Question:
Hello,
My husband and I have some rather unusual interests. We’re often quite imaginative and adventurous. Recently, I’ve been particularly curious about the idea of him urinating inside me during sex. When I mentioned it to him, we both found the idea very exciting, but we’re not sure if it’s safe, especially for me.
Given that this thought is quite unusual, we’re too embarrassed to consult a doctor or anyone else about it. We’ve been following you for a while and appreciate your professionalism and broad perspective, so we thought we’d ask you first.
Answer:
That’s quite unusual. Let’s read it again.
Apparently, many people have similar thoughts; I might have underestimated the situation.
First, the conclusion: If the urine entering a person’s body is sterile (regardless of whether it’s through the mouth or another route), it is generally harmless. However, achieving this condition is extremely challenging in a typical home setting.
Let’s break it down.
If the Person Urinating is Healthy
We all know that urine is generally sterile while in the bladder. However, it can pick up bacteria such as E. coli and Staphylococcus as it passes through the urinary tract.
This could potentially cause infections in the female partner, such as bacterial vaginosis.
However, Dr. Madeleine Castellanos, an obstetrician and gynecologist at Yale University, offers a more nuanced perspective: “If a person is healthy, without any bacterial infections, and regularly cleans their genital area properly, there shouldn’t be a large presence of bacteria in the urine. Additionally, since semen also passes through the urethra during ejaculation and can carry bacteria, the infection risk of urinating inside a partner is essentially the same as ejaculating inside them.”
In essence, if partners have previously engaged in internal ejaculation without any subsequent discomfort or health issues, the risk of this unusual act is no greater than that. If you haven’t had similar experiences, keep reading.
Aside from the risk of bacterial infection, Dr. Castellanos also advises considering the impact of urine on the vaginal pH balance.
A healthy vaginal pH is typically between 3.8 and 4.5, naturally acidic to help prevent bacterial infections.
While urine is also acidic, its pH differs from that of the vagina, and its volume compared to semen is usually much larger, making it easier to disrupt the vaginal pH balance.
An imbalanced pH can make the vagina more susceptible to yeast infections, which can develop into bacterial vaginosis. Therefore, Dr. Castellanos advises against trying this unusual act if the wife has a weaker immune system and has never experienced internal ejaculation.
Most importantly, this discussion assumes that the man is healthy. If the man has any health issues, the risk increases significantly.
If the Person Urinating is Not Healthy
Any sexually transmitted disease (STD) can be transmitted through urine.
For example, HIV, HPV, herpes, and so on—especially HPV. Most men do not show symptoms after contracting HPV, but it can be a nightmare if transmitted to women.
For the questioner, this might be less of an issue, as they are a monogamous couple and might have regular health check-ups. However, for readers, if you don’t know your partner’s health status, do not impulsively try strange activities.
Dr. Castellanos also notes that other diseases can pose unknown risks.
For instance, she once encountered a case of vaginitis caused by excessive sugar in the vagina, which allowed sugar-loving bacteria to thrive. The cause? The patient’s husband had diabetes and frequently urinated inside her, leaving sugar residues in her vagina.
In summary, if you are sure that both you and your husband are in excellent health and can accept the risks mentioned above, you can try it. However, for other readers, here are some more considerations.
In BDSM, urine-related play is often called a “golden shower.”
Some people find the humiliation aspect of this play extremely thrilling.
However, I strongly advise against it, especially for women.
Many in the community don’t have a regular partner or the habit of getting tested before playing. In such cases, exchanging bodily fluids is extremely risky.
Even with mutual consent, women should be extra cautious due to their higher health risks.
For example, studies show that healthy women have an 80-90% chance of contracting HPV from an infected male partner, while healthy men have only a 20-50% chance of contracting HPV from an infected female partner.
So, behind a simple “I consent” lies unequal risk for men and women.
I often see naive girls say, “If my master isn’t afraid, I’m not afraid either. It’s all about trust.” This is a very irresponsible approach.
Many articles have comments like “I hope everyone finds someone willing to try all their kinks with.” I always feel that a better wish would be, “I hope everyone finds someone who prioritizes your safety above all else.”
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