Postcoital cystitis
Content:
- Postcoital cystitis symptoms
- Causes of postcoital cystitis
- Postcoital cystitis treatment
- Prevention of postcoital cystitis
Postcoital cystitis is an inflammatory reaction that occurs in a woman's bladder cavity after intimacy. This problem is faced by many women who begin to have an active sex life.
Most often, the disease manifests itself either immediately after intimacy, or after a few days.
Postcoital cystitis symptoms
Among the symptoms characteristic of this type of disease, it is customary to distinguish:
- Painful feeling in the pelvic area.
- Increased urge to empty. After the organ is emptied, the patient has a burning sensation and pain of varying intensity.
- Increased body temperature, general weakness, sleep disturbance.
- Blood may be present in the portion of urine that is released. Most often, it appears at the end of the emptying of the inflamed organ.
A complex of symptoms begins to bother a woman after the onset of regular sexual activity, although previously signs of cystitis might not have been observed. Therefore, a separate risk group is made up of girls who have recently married or have found a permanent intimate partner.
Causes of postcoital cystitis
Among the possible causes of the development of the disease, the following can be distinguished:
- Anatomical features of the structure of the organs of the genitourinary system. When abnormalities such as displacement of the urethral opening or excessive mobility of the urethra are present, then the risk of developing cystitis after intimacy increases.
- Neglect of the rules of intimate hygiene after sexual intercourse. Inflammation can occur if, after the perfect act, the woman does not wash. The increased number of pathological bacteria on the genitals can lead to the development of the disease. A particular danger in this regard is the alternation of anal and vaginal intercourse.
- STDs are one of the causes of infection of a sexual partner with postcoital cystitis.
- Illiterate use of contraceptives, inadequate secretion or application of lubricant becomes a common cause of injuries to both the genital tract and the urethra. As a result, it is much easier for infections to enter the bladder cavity and cause inflammation there.
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Violation of the microflora of the vagina by bacteria passed from the partner. And not necessarily they will be absolutely pathogenic. The colonization of the vagina with opportunistic microorganisms of the sexual partner often leads to the development of an inflammatory process that can affect the woman's bladder.
Postcoital cystitis treatment
As for the therapy of the disease, it comes down to taking medications and following the doctor's recommendations regarding lifestyle. In some cases, surgery may be required. It is advisable if the cause of the development of inflammation is anomalies in the structure of the genitourinary system. The effect of the operation will be positive if the urethra and the entrance to the vagina are too close. This intervention is carried out on an outpatient basis, hospitalization is not required. In this case, the outer opening of the urination channel is slightly raised. This intervention is called urethral transposition. It allows you to eliminate excessive mobility of the canal by suturing it. As a result, it moves closer to the clitoris.
In other cases, they resort to treatment with antibacterial agents. Most often, the course lasts no more than a week, although relief can come much earlier. However, if antibiotics were started, the course should not be interrupted in order to prevent a relapse of the disease.
To save the patient from postcoital cystitis, doctors recommend taking the following drugs:
- Monural. This drug has a broad antibacterial spectrum of action. It is taken once, preferably before bedtime. In case of re-infection, a double dose may be prescribed, with an interval of a day.
- Protorgol. The product is used for bladder installations. Effectively fights bacteria and quickly relieves inflammation. This is not a home procedure and you are unlikely to be able to carry out it yourself. The first step is to insert a catheter into the urinary tract and release any accumulated urine. Then, using Janet's syringe (this is not a simple syringe, but a special, wide one, for washing various cavities, it ensures the sterility of the procedure), a solution is injected until there is a desire to go to the toilet. The syringe and catheter are then disconnected and fluid is released. And so on up to 10 times. Used for the chronic form of the disease.
- Furamag. Requires a longer treatment, the course can be up to 10 days. The advantage of the drug is its low toxicity and a small set of side effects.
As a rule, treatment of this form of inflammation is not difficult. The prognosis for getting rid of the disease is favorable. During therapy, it is worth adhering to a dietary diet and avoiding the use of foods that can irritate the diseased organ. With frequent relapses, it is worth undergoing additional examinations and eliminating the cause of the development of inflammation that manifests itself after intercourse.
Prevention of postcoital cystitis
Often, simple preventive measures are enough to avoid the development of this form of the disease.
They boil down to compliance with the following rules:
- Condom use provides protection against most diseases. If there is no confidence in the partner, then this affordable method of contraception will help to avoid infection.
- Compliance with basic rules of hygiene both before and after intimacy. Washing with soap will eliminate conditionally pathological bacteria that live on the external organs, which will reduce the risk of inflammation.
- If possible, you should avoid alternating anal and then vaginal intercourse.
- Sexual posture also plays a role in disease prevention. Thus, the missionary position increases the risk of developing the disease.
- It is advisable to use lubricated condoms to avoid trauma to the vagina due to excessive dryness.
- Before sexual intercourse, the bladder should be emptied.
- It is important to stop using contraceptives with spermicides. It is they who cause the disturbance of the flora. This leads to an increased risk of disease.
If necessary, the doctor can select an individual course of treatment using immunostimulating drugs.
The author of the article: Lapikova Valentina Vladimirovna | Gynecologist, reproductologist
Education: Diploma in Obstetrics and Gynecology received at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N. N. N. I. Pirogova.
