Hello dear Understand your concern. I think you are suffering from chronic cystitis. In this there is a chronic inflammation of mucosa of bladder. Following are the symptoms: Suprapubic pain, painful sexual intercourse, burning during urination, frequency, nocturia, Exact cause is not known but following factors may be associated Poor pelvic hygiene after sex, genetic factors, autoimmune conditions, stress, neurologic therory play important role. Diagnosis by physical examination and history. Test: Urine culture, routine and microscopic examination Urea, creatinine, CBC, ESR Cystoscopy, IVP study. You should o consult the urologist for better treatment: Advice are below: Counselling Education to patient regarding condition Self care Avoid stress and start relaxation exercises. Diet modification: take diet diary and avoid diet that aggravate symptoms. Avoid coffee, tea, alcohol, citrus fluid, chocolate, soda, artificial sweetners. Drink plenty of fluids, do not delay in empty the bladder, Empty the bladder completely,do urination after sex, maintain pelvic hygiene, Pain relieving medication: amitryptaliine/duloxentine, cimetidine Antibiotics: Septran /nitrofurantoin Tablet prednisolone If not responds then Triamcinolone injcetion Intravesicle BCG injcetion Hydrodystension of bladder under general anesthesia Last option is surgery: cystectomy or urinary diversion Hope this may help you Best regards Dr. Sagar