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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes UTI infection post sex?

I have been suffering form urinary tract infection symptoms since August 2010, following sex after a long period of abstinence (I am female). My doctor prescribed Urizone and Ciprobay, then Flagyl and Macrodante. Nothing helped. He took a pap smear and swab from the urinary tract and ureaplasma and mycoplasma were found. He treated me with Azithromycin, Zithromax, Doxycycline - still no improvement. Symptoms are still present. Should I see a urologist? Is it possible that the urinary tract got injured during sex and that that is causing symptoms of frequent urination, burning. Each time after sex, the symptoms are worse. I don t know how to get rid of these symptoms.
Fri, 29 Mar 2019
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General Surgeon 's  Response
Hello,

There can be various number of issues which can present with sexually related urinary tract infection as
- epithelial erosion through trauma
- during menses periods, when vaginal protective flora are less, getting bacterial or fungal infection through sex is highest
- vaginal hygiene
- associated hydration status
- wiping of anal region from back to front after washroom use manifest pathogen growth
- anal sex is associated with high incidence of vaginal infections and UTI as intestine pathogens get access to urothelium
- oral sex also transmits some of the anaerobic infections of male partner to you
- factors over the male partner side as having STD, gonorrhea, HIV or others
- blood sugar control, your overall immunity status matters great.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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