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Question

I am a married woman whose husband is often away on extended trips. It seems like every time I have sex after a break I get a urinary tract or bladder infection. What causes this, and what can I do to prevent it? My doctor keeps prescribing antibiotics which work, but can I do anything to prevent it in the first place?


Answer

What you are experiencing is sometimes known as "honeymoon cystitis" because it often comes after a period of frequent and intense intercourse. It is usually caused by E. coli or other bacteria normally present in the lower intestine (and in fecal matter) being introduced into the urethra; this is a fairly common occurrence in women. Once infected, women will often experience painful, frequent, burning urination within a day or two, or even discolored urine due to blood. At this point, the most common treatment is sulfa drugs and drinking lots of fluids. If left untreated, symptoms will worsen and begin to include lower-back or abdominal pain and fever. Eventually, damage to the kidneys may occur. But, there are several things you can do to prevent such infections:

  • Always wiping from front to back after going to the bathroom;
  • Drinking lots of fluids;
  • Urinating frequently, especially before and after intercourse;
  • Making sure you are well-lubricated, using extra lubrication if you become dry during intercourse;
  • Never inserting objects, fingers, penis, or other body parts into the vagina after contact with the anus without proper cleansing in between.

Finally, some women say that they have been able to stave off an infection by drinking fluids high in acidity such as cranberry juice. Although this may kill bacteria, be careful not to overdo it, otherwise you will irritate your urethra and make the situation worse.



Best,
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