Cystitis after intimacy causes, diagnosis and treatment

Inflammatory processes that occur on the mucous membrane of the bladder cause a lot of discomfort and are accompanied by pain. Oddly enough, but it is the sexual intercourse that often becomes the starting point of the onset of cystitis (postcoital), with which women will have a serious struggle.

Causes of appearance

To provoke the appearance of cystitis after having sex can:

  • The physiological location of the urethra, due to which it is on the eve of the vagina that the urethra opens, and vaginal discharge can freely enter the bladder.
  • Scarring of tissues in the area of ​​rupture of the hymen, due to which the exit of the urethra does not completely close and serves as a passage to the bladder and urethra for vaginal discharge.
  • Fluctuations in the hormonal background, which adversely affects the tone of the walls of the urethra, significantly reducing it and increasing the likelihood of infection.
  • Failure to comply with personal hygiene partners.
  • Prolonged abstinence from sex, which can provoke an inflammatory process after the restoration of sexual activity.
  • The presence of sexually transmitted diseases in one of the partners, etc.

Danger of cystitis after sex

The danger of postcoital cystitis lies in the fact that, in addition to obvious discomfort and pain with untimely measures and insufficient intensive therapy, there can be a transition from an acute form of the disease to a chronic one, and in some cases the spread of inflammation to other organs and systems of the body.

- Cystitis after intimacy causes, diagnosis and treatment2019

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Symptoms in women

Symptoms of cystitis after intimacy appear within the first 24 hours, most often after 8-10 hours. This happens in the form:

  • Pain sensations concentrated in the lower abdomen.
  • Pain syndrome when emptying the bladder.
  • Discomfort and burning in the urethra.
  • Partial uncontrolled urine flow (often just a few drops)
  • Discoloration of urine (dark discoloration, sometimes bloody)

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The detection of one or more symptoms after intercourse should alert and become an incentive to see a doctor who can refute or confirm suspicions of cystitis.

Self-medication without confirmation of the diagnosis using unverified means can threaten the transition of the disease to a chronic form, which is difficult to respond to therapy, which is quite long in time. Complications from untimely or unskilled therapy can manifest themselves in the form of pyelonephritis and other equally serious diseases.

Diagnostic methodology

Diagnosis of cystitis after intercourse includes:

  • Examination of the patient on the gynecological chair.
  • Palpation of the urethra.
  • Ultrasound of the bladder and/or kidneys.
  • Cystoscopy.
  • Endoscopy.
  • Laboratory tests: general blood test, general analysis and BAC-urine culture, examination of vaginal smears, etc.

If such a need arises, other types of research may be prescribed.


Therapy for cystitis that occurs after sex consists of many techniques, the main of which are:

  • Antibacterial and antifungal drugs, antibiotics – to eliminate foci of inflammation in the vagina and bladder (Cycloferon, Fluconazole, etc.)
  • Pain relievers – to relieve pain syndrome (Nurofen, Drotaverin, etc.),
  • phytopreparations and herbs with anti-inflammatory and diuretic effect (Kanephron, Cyston, etc.)
  • Immunostimulating agents (Lavomax, etc.) and vitamin complexes.

Surgical treatment, namely transposition of the urethra, is an intervention aimed at removing the urethra from the area of ​​infection to a higher place with subsequent fixation. The duration of hospitalization is 2-3 days, and the rehabilitation period is no more than 7-8 days. The likelihood of recurrence of the disease after this operation is minimal.

  • Introduction through the urethra of a group of antiseptics.
  • Physiotherapy and remedial gymnastics.

Traditional medicines are also good helpers in the treatment of postcoital cystitis:

  • St. John’s wort decoction (for 1 glass of boiling water 15 g of herbs, infused for 60-90 minutes)
  • Broths of aspen bark or branches (30 g for 2 cups of water, boil until half of the liquid evaporates)
  • A decoction of horsetail (boil 30 g of grass in 1 liter of water for 12-15 minutes).

    The exact dosage of decoctions depends on the degree of the disease and the recommendations of the attending physician.

    Methods of prevention

    The main ways to prevent the appearance of cystitis after sex are:

  • Personal hygiene.
  • Wearing linen made from natural fabrics (cotton, etc.) and loose-fitting clothing.
  • Compliance with water balance (at least 1,5 liters of liquid per day)
  • Eating a minimum amount of spicy, spicy and salty foods,
  • Avoiding abstinence from urination.
  • Emptying the bladder before and after sex.

    There is no age limit for cystitis, it can appear after sex, both in a 20-year-old girl and in a woman 50 years after the onset of menopause. Symptoms in both cases will be similar, and the disease itself requires prompt and qualified treatment.

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    Svetlana Borszavich

    General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
    Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
    The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
    The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.