What positions are less likely to cause a UTI?
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I'm prone to UTIs after intercourse. What sex positions are less likely to cause UTIs? (NSFW) I am susceptible to urinary tract infections after intercourse. No other sexual activity causes this problem for me. I am female. My boyfriend and I take a variety of precautions, including cranberry pills (which I take), showering before sex (for both of us), showering after sex (for me), peeing before and after sex, and only having intercourse for 10 minutes at a time (yes, we use a timer; no, it's not particularly sexy). I also take an antibiotic three times a week (I used to also take one after intercourse, but I got a UTI that was resistant to that particular antibiotic, and my doctor told me to stop taking it). We only have intercourse every four days, a new tactic -- we used to wait seven days; after doing that for three months, we decided it was safe to bump it up to every four days. We've been doing this for a month with no ill effects so far. We also only have sex with him on top, and pretty much stick to the missionary position. There is no research that I can find on sex positions and their affect on UTIs. Do you know of any scientific research on this? I've searched Google Scholar and medical journals pretty extensively with no real leads. Alternatively, anecdata would be welcome. If you are extremely prone to UTIs, what positions do you use? Finally, we suspect that the duration of intercourse is more dangerous than the freqency; this is why we decided to go to every 4 days rather than prolonging the length of each session. Is there research on duration and frequency as it relates to UTIs? I couldn't find any, but that doesn't mean it is not out there. Anecdata on this subject would also be helpful. I have other complicating medical factors that make UTIs very dangerous for me, so trying stuff and seeing if it gives me a UTI is not really an option. I have talked to a variety of doctors about this and have been told nothing useful. Their remarks were mostly jokes, and ranged from "stop having intercourse" to "kill your boyfriend for giving you a UTI." Both of those things are obviously not options.
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Answer:
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Other answers
Among other things, you need to see a urologist with an academic interest in female urinary problems. The bulk of them, who are male, seem to be more attuned to, interested in and sensitive to male problems. Unfortunately, all too many of them view female UTIs as minor irritations at best and 'all-in-her-head' nonsense at worst. I can recommend someone in New York City; memail me and I'll be happy to forward his contact information. If he isn't conveniently located or accessible to you, he might be able to refer you to someone who is. Now, IANAD, but if the antibiotic you were using was macrodantin (commonly prescribed for UTIs for a variety of reasons), ask the doctor to try macrobid: the latter is a related compound but is often effective when the more commonly prescribed macrodantin loses its effectiveness. Another thing: nonspecialists have a tendency when prescribing antibiotics for UTIs to fail to prescribe the antibiotic for a long enough period of time. If you are experiencing frequently recurrences, this may be part of the problem. Another thought: the practical realities behind UTIs in females are a bit different than those in males for what should be self evident differences in mechanical engineering. For reasons that remain unclear, doctors often seem to fail to consider this. The bacteria that cause all the trouble live in the intestinal tract and vagina as well as on the skin. It is possible that your particular portfolio mix of bacteria has become rebalanced to favor types and quantities of types of microorganisms more likely to lead to UTIs as well as the vaginal yeast infections that so often precede incidents of UTIs. (Were you ever treated long term with antibiotics for, say, acne or Lyme Disease? This can lead to a rebalancing of bacteria populations.) With this in mind, you might try taking a "probiotic" supplement available at your local health food store to see if a shift in your digestive tract flora can help. There is one made by Jarrow (www.jarrow.com) called Femdophilus that is apparently one of the few supplements to go through a legitimate clinic trial, the results of which suggested that use of the stuff can lead to a reduction in the incidence of yeast infections and indirectly to a reduction in the incidence of UTIs. Sorry for the lengthy typing. Memail me if you want that doc reference. P.S. Please keep in mind that many, many women deal with this to varying degrees at different times in life for a variety of reasons. You are not alone with this. It is almost always more of a royal pain in the ass nuisance than a sign of a big, bad, it's-going-to-kill-you problem. And it can be dealt with: you just have to find the right doctor; do your homework; and sometimes think a little outside the box. P.P.S. DO NOT give up on the sex!
cool breeze
Lots of great advice here already, I'm just popping in to say, when I went through this, straight up cranberry juice with NO SUGAR (Lakewood is a good brand) and cut it with Fresca. Ginger ale could never make it palatable for me, but Fresca did the trick. Good luck, I know this is completely miserable.
Medieval Maven
I have had recurrent UTIs. I have interstitial cystitis and endometriosis. My urologist told me that endometriosis on the bladder can cause irritation and swelling that can encourage UTIs and/or IC. I had never experienced pain with the endometriosis and had no idea that I even had it until it was discovered during an unrelated abdominal surgery. Everything moira said has been true for me also. The only method I have found to be absolutely sure not to get a UTI: make sure to urinate within 5 minutes after sex. That means having sex with at least a partially full bladder. It was hard to get used to at first, but at this point... whatever works. Also, no one told me this until it was too late, but a major factor in recurrence is having an injured bladder. The lining loses its integrity when you get an infection and then it's easier to get another one. That's important to interstitial cystitis; for me, if I get a UTI now, it kicks off the IC again and I burn pretty much all the time until my bladder heals. It feels just like a UTI. There's only one drug on the market for IC right now--Elmiron, which costs some unfortunate citizens $250 a month after insurance. However, there's an supplement available all over the internet called Cystoprotek that works equally well and is made up of organic versions of all the substances in Elmiron. It only costs $50 a month. I cannot recommend it strongly enough to anyone who has IC or recurrent UTI's.
heatvision
An ex of mine was susceptible to recurrent UTIs. Missionary position seemed to have the best bet of triggering them, woman on top much less. Try varying your position. Not only for fun, but for SCIENCE!
Hactar
When I was 19, I went through a long cycle of non-sex related UTIs (and discovered I was allergic to sulfa drugs). The various antibiotics I was prescribed would kill off one bacteria but allow another to flourish. What's helped me most is alternative treatment: cranberry pills, naming what's pissing me off and homeopathic 30c cantharis, which you can find at Whole Foods or a health food store (NO SNARKS). Sometimes I take Uristat, which relieves the burning, but doesn't get rid of the infection and turns your pee orange. I still get UTI's every so often, but they are much less frequent and severe than in the past.
brujita
I'm sorry I can't help you with the position issue, but I can tell you what my doctor told me: that there's evidence that vitamin C can help prevent UTIs. I take it, though it seems that what makes the difference for me is peeing before and after.
WorkingMyWayHome
Cranberry pills, acidophilus, and washing & peeing afterward seemed to work for me - UNLESS I got dehydrated. Lots of wonderful suggestions here. But, be sure to drink plenty of water!
Leah
I had recurrent UTIs. Cranberry pills aren't known for great quality control, and never worked for me. What did work: reducing frequency of sex to every other day, peeing afterward, ditching the spermicidal condoms, and being gentle to my urethra. For me, that means using plenty of lube and not using positions that put lots of pressure there (including, as ch1x0r mentioned, penis-rubbing-clit positions). Straight in is probably your best bet. Get to know your angle. If you decide to try spooning or other rear-entry positions, be careful about where else his penis is touching. You don't want it acting as a delivery vehicle for bacteria from your anal region.
moira
Have you tried experimenting with other positions to see if that helps? If preventing knocking to your urethra is the main concern, then either doggy style or woman on top might be much better... thoughhttp://books.google.com/books?id=xlx94hWpe6YC&pg=PA694&lpg=PA694&dq=sex+positions+without+pressure+on+urethra&source=bl&ots=yGMjUNhr8k&sig=W67Bl90iq0_o8BxDtIrCql2pPTk&hl=en&ei=cbj1TOmxIsT58Aah18CoBw&sa=X&oi=book_result&ct=result&resnum=6&ved=0CD8Q6AEwBQ#v=onepage&q&f=false seem to think that woman on top can contribute to them because of weird angling. Since this seems to be highly personal, you'll have to do some experimentation, unfortunately. If that doesn't work for you, you can try http://sexuality.about.com/od/sexualpositions/ig/Sex-Positions-Image-Gallery/Basic-Spooning-Sex-Position.htm and kind of angled forward to allow him to enter from behind. That reduces the front of your pelvis and urethra from being repetitively knocked. Also, make sure that you're not using a douche or anything too abrasive when you're washing - this can definitely contribute to UTIs and yeast infections. http://journals.lww.com/tnpj/Abstract/1980/01000/Sexual_Behavior_and_Urinary_Tract_Infection.4.aspx is one study that claims the group with the most UTI used the "female superior position" (woman on top) though it also notes that the other groups weren't all that different. I suspect some of this has to do with individual wiring. Have you tried D-Mannose? http://www.webmd.com/vitamins-supplements/ingredientmono-1114-D-MANNOSE.aspx?activeIngredientId=1114&activeIngredientName=D-MANNOSE&source=0 is a sugar that some say prevents & treats UTIs -- I couldn't find any research but there are a http://www.webmd.com/vitamins-supplements/ingredientreview-1114-D-MANNOSE.aspx?drugid=1114&drugname=D-MANNOSE about its efficacy and dosage. Worth a shot?
barnone
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