Patient's question:
Detailed medical history and consultation purpose: I have had two sexual encounters with my boyfriend, with a 2-month interval between them. Within a week of each encounter, I developed urinary tract infections, which caused significant pain. I am concerned whether there is a connection between these two events, and we are both afraid of getting infected every time we have sex.Current general condition: Urinary urgency.
History of previous diagnoses and treatments, as well as their effectiveness: Urinary tract disease, cured but recurrent.
Additional information: Thank you for the reminder, but I always feel that sexual desire comes on suddenly. If I then have to rush to clean up, search for a condom, and so on, it would really affect the mood.
Doctor's answer:
The distance between the urethral orifice and the vaginal orifice is relatively close, making it easy for bacteria to enter the bladder and cause urinary tract infections. Another reason is that during sexual activity, changes in sex hormone levels lead to alterations in the vagina, mucous membranes, and surrounding microbial composition, which is also a significant factor in post-sex urinary tract infections. Therefore, it is recommended that women urinate promptly after sexual activity, maintain good sexual hygiene, and prevent infections.Especially for postmenopausal women, the risk of difficulty urinating, urinary urgency, and urinary tract infections after sexual activity increases. This is due to the decline in estrogen secretion in older women, leading to atrophic changes in the vagina. During menopause, the vagina lacks sufficient lubrication, which contributes to these issues.