Gillian Goddard

3 min Read Gillian Goddard

Gillian Goddard

What’s Causing My Frequent Postcoital UTI’s?

Q&A on prevention

Gillian Goddard

3 min Read

I’m 53, and likely at the beginning of menopause. I’m still on the Mirena IUD, so I haven’t had a period in years, just erratic spotting. My problem is recurring UTIs — three in a row in the past three months! They’ve come after oral sex, even though we’re both showered and I always pee after sex. What can I do?

—Utiqueen

This is so crummy! I am sorry you are experiencing recurrent urinary tract infections (UTI). Unfortunately, postcoital urinary tract infection — that is, a UTI associated with having sex — is fairly common. More than 50% of women will have at least one UTI in their lifetime, and about 26% of those women will experience a recurrence within six months. Sexual intercourse is a significant risk factor for many of those women.  

There is no data regarding specific sexual practices, such as oral sex, and the likelihood of UTI. I suppose you could try avoiding oral sex to see if it changed the frequency of infections, but I am always reluctant to tell someone to stop doing something they enjoy if there are other options. And there are.

An adult laying on bed and holding the belly
Cottonbro Status

You mentioned using postcoital voiding — peeing right after sex — and indeed this a commonly recommended technique for preventing UTIs after sex. The data on its efficacy is mixed, but it is not harmful, so it is worth trying. It doesn’t seem to be doing the trick for you, though.

Some contraceptive methods are associated with increased frequency of UTIs, in particular those that use spermicides, including diaphragms and condoms. If you are using one of those methods, it is worth considering a change. 

As you say, based on age alone, you are likely peri- or even postmenopausal. Vaginal estrogen has been shown to reduce the incidence of UTI in general in postmenopausal women, so it would be worth discussing this option with your doctor. 

There are two other evidence-based options you could consider. First, you could take a single dose of antibiotics preventatively after having sex. Alternatively, your doctor can give you a prescription for antibiotics to start the minute you start having symptoms — this is often referred to as self-starting antibiotics. 

Postcoital UTIs are common. While urinating right after sex can help, if that isn’t working for you, vaginal estrogen or preventative antibiotics would be reasonable options to discuss with your doctor. 

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ARav
ARav
4 days ago

38yr old here- I have had ongoing UTI battles my whole sexual life and have done all of the suggestions, western and holistic. The only actions that have consistently reduced my occurrences are- #1 staying hydrated!! (Half body weight in oz per day plus more when adding exercise), clean hands and genitals before sex for both partners, peeing within 15 min after all sex (oral, intercourse & hand play), and staying hydrated!! Must have clear pee for 2 days after the encounter. Super annoying but better than antibiotics.

Burgh NP
11 days ago

These are small studies about D-mannos, available in health food stores or online, but take a look:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944421/
. I would recommend NOT taking it as a capsule but dissolving it in a glass of water and drinking it. You can buy it as a powder, or buy capsules and empty them.

kelseytemple6@gmail.com
kelseytemple6@gmail.com
11 days ago
Reply to  Burgh NP
11 days ago

I have been using D Mannose preventatively after frequent UTIs for years and haven’t had a single reoccurrence. Definitely worth a try!

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Milestones. We celebrate them in pregnancy, in parenting, and they’re a fun thing to celebrate at work too. Just a couple years ago I couldn’t have foreseen what this community would grow into. Today, there are over 400,000 of you here—asking questions, making others feel seen wherever they may be in their journey, and sharing information that supports data > panic. 

It has been a busy summer for the team at ParentData. I’d love to take a moment here to celebrate the 400k milestone. As I’ve said before, it’s more important than ever to put good data in the hands of parents. 

Share this post with a friend who could use a little more data, and a little less parenting overwhelm. 

📷 Me and my oldest, collaborating on “Expecting Better”

Milestones. We celebrate them in pregnancy, in parenting, and they’re a fun thing to celebrate at work too. Just a couple years ago I couldn’t have foreseen what this community would grow into. Today, there are over 400,000 of you here—asking questions, making others feel seen wherever they may be in their journey, and sharing information that supports data > panic.

It has been a busy summer for the team at ParentData. I’d love to take a moment here to celebrate the 400k milestone. As I’ve said before, it’s more important than ever to put good data in the hands of parents.

Share this post with a friend who could use a little more data, and a little less parenting overwhelm.

📷 Me and my oldest, collaborating on “Expecting Better”
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Comment “link” for an article with other tools to help you navigate risk and uncertainty.

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🌶️ Among respondents, the most common s e x u a l frequency was 1 to 2 times per month, followed closely by 1 to 2 times per week
🌶️ 37% have found their sweet spot and are happy with the frequency of s e x they are having
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Do any of these findings surprise you? Let us know in the comments!

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Dr. Gillian Goddard sums up what she learned from the Hot Flash S e x Survey! Here are some key data takeaways:

🌶️ Among respondents, the most common s e x u a l frequency was 1 to 2 times per month, followed closely by 1 to 2 times per week
🌶️ 37% have found their sweet spot and are happy with the frequency of s e x they are having
🌶️ About 64% of respondents were very or somewhat satisfied with the quality of the s e x they are having

Do any of these findings surprise you? Let us know in the comments!

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Here’s what we know from a data standpoint:
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Head to the newsletter for more and stay tuned for part two next week on naps! 🌙

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⭐ Regular tick checks
⭐ Using bug sprays with DEET
⭐ Wearing long sleeves and pants in the woods

Some parents worry about DEET, but repellants with up to 30% DEET are recommended by both the CDC and AAP. The data says you’re in the clear, so go for it. Enjoy your summer!

#parentdata #emilyoster #tickseason #bugbites #bugspray
...