Everything about post coital cystitis

Post coital cystitis is the most common type of cystitis, but the less known as it can be too embarrassing to talk about sex for many doctors.

So what to do in case of post coital cystitis or, in other words, pathogenic bacteria presence (E. coli or other bacteria) in the bladder.

Possibility N° 1

Bacteria come from the external environment (perineal area, hands, sheets, sex toys, etc.) and accidentally come into contact with the urinary meatus due to sexual intercourse “movements”.

This is often the case of young girls and it is pretty easy to handle with some basic preventive measures:

  • sex couple proper gentle intimate hygiene 
  • hand washing (water + soap) before the preliminaries
  • high quality sex toys (perfectly cleaned)
  • after sex urination + gentle intimate hygiene
  • anal sex to vaginal sex avoidance (without intimate hygiene or condom change)

Possibility N° 2

Bacteria come from our intestine (this is called “bacterial migration”). Basically, it depends on certain positions and/or pelvic muscles contractures that cause the bladder to be “crushed” against the intestine. As a result, commensal bacteria (which are normally and physiologically there) can thus move to the bladder simply by “crossing the intestine walls”.

This depends on a certain predisposition to bacterial migration (“intestinal permeability”).

In this case, we should use all the previously mentioned precautionary measures in addition to these other “tips” to follow:

– constipation avoidance

– proper daily hydration (1.5 liter of water throughout the day)

– use of specific probiotics for the well-being of the intestinal flora such as Lactobacilli associated with prebiotics (e.g. Deaflor)

If this is not enough, we can take a sachet of D-Mannoro roght after the sexual intercourse to “intercept” bacteria as soon as they reach the bladder and eliminate them (we should keep this intake during the following three/four days).

Possibility N° 3

Bacteria come from the vaginal mucosa. This happens when there is a vaginal flora imbalance (dysbiosis) that allow pathogenic bacteria to establish in the vaginal mucosa.

As a result, vagina becomes a bacteria “stock”. Bacteria will then be pushed up by penis and sexual movements:

– towards the end of the vagina where the separating wall between vagina and bladder is very thin, causing a bacterial migration

– towards the entrance of the vagina and towards the urinary meatus, causing an “ascending” cystitis

In these cases we have to act a little more “aggressively“:

– proper and gentle intimate hygiene

– use of Ausilium vaginal cream with D-Mannose + D-Mannoro (sublingual D-Mannose) right after the sexual intercourse

– daily intake of Ausilium 20 PLUS until until the disappearance of symptoms

– use of Ausilium Lavanda vaginal douching to eliminate pathogenic bacteria and restore a good vaginal balance

I add here that vaginal dysbiosis is asymptomatic much more often than we think and may even be not visible in control swabs that generally look for “infections” and not for “small imbalances”.

Possibility N° 4

In case of the sexual partner has prostatitis or bacterial urethritis (or cystitis which in this case would be asymptomatic), this could represent another bacteria “stock”.

When cystitis is subsequent to sexual intercourse and all previous solutions are ineffective, it is recommended to do a complete check (urine, urethral swab and sperm culture) to avoid any risk. If the sexual partner refuses to do so, he can use Ausilium as precautionary measure. If cystitis disappears, we’ll then know why!

2 pensieri riguardo “Everything about post coital cystitis

    1. Hi there and thank you very much for your comment!

      First of all, what is the result of your urine culture test?

      In general, it is pretty “easy” to handle sex with the some basic preventive measures:
      – proper intimate hygiene for the couple
      – after sex urination + gentle intimate hygiene
      – avoid anal sex to vaginal (or at least change the condom)
      – avoid constipation (intestine bacteria migration) + specific probiotics for intestinal flora such as lactobacilli, associated with prebiotics (for example, Deaflor) intake
      – proper daily hydration and diet (1.5 liter throughout the day)
      – use Ausilium vaginal cream with D-Mannose before and after the intercourse

      If this was not enough, a dose of D-Mannoro could be taken after the sexual intercourse to “intercept” the bacteria as soon as they reach the bladder, repeating its intake during the following three or four days in order to grab them and completely eliminate them.

      Therefore, when cystitis is subsequent to sexual intercourse and all previous solutions are ineffective, it is recommended to do a small check (ecbu, urethral sample, sperm culture) to avoid any risk of contagion. As some of our beloved “males” often refuse to take a medical exam, we could “take the bull by the horns” and offer them to take Ausilium as a precautionary measure. If the cystitis disappears, we’ll know why! 🙂

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