MSP Sex Q&A: Is a Full Bladder During Sex Good?


Yes, that’s me! We found this poster (above) at a restaurant in Hyderabad, India in January while I was in town to give a talk about female sexuality. Photo credit: Meg Bay

Ok, so I was watching the Tyra Banks Show that you were on the other day, and there was a question from a person in the audience about a female peeing before sex as to avoid having sex on a full bladder and attempting to avoid a UTI which would be “traumatic”. However I was under the impression that
having a full bladder (for the female) is beneficial as it increases the pressure on the vaginal wall and increases the chance/possibility of a female orgasm. So what is the actual truth?


Technically, it is peeing AFTER sex that may decrease the risk of a woman or man getting a UTI after intercourse. But that’s a story for another day. It seems that you have heard that women may be more likely to orgasm if they go into sex with a full bladder – and your question is whether this is true or not.

The answer is a big, firm “maybe, maybe not”.

Some women are very clear that they prefer to have sex, or at least they like to have sex, on a full bladder because that pressure or the genital area sensations make them feel extra sensitive, in tune with their genital feelings, or more likely to orgasm. After all, during sexual excitment/arousal women experience increased blood flow to their genitals which also builds pressure down there. So extra feelings of “pressure”  may signal to a woman that she’s feeling aroused or on the way to orgasm. Yum!

For other women, particularly those who are worried that they are going to pee during sex, or for those women who want to concentrate on genital sensations that don’t remind them of anything at all to do with peeing, a full bladder can work against them in the sexual arena. For these and other reasons, some women prefer to pee before they have sex with a partner or masturbate.

While we’re on the subject, I will also add that some women fear that they are peeing during sex when in reality they might just be getting super wet and excited and having lots of vaginal lubrication. They may even be experiencing what some call female ejaculation.

For more information on how these various genital sensations work (like how our nerves can “cross-talk” and peeing sensations can get mixed in with sexual sensations), check out the relatively new book The Science of Orgasm. To learn more about urinary tract infections (UTI) and how women can prevent them, The V Book is the way to go.

If you have a question about sex, orgasm, female ejaculation, pleasure, positions, techniques, boy parts, girl parts, sex toys, lube, relationships, dating, friends with benefits, or such, hit me up at

About Dr. Debby Herbenick

Dr. Debby Herbenick

Dr. Debby Herbenick is a sex researcher at Indiana University, sexual health educator at The Kinsey Institute, columnist, and author of five books about sex and love. Learn more about her work at