Tailoring symptomatic bladder management strategies around anticipated sexual activity is the basic approach. Proactive discussion with your sex partner and MS health care team minimizes the risk of incontinence during sexual activity.

For example, altering the schedule of taking anticholinergic medications (frequently given for bladder storage dysfunction) to 30 minutes before anticipated sexual activity may minimize bladder contractions during sex. Since vaginal dryness is increased from these medicines, using generous amounts of water-soluble lubricants would be important. Restricting fluid intake for an hour before sex, and conducting intermittent self-catheterization just before sexual activity, will also minimize incontinence. Men who have small amounts of urine leakage can wear a condom during sex.

Women who have indwelling catheters can tape the catheter securely to the stomach, emptying the collecting bag before sexual activity, and put additional tape around the top ring to minimize the chances of leaks. Men with indwelling catheters can sometimes fold the catheter over, tape it to the base of the penis with paper tape, and place a condom over the penis and catheter. Suprapubic catheters or ostomies require education and exploration of finding sexual positions that do not irritate catheters or ostomies. For women, lying in a "nestled spoons" position with the woman in front, and using rear entry intercourse, will avoid putting pressure on the catheter or the collecting bag.