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Why Do I Get a UTI Every Time I have Sex?

October 19, 2023

Experiencing a urinary tract infection (UTI) after sex is not uncommon and can be attributed to a condition known as "honeymoon cystitis" or "sexually acquired cystitis." Here's an explanation of why this might occur:

Bacterial transmission: The most common cause of UTIs is the introduction of bacteria into the urethra and urinary tract. During sexual activity, bacteria from the genital area (including the anus) can be pushed into the urethra, allowing them to travel up to the bladder and potentially cause an infection.

Anatomy and proximity: In women, the urethra is relatively close to the anus, making it easier for bacteria to travel from the rectal area to the urinary tract. Additionally, during sexual intercourse, the friction and movement can further facilitate the entry of bacteria into the urethra.

Changes in pH and lubrication: Sexual activity can alter the pH balance of the genital area and cause microabrasions or small tears, which can provide entry points for bacteria. Additionally, insufficient lubrication can lead to irritation and increase the likelihood of bacterial transmission.

Hormonal factors: Some hormonal changes related to sexual activity may affect the urinary tract. For instance, fluctuations in estrogen levels can influence the health of the urethra and make it more susceptible to infections.

How to reduce the risk of UTIs after sex?

1. Urinate before and after sex to help flush out any bacteria that might have entered the urethra.

2. Drink plenty of water to maintain hydration and promote regular urination, which can help flush out bacteria from the urinary tract.

3. Practice good genital hygiene, including washing the genital area before and after sex.

4. Consider using a water-based lubricant to reduce friction and minimize the risk of microabrasions.

5. Wipe from front to back after using the toilet to avoid spreading bacteria from the rectal area to the urethra.

6. Consider speaking to a healthcare professional about the possibility of a preventive antibiotic regimen, especially if you experience frequent UTIs after sex.

It's important to consult with a healthcare professional if you are experiencing recurrent UTIs after sexual activity. They can provide a proper diagnosis, offer treatment options, and offer guidance on how to minimize the risk of future infections.