wee) and bowel motions (poo) involves touching the genitalia and is difficult as people are often aware of their partner's discomfort in being helped. Providing intimate personal care can interfere with a couple's sexual relationship. This is an important concern and should be talked about with an appropriate health professional. For some people, aids and techniques used to manage incontinence can also have an impact on sexuality by preventing relationships, causing embarrassment or evoking memories of their partner. The concerns of people living with incontinence can be placed into two categories: emotional and physical.

Emotional concerns

embarrassment and shame

an overwhelming sense of loss and grief because of their inability to control this bodily function

anxiety and depression

low self-esteem or confidence

feeling lonely and isolated

a loss of desire for intimacy.

Physical concerns

leaking urinare or bowel motions during sexual intercourse due to position and pressure, or due to a bladder spasm or bypassing a catheter

odour from leakage and infection

irritation to genital area from allergies or ill-fitting continence aids

presence of drainage bag and/or catheter.

sexual dysfunction - vaginal dryness, lack of sensation

pain or fatigue associated with the underlying cause of incontinence

concerns in managing continence aids (for example, catheters) particularly during intercourse

the effect of medications

hypersensitivity or spasm from an underlying condition (for example multiple sclerosis, motor neurone disease, spinal injuries or cerebral palsy). These concerns can lead the person experiencing incontinence to avoid situations of intimacy, withdraw from existing or future relationships, and suppress their own desires of sexuality. You need to know you are not alone in these feelings and that help is available.

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