Sometimes Size Does Matter

A few years ago, one of my private Pilates clients shared a bit of personal information with me. Her husband is very well-endowed. I know what you're thinking. 'Poor her. Next thing you are going to tell me is that he is really good-looking.' He is. What can I say ladies? Sometimes life isn't fair.

In my client's case though, it was actually kind of a drag. You see her husband is REALLY big. He is so big that she was experiencing urinary incontinence and bladder infections after sex. She would feel so sensitive down there after sex that she could rarely do it more than once a week. Not so jealous anymore now that you know she had to spend an entire week post-coital feeling like she was going to pee her pants, right?

Sex-related urinary incontinence is actually pretty common. Sometimes it is a symptom of a more serious condition that needs medical attention. Often though, it is caused by weak pelvic floor muscles. The pelvic floor is a group of muscles in your pelvis that supports your bladder and uterus. The bottom layer of muscle wraps around your vagina, anus and urethra. Engaging the pelvic floor muscles stops the flow of urine. When these muscles are weak (or they get stretched out and stressed out from sex with your REALLY big partner), there can be leakage. Women who experience sex-related incontinence are also more likely to get urinary tract infections.

The good news is that mild leakage after sex is relatively easy to improve by strengthening the pelvic floor muscles. I started to incorporate pelvic floor exercises, or kegels, into my client's Pilates routine. She built pelvic floor strength quickly and soon reported that her problems had gotten less frequent and severe. And, since strengthening the pelvic floor also increases the intensity of orgasms, she got an added bonus.

Some girls have all the luck.