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Dr. Lissa at your service, talking today about perhaps one of the most dreaded afflictions in the Universe, the urinary tract infection (UTI). Have you ever had one? If so, you’re probably cringing right now, tempted to cross your legs and hold your pee-pee in with both hands like a little girl who really has to go. Anyone who has experienced it knows that UTIs totally zap your mojo, and since they affect about 8-10 million people per year, chances are we’ve all been there. Here is the skinny from this end of the stirrups on that sinister, mojo-burgling coochie invader.
How do I know if I have a UTI?
The most common UTI symptoms include urinary frequency (you feel like you have to go, even when you just emptied your bladder), dysuria (burning when you urinate), and hematuria (blood in the urine). UTIs that ascend to the kidney to cause pyelonephritis can cause fever, back pain, and sometimes nausea/vomiting.
What causes UTIs?
A UTI is a bacterial infection of the urinary tract, which is normally sterile. The most common bug to cause a UTI is Escherichia coli (E. coli), a bacteria that normally lives in the bowel. A variety of things can cause this bowel bacteria to climb up the urethra (the tube from the bladder to the outside world, where the pee comes out). If E. coli or other bowel bacteria gets into your bladder, it can grow and wreak havoc.
I get UTIs all the time. Why does that happen?
Most people get UTIs rarely, if at all. If you get them frequently, see your doctor to make sure there are no anatomical defects or health conditions, such congenital defects in the urinary tract or diabetes, that predispose you to UTIs. If that’s ruled out, it may be that your sex life is the culprit. Most often, UTIs are precipitated by bouts of frequent intercourse (we docs call it honeymoon cystitis.) Certain sexual positions and behaviors can increase the risk of bacteria from the bowel making its way into the urinary tract. Do you notice that you only get UTIs when you’re in a relationship and having sex frequently? Do certain positions always result in UTIs? If so, you may want to take preventative measures to keep you from running to the potty all the time.

What can I do to prevent frequent UTIs?
- Drink cranberry juice (yes, it does really help!). But remember, cranberry juice is high in sugar. Cranberry tablets are a good sugar-free alternative.
- Take high doses of vitamin C. Because vitamin C is a water-soluble vitamin, extra vitamin C spills over into the urine and makes it more acidic. Acidic urine creates a less receptive environment for bacterial growth and reduces the risk of infection.
- Drink lots of water. Dilute urine keeps the system flowing and prevents stagnation, which also increases the risk of infection.
- Take probiotics, which can help by altering the bowel flora.
- Avoid inciting agents, such as caffeine, alcohol, spicy foods, and other bladder irritants.
- Make sure you and your partner clean your bottoms well with soap and water before sex.
- Never put anything that’s been in your bottom near the vagina or urethra. If you engage in anal intercourse, bathe before you cross over.
- If you’re using a diaphragm, you may want to consider other birth control options, since the diaphragm may irritate the bladder.
- Make sure you wipe from front to back after using the bathroom to avoid contaminating the urethra with bowel bacteria.
- If you get frequent UTIs related to sex and only have sex here and there, your doctor may recommend you take a dose of an antibiotic before intercourse.
How come I get UTIs and my male partner doesn’t?
Because of the short length of the female urethra, the outside world with all its bacteria is much closer to the bladder than it is in male urinary anatomy. Also, the proximity of the female urethra to the anus increases the risk. (If you’re unsure how all the wires connect down there, take the Pretty Pink Pussy Tour). UTIs are significantly more common in women than in men.
Can I get a UTI from a vibrator?
Like any sexual activity,















