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Urology (Expert Forum)
Sex and frequent UTI relationship
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Sex and frequent UTI relationship
by mishmosh, Jul 27, 2005 12:00AM
I had a uti in March ('05), cleared up with levaquin. Then another in early July('05), was prescribed cipro, and they did a culture..e. coli. Yesterday I started with the symptoms again: pressure, urgency, slight tickling sensation. I then drank a lot of water for a couple of hours and symptoms subsided. But to be on the safe side, I bought a uti test kit and I did test positive for wbc, not nitrites. But the urine was very dilute. I have also been taking cranberry extract for the past 2 weeks after the early July uti. (Don't know why that didn't help prevent it) Went to the internist this morning and he said the urine had a small amount of wbc, but also some rbc (is that common with a uti?). He feels it's just a recurrence, and has me on levaquin. One more time, he said, and then he'll refer me to a urologist.
The only common thread in these 3 UTI's is that 1-2 days prior to symptoms, my husband and I had sex and used a vibrator...the same one. We use alcohol on our "toys" after usage, but could that be the answer to why I'm getting these uti's? Does it make sense? I can't think of any other factors that would cause me to spontaneously get uti's when I haven't had them ever before this.
Is my doctor following the right course of action?
Thanks for your time.
The only common thread in these 3 UTI's is that 1-2 days prior to symptoms, my husband and I had sex and used a vibrator...the same one. We use alcohol on our "toys" after usage, but could that be the answer to why I'm getting these uti's? Does it make sense? I can't think of any other factors that would cause me to spontaneously get uti's when I haven't had them ever before this.
Is my doctor following the right course of action?
Thanks for your time.
Doctor's Answer
by Kevin Pho, MD, Jul 28, 2005 12:00AM
, Jul 28, 2005 12:00AM
RBC's are possible during UTIs. You want to ensure they clear by repeating the urinalysis after the treatment course.
Sex can definitely lead to irritation that can cause a UTI. There can also be variations in the lower urinary tract anatomy that also can be a predisposing factor.
3 UTIs would classify you in the recurrent category. You can consider a referral to a urologist for further study on the urinary tract anatomy (i.e. with a CT pyelogram or cystoscopy). Prophylactic antibiotic therapy can also be considered.
These options can be discussed with your personal physician or in conjunction with a urology referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Sex can definitely lead to irritation that can cause a UTI. There can also be variations in the lower urinary tract anatomy that also can be a predisposing factor.
3 UTIs would classify you in the recurrent category. You can consider a referral to a urologist for further study on the urinary tract anatomy (i.e. with a CT pyelogram or cystoscopy). Prophylactic antibiotic therapy can also be considered.
These options can be discussed with your personal physician or in conjunction with a urology referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Member Comments (3)
by mishmosh, Jul 27, 2005 12:00AM
To: Urinary Tract Infections
0
by qtn, Oct 05, 2005 12:00AM
To: Urinary Tract Infections
0
by valpal00, Oct 18, 2005 12:00AM
To: Urinary Tract Infections
0
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