Sex and Intimacy with a Catheter

Having sex and being intimate when you have catheter can come with its challenges and barriers, especially if you are in a new relationship. Here we address some common questions and challenges to help you move forward.

Sex with an Indwelling Catheter

One of the most frequently asked questions is “Can I have sex with an Indwelling Catheter?”. The answer is – Yes you can! Having an indwelling catheter in situ does not make sex an impossibility. If you are a male, place the external length of the catheter along your penis and position a condom over the catheter and penis. The condom should be removed as soon as possible after sexual activity.

Those assigned female at birth should empty the leg bag and use surgical tape to attach the catheter to their abdomen. The surgical tape should be removed and the catheter/bag repositioned as soon as possible to prevent any damage to the catheter or trauma to the urethra.

Please make sure to consult with your healthcare professional for further advice.

Sex with an Intermittent Catheter

If you have an intermittent catheter (ISC), sex is more straightforward. Simply perform ISC before having sex to prevent any urine leakage.

The importance of communication

One of the biggest challenges to overcome when it comes to sex with a chronic illness is less to do with the physical symptoms but more the communication barriers – not being able to talk about how you are feeling.

Opening up to your partner can help address concerns and anxieties, pain management and physical limitations as well as explore the adaptions you may both need to make to ensure a comfortable and enjoyable experience. Talking about your needs and desires can also strengthen the emotional intimacy between you both.

Infection prevention and hygiene

Infection prevention and hygiene is important for anyone who is sexually active. Wash your hands and genital area before and after sex (especially if you are a catheter user) and urinate after sex (if you are able to) to flush bacteria from the urethra to prevent UTIs. If you are using sex toys, clean them thoroughly before and after use.

Post menopausal females and dryness

When you go through menopause, hormone changes can affect vaginal discharge and fluid levels.

If you find sex uncomfortable due to post-menopausal dryness, the NHS suggest using a water based lubricant and enjoy more foreplay beforehand.

‍