Cystitis and intimacy

Cystitis after intimacy occurs in 25-30% of women from 20 to 40 years old. This disease is of a chronic recurrent nature and requires compulsory medical intervention. If untreated, the disease spreads to the appendages and causes extremely serious complications. So, it is worth figuring out why, after sex, some women develop cystitis and what is the danger of such a condition.

intimacy and cystitis after intimacy

Causes of cystitis after proximity

The causes of cystitis after proximity are provoked by various factors, ranging from the individual characteristics of the structure of the body and ending with violations of the rules of personal hygiene.

Risk factors

The main risk factors include:

  1. High sexual activity and frequent change of partners.
  2. The presence of gynecological diseases. In this case, cystitis appears with additional symptoms and is difficult to treat.
  3. Refusal to use contraceptives.
  4. Failure to comply with the rules of personal hygiene, the use of soap or other aggressive agents for washing away.
  5. Refusal to use lubricant with increased vaginal dryness.
  6. Violation of hygiene during intercourse.

The conditions described above can provoke the entry of pathogenic microflora into the urethra and the spread of inflammation to the bladder. Comorbidities such as diabetes, obesity, or STDs (sexually transmitted diseases) can make the situation worse. It should be understood that bacteria that live on the genitals can become dangerous if they enter the urethra.


Cystitis after intercourse can develop in women who prefer aggressive sex. As a result of the act, the genitourinary organs are often damaged, and the protective properties of the mucous membrane are reduced several times. At the same time, the barrier that keeps the spread of pathogenic microorganisms disappears, and they multiply freely in the environment not only of the vagina, but also of the bladder.

In addition, trauma-induced cystitis after sex is called defloration. Most often, inexperienced girls who have a first partner have a similar problem. In this case, the pathogenic microflora from the outside penetrates into the vagina, and then goes to the urethra, causing inflammation.

The second name for this cystitis is honeymoon cystitis.

Venereal diseases

Microorganisms such as chlamydia, mycoplasma and ureaplasma, which cause sexually transmitted diseases, can provoke the development of cystitis. If untreated, the number of bacteria reaches a critical level, and they are most likely to pass to the bladder.

In simple words, STDs are one of the most common causes of cystitis. The risks are especially high in patients with gonorrhea. This disease is accompanied by profuse discharge from the urethra, however, under certain circumstances, the inflammatory process can go up, affecting the bladder.

pathogens of sexually transmitted diseases as a cause of cystitis after proximity

Structural features

Anatomical defects can also trigger the development of cystitis. In this case, the disease will be chronic and will be accompanied by constant relapses. In this case, it is impossible to completely get rid of cystitis without solving the original problem. The most common pathologies are:

  • excessive mobility of the urethral canal. At the same time, a woman develops adhesions from scraps of the hymen and creates favorable conditions for the development of the inflammatory process;
  • vaginal ectopia. In this situation, the external opening of the urethra is below normal. Because of this, pathogenic microorganisms from the vagina during intercourse penetrate into the urethra and spread higher, up to the bladder.

Such pathologies are extremely rare, but they bring the most inconvenience, since they require cardinal medical intervention.

After unprotected sex

Each individual person has his own bacterial background. Some microorganisms located in the urethra of a man are completely safe for their carrier and do not show their activity in any way throughout his life. However, as soon as these microorganisms are in the female vagina, they begin to actively multiply, provoking the development of inflammation, including cystitis.

After protected sex

This is an extremely rare condition that does not usually occur in medical practice. In this case, cystitis can begin if a woman has inflammatory diseases of the vagina and a violation of physiological norms.

Symptoms of cystitis after proximity

Cystitis after intercourse has symptoms similar to any other form of cystitis. The manifestations of the disease include:

  1. The appearance of a feeling of pain and burning in the lower abdomen.
  2. Increased pain and discomfort during urination.
  3. Constant urge to empty the bladder.
  4. There is blood or mucus in the urine.
  5. Increase in body temperature to 37-38 degrees.

In addition, sex is accompanied by painful sensations, as a result of which a woman begins to shy away from intimacy with a man.

Important!It takes time for cystitis to develop. If unpleasant signs appeared immediately after sex or during the act, then, most likely, the reason lies in something else. In this case, you need to urgently visit a doctor who will tell you what to do.


Treatment of cystitis after proximity, like any other disease, begins with a diagnosis. Correct and high-quality diagnosis is the key to successful treatment and prevents many complications. To diagnose and determine the root cause of the disease, the specialist prescribes:

  • blood test;
  • general urine analysis;
  • sowing urine for microflora;
  • ultrasound examination of the bladder;
  • vaginal swab;
  • general gynecological examination to determine the presence of physiological disorders.

In addition, the specialist listens to the patient's complaints, asks leading questions and analyzes the data obtained. It should be understood that cystitis after PA can occur in any woman, especially against the background of reduced immunity.

ultrasound of the bladder with cystitis after proximity


Cystitis therapy includes the following measures:

  1. Pain relief with the help of analgesics. These can be tablets or suppositories.
  2. Taking antibiotics to suppress pathogenic microflora.
  3. The appointment of antiviral and antimycotic drugs (in this case, it all depends on the type of pathogen).

Also, patients are recommended to take multivitamin complexes to restore natural immunity. Homemade recipes can be used to complement the treatment. In addition, in order to cure the disease once and for all, intimacy is unacceptable during therapy. Thus, you can be sure that the disease will not worsen, and the treatment procedures will be as effective as possible.


The most common drugs used to treat cystitis after intimacy are antibiotics. These funds suppress the vital activity of pathogenic microorganisms, promote rapid recovery and reduce the risk of relapse.

In addition to antibiotics, patients are prescribed antispasmodics to relieve pain.

The appointment of antiviral agents for the treatment of cystitis after sex is justified only if the disease is of a venereal nature.

If the disease is caused by fungi, then antifungal antibiotics are additionally included in the therapeutic complex.

Important!Only an experienced specialist can prescribe quality treatment. Self-medication for cystitis is unacceptable, especially if the disease is triggered by an STD. In addition, the doctor will be able to determine what caused the cystitis.


Surgery is prescribed by a doctor in the presence of congenital or acquired defects of the urethra. The most common operation is to lift the vagina (transposition of the urethra). The operation is carried out in a hospital, while the recovery period ranges from a week to two. After complete recovery, relapses occur in only 5% of women, in other cases, complete recovery occurs.


Traditional medicine relies on the use of medicinal herbs and fruits for cystitis in women after intimacy. Among the recipes stand out:

  1. Lingonberry infusion.For the recipe, you need to pour a tablespoon of lingonberry leaves with a glass of boiling water and leave for 30-40 minutes. After that, filter the infusion and take 6 tablespoons 4 times a day.
  2. Bearberry infusion.The recipe and application scheme are similar to the lingonberry infusion.
  3. Flaxseeds.Two tablespoons of flax seeds are poured into a glass of boiling water and boiled in a steam bath for 10-15 minutes. After that, the broth can be filtered, or it can be consumed with the seeds. They drink a glass of broth a day.
  4. Sitting baths. . . It is better to take herbs that have an antibacterial effect, such as a decoction of chamomile, for preparing a sitz bath. The time for taking a sitz bath can be 15 to 30 minutes. This is a great way to relieve pain during flare-ups.

Cystitis with oral or anal sex

Inflammation during oral sex can only develop if there is inflammation in the sexual partner's mouth. For example, it can be dental diseases such as tooth decay. In addition, a high risk of developing cystitis is observed in partners who have oral sex with diseases of the throat or bronchopulmonary system.

Cystitis after anal sex develops more often. The risk is especially high for partners who combine anal and vaginal unprotected sex. In this case, the bacteria that live in the anus end up in the vagina and in the future can pass to the urethra.

Can cystitis appear in men after PA

In men, infection with cystitis occurs along the "ascending" path. In other words, microorganisms gradually move through the urethra and eventually reach the bladder. As for the infection with cystitis after sex, this phenomenon never occurs in the stronger sex.

Exceptions are physiological disorders that promote the advancement of pathogenic microorganisms. Thus, the disease occurs in women after intimacy and almost never affects men.

Preventive measures

To reduce the risk of developing inflammation after PA, experts recommend observing the following rules:

  • use condoms during sexual intercourse, especially with unfamiliar partners;
  • monitor personal hygiene;
  • do not alternate anal and vaginal sex;
  • give preference to antibacterial lubricants;
  • take vitamins and minerals;
  • timely treat diseases, including STDs;
  • do not refuse surgical care if the urethra is not located correctly or other pathologies are found.

When you see a doctor, postcoital cystitis is treated quite easily. To reduce the risk of relapse in the future, it is important to abandon self-medication and entrust health to an experienced specialist. If you develop cystitis after sex, it is important to find out the root cause!