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.



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.


Dr Serag Youssif Official Website
Dr Serag Youssif Official Website
Dr Serag Youssif Official Website
Dr Serag Youssif Official Website
Dr Serag Youssif Official Website
Dr Serag Youssif Official Website
Dr Serag Youssif Official Website
Dr Serag Youssif Official Website