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Urogynecology  (Expert Forum)
 | 
UTI and discomfort after intercourse
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

UTI and discomfort after intercourse

by luv4child06, Feb 23, 2007 12:00AM
Every since I lost my virginity about three years ago I have pain after intercourse and frequently get UTIs.  I have tried lubricants because I do hve a problem with dryness.  Everything is fine during but right after I feel like I was ripped open and the labia and perinium are very sore.  My husband is well equiped but not excessiley large. Also I get frequent urinary tract infections.  I had a problem with them when I was young but now they occur after intercourse.  Can you please give me some information on what to do. thank you

by Lennox Hoyte, M.D., Feb 24, 2007 12:00AM
PLease get an evaluation by your gynecologist for the pain. If that workup is negative for vaginal tears, cervical infections fibroids or other pathology,  then consider evaluation by a qualified pelvic floor physical therapist to see if there are any musculoskeletal issues which may be responsible for your symptoms.

Regarding the recurrent UTI, do not depend on symptoms to make the diagnosis. Make sure you get a urine culture that shows which bacteria, and the sensitivities to which antibiotics. Then, get treated with a course of antibiotics, then have the culture repeated in 2 weeks to ensure that the infection went away.

Thereafter, if you get another UTI within a short time (3 months), get another culture, and go see a urologist or urogynecologist with this information, so that you can get an appropriate workup for recurrentbladder infections.
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