Honeymoon cystitis:  Sex, Contraception and Recurrent UTIs LINK

Approximately one third of women under the age of 25 will develop a urinary tract infection (UTI), which requires treatment. 

Sexual activity is associated with recurrent UTIs.

Strong Independent Risk Factors for Recurrent UTIs

  • Any sexual activity.
  • Sexual activity in the previous 12 months.
  • Recent 1-month intercourse frequency.
  • Spermicide use.
  • Barrier contraceptives.
  • New sex partners.
  • Multiple sexual partners.
  • History of sexually transmitted infections (STIs).

If you develop recurrent UTIs and you are sexually active you should consider changing contraceptive method if using barrier contraceptives or spermicidal products.

Non-significant risk factors for recurrent UTIs

  • Pre-Coital and Post-Coital Voiding.
  • Frequent urination.
  • Fluid intake
  • Wiping patterns.
  • Hot tub use.
  • Tampon use
  • douching use.

Recurrent UTIs in Women Evaluation

  • History
  1. Previously documented episodes of UTI
  2. Menopausal status
  3. Recent antibiotic use
  4. Number of partners
  5. New partner
  6. Contraceptive use (spermicide and barrier contraceptive)
  •  Physical Examination.

 

Antibiotics

In sexually active women, a single post-coital dose of antibiotics is as effective and efficient method of UTI prevention when compared with continuous prophylactic antibiotic regimens.

 Single Dose Post-Coital Antibiotic Recommendations for Recurrent UTIs in Non-Pregnant Women

  • Trimethoprim 150 mg
  • Cephalexin 250 mg
  • Nitrofurantoin 50 mg
  • Trimethoprim + Sulphamethoxazole 160/800 mg

 

Hexamine Hippurate

  • Suppresses or eliminates bacteria that cause UTIs.
  • Can be used for prolonged periods of time without developing the resistance associated with traditional antibiotics.
  • Should be prescribed together with ascorbic acid to acidify the urine and maximise efficacy.
  • Patients should avoid using urinary alkalisers whilst on Hexamine Hippurate.

 

1
Dr Serag Youssif Official Website
2
Dr Serag Youssif Official Website
3
Dr Serag Youssif Official Website
4
Dr Serag Youssif Official Website
5
Dr Serag Youssif Official Website
6
Dr Serag Youssif Official Website
7
Dr Serag Youssif Official Website
8
Dr Serag Youssif Official Website