Postcoital cystitis

Treatment of cystitis in K+31 clinics
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Postcoital cystitis
About the service

Postcoital cystitis develops as a result of a complex of factors, the most important of which are: condition of the vaginal microflora, virulence of uropathogenic bacteria, anatomical features of the urethra and vagina, its narrowness with a discrepancy in the size of the penis, the intensity and duration of sexual intercourse, difficult, complicated childbirth and surgical interventions in this area.

Your doctor may suggest several treatment options, depending on your medical condition and the regularity of your cystitis:

  • Antibiotics one-time or on a regular basis.
  • Taking hormonal drugs, especially in postmenopausal women.
  • Performing extravaginal transposition of the urethra showed high efficiency in the prevention of recurrences of postcoital cystitis.

Don't delay your visit to the doctor! Timely diagnosis and treatment will return you comfort, health and self-confidence.

What is cystitis?

Cystitis is an inflammation of the bladder caused by an infection. Some women have repeated outbreaks of cystitis: three proven separate infections per year or two in six months. In most cases, a woman has no obvious reason for frequent outbreaks of cystitis. There are several treatment options a doctor can suggest.

Cystitis can occur in women due to:

1
Bladder or kidney problems can lead to the most likely infections. For example, kidney stones or conditions in which the bladder does not empty. The doctor may order certain tests if there is a suspicion of a problem.
2
Choice of birth control: The use of uterine caps and spermicides may increase the possibility of cystitis.
3
Hormones: The vagina, bladder, and urethra respond to a hormone called estrogen. After menopause, when the level of estrogen in the body decreases, the tissues of these organs become thinner, weaker and dry. Such changes may increase the risk of recurrent cystitis. Cystitis usually occurs during pregnancy due to changes in the urinary tract.

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Postcoital cystitis (sex related)

Some women note that they may have cystitis almost immediately or a day after intercourse.

Part of this may be due to movements during intercourse, which can move bacteria into the bladder. There may also be slight damage to the urethra - it promotes the growth of bacteria. Especially if the vagina is dry during intercourse. The normal mucus in and around the vagina can also be disturbed by the use of spermicides or uterine caps.

Tips for reducing cystitis after intercourse
Tips for reducing cystitis after intercourse
  • Before intercourse, wash your genitals and hands well. A warm bath may help (avoid scented products). Some people believe that pubic hair is a haven for bacteria, however, if you choose to exfoliate your skin, be careful of ingrown hairs that can cause problems.
  • Make sure you empty your bladder as soon as possible after intercourse, as this will help flush out any bacteria that may have entered.
  • Use lubricants if the vagina is dry, and if the cause is bruising rather than bacteria, apply a little around the urethra to reduce friction. Do not use spermicides or uterine caps for contraception.
  • Contact your doctor for a comprehensive diagnosis and treatment.
Why do some women get cystitis again?

The woman's body has defense mechanisms that do not allow bacteria to cause cystitis: the mucus around the vagina and urethral opening is slightly acidic, which prevents the growth of bacteria.

In most cases, there is no clear reason why cystitis recurs, if there are no problems with the bladder or defense system that could be identified.

It is possible to change the body's ability to resist the penetration of bacteria into the bladder and the appearance of infection. A slight deviation in the body's defenses can lead to the multiplication of bacteria that cause infection.

Sources:

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Our doctors

Kamoeva Svetlana Viktorovna
Experience 30 years
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Kamoeva
Svetlana Viktorovna
Deputy Chief Physician for Obstetrics and Gynecology, obstetrician-gynecologist
Gromova Maria Arturovna
Experience 23 years
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Gromova
Maria Arturovna
Obstetrician-gynecologist
Sirotinina Maria Vasilievna
Experience 17 years
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Sirotinina
Maria Vasilievna
Obstetrician-gynecologist, gynecologist-endocrinologist, ultrasound diagnostics doctor
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Our doctors are laureates of the ProDoctors Award
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Reviews

Maria Vasilievna is an excellent doctor. She's a gynecologist, ultrasound specialist, and endocrinologist. It's very convenient that you can ask questions, including those of the endocrinologist, and it's also very convenient that you can get an ultrasound during your appointment. Maria Vasilievna answered all my questions, and it was clear she's an experienced and competent doctor. I'll definitely make an appointment with her again if I have any problems.
14.12.2025
G. Irina Alexandrovna
I contacted Svetlana Viktorovna Kamoeva with a problem and was amazed by her level of professionalism. For over a year and a half, I hadn't been diagnosed, and I was going from doctor to doctor. During my appointment, Svetlana Viktorovna completely immersed herself in my problem, diagnosed it, answered absolutely all my questions, and offered a prompt solution. For the first time, I left the doctor's office feeling completely satisfied. About three weeks later, I had surgery. Thank you so much! A true doctor, with golden hands, and an absolute professional—that's all she has to say about her. I also want to say a few words about the clinic as a whole. Everyone, absolutely every staff member, was very attentive. They encouraged and cared. I'd like to express a special thank you to Svetlana Viktorovna's assistant. We were in constant contact before the surgery, and she answered a million of my questions and provided guidance. This is a completely different approach to patient care. A huge thank you to everyone!
12.12.2025
Elena N.
An amazing doctor! She cares for her patients and has a scientific approach – a top-notch specialist!
07.12.2025
J. Valeria Igorevna

About doctor:

Gromova Maria Arturovna

A very attentive and meticulous doctor, she performs all procedures with extreme care and minimal discomfort for the patient. She answers all questions in detail and doesn't intimidate. She's calm and attentive. I'll only go to her from now on.
04.12.2025
G. Marina Alexandrovna
I would like to express my deepest gratitude to Maria Vasilievna for her highly professional reception.
01.12.2025
S. Ekaterina Vladimirovna
Very attentive and pleasant doctor
28.11.2025
K. Ksenia Igorevna

About doctor:

Gromova Maria Arturovna

Wonderful Doctor! She was compassionate and attentive, explained each step of the treatment in detail, and answered all my questions. Thank you for your professionalism!
19.11.2025
M. Oksana Nikolaevna

About doctor:

Gromova Maria Arturovna

A wonderful specialist, now I only go to Maria Vasilievna for ultrasounds!
18.11.2025
G. Elena Vasilievna
Hello! During our interactions (surgery and appointments), I was left with the strong impression that Svetlana Viktorovna, in addition to her work, is a very proper, honest, and sincere person! In our modern world, we perceive this as a miracle! Thank you for your attentiveness, professionalism, and engagement!
11.11.2025
G. Olga Andreevna
Maria Vasilievna is a highly professional doctor and a very sensitive, considerate person. Your interactions with her leave you feeling better just from the moment you see her. Thank you so much!
11.11.2025
P. Irina Leonidovna
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