Coital Incontinence in a 37-year-old Postpartum Patient: A Case Report
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Hailey Piemonte
College:
The College of Health Professions and Human Services
Major:
Physical Therapy
Faculty Research Advisor(s):
Jennifer Gentile
Abstract:
Coital incontinence (CI) is an underreported condition affecting 2- 18% of women. It is defined as the loss of urine during intercourse upon vaginal penetration or orgasm. Urinary incontinence is common in the postpartum period but if untreated can lead to increased healthcare spending, including out of pocket expenses. Postpartum CI rates have been reported at 1.2%, however symptomatic women reported a high level of bother. Symptoms related to the pelvic floor (PF) are common during the postpartum period, yet little attention is given to sexual dysfunction, including CI . The purpose of this case report is to outline the impairments noted during a PF physical therapy (PT) examination of a postpartum woman, and the interventions performed to address these impairments, leading to resolution of her PF symptoms which included CI. This case report is the beginning of a research subject that requires future research in order to develop structured guidelines for PT treatment of coital urinary incontinence, which would ultimately improve efficiency of treatment and reduce cost of care.