Table of ContentsView AllTable of ContentsSymptomsCausesComplicationsPreventionSex With a UTIUTIs and STIsWhen to Call a Healthcare Provider

Table of ContentsView All

View All

Table of Contents

Symptoms

Causes

Complications

Prevention

Sex With a UTI

UTIs and STIs

When to Call a Healthcare Provider

One of the frustrating things about aurinary tract infection (UTI)is that it interferes with sex. It is one thing when it happens every once in a while; it’s another when it becomes an ongoing, chronic condition.

A UTI can affect anyone and involve either the lower urinary tract (comprised of thebladderandurethra), the upper urinary tract (thekidneysandureters), or both. Women are more prone to getting UTIs than men—up to 30 times more likely, in fact—with lower tract infections accounting for the majority of sexual difficulties.

This article explains common symptoms of UTIs and how they relate to sexual intercourse. It also covers prevention tips and when to call your healthcare provider.

gpointstudio / Getty Images

closeup of woman washing hands

Symptoms of of Chronic UTIs

UTIs and Painful IntercourseA UTI can also cause painful intercourse, also known asdyspareunia. This is more likely to occur in women who experience chronic UTIs, especially those who are postmenopausal.

UTIs and Painful Intercourse

A UTI can also cause painful intercourse, also known asdyspareunia. This is more likely to occur in women who experience chronic UTIs, especially those who are postmenopausal.

Why Does It Burn When I Pee After Sex? Potential Causes and Solutions

Causes of Chronic UTIs

Bacteria such as E. coli can easily enter the urinary tract through theurethra, which is situated close to the genital area in both men and women. It can then travel up the urethra and into the bladder where infection can develop.

Honeymoon cystitis is a term used to describe aUTI that a person gets after having sexwith a new partner. It is most common in sexually active younger women.It is believed that women get UTIs more frequently because their urethra is shorter, making it easier for bacteria to enter the bladder.

A chronic UTI is different from an acute UTI in that it either doesn’t respond to traditionaltreatmentor recurs frequently.

Risk Factors

Some people are more likely to develop a UTI from sexual intercourse due to the make-up of their urinary tract, genetics, or pre-existing health conditions.

Factors that place a person at risk of developing a chronic UTI include:

How Long Does a UTI Last?

An infection in your bladder can move up your urinary tract and spread to the kidneys. An infection of one or both kidneys, known aspyelonephritis, requires immediate medical attention. Without proper treatment, pyelonephritis can lead tokidney failureandsepsis.

Treatment involves the administration ofantibiotics. In some instances, the infection is resistant to antibiotic treatment andhospitalizationmay be needed.

Preventing Chronic UTIs

To betterreduce your risk of getting a UTI, there are several things you can do:

Diaphragms and Spermicides

Speak with your healthcare provider if you use a diaphragm or spermicide for contraception and are getting frequent bouts of UTI.

Spermicide can alter the natural bacterial makeup of the vagina, allowing foreign bacteria to flourish more readily. Alternate methods for contraception may need to be considered.

Precautions After Menopause

While most studies investigating chronic UTIs have focused on younger age groups, there is now compelling evidence that shows a strong relationship between sexual intercourse and UTIs in postmenopausal people.

It is, therefore, just as important for older women to take the same preventive measures as younger ones, irrespective of how often they have sex or how many sexual partners they have.

Genitourinary syndrome of menopause(in which the vaginal walls thin and become dry) increases the risk of frequent UTIs. Vaginal estrogen can help normalize the microbe balance in the vagina and help prevent UTIs.

Guidelines for Sex With a UTI

If you have been diagnosed with a UTI or suspect you have a UTI, you should not have sexual intercourse. It’s advised that you wait until the infection has completely cleared up before engaging in sex; otherwise, you run the risk of further irritating already inflamed tissue and possibly introducing new bacteria into your urinary tract. If that happens, you can develop a second UTI and will have an even longer recovery time.

How long after sex can you develop a UTI?Studies show that a UTI is likely to begin within 24 hours of sexual intercourse. When introduced into the urinary tract,E. coliwill adhere to the walls of the urethra and begin to multiply almost immediately.

How long after sex can you develop a UTI?

Studies show that a UTI is likely to begin within 24 hours of sexual intercourse. When introduced into the urinary tract,E. coliwill adhere to the walls of the urethra and begin to multiply almost immediately.

Once you start treatment for a UTI, you should see symptoms improve within 24 to 48 hours.However, it’s important to remember that the resolution of UTI symptoms doesn’t mean that the bacteria is gone; therefore, it is best to wait until you have finished the course of antibiotics before resuming sex.

To ensure the infection clears up completely, you need to take the antibiotics as prescribed and finish the entire course. Failure to do so can lead to antibiotic resistance.

UTIs and Sexually Transmitted Infections

Several sexually transmitted infections (STIs), includingtrichomoniasisandchlamydia, present with symptoms similar to a UTI, including itchiness and painful urination.This can lead to STIs being frequently misdiagnosed as UTIs or the STI, which may have caused the urinary tract infection, being missed.

It is, therefore, vital to see your healthcare provider whenever you have symptoms related to your urinary or genital tracts. Be upfront about your sexual history, including any recent unprotected intercourse, intercourse with a new sex partner, or experience with multiple sex partners.

Current pediatric guidelines recommend that doctors take a comprehensive sexual history of any adolescent with urinary tract complaints and routinely test them for STIs.

Safer sex practices, which include the consistent use of condoms, are always the best plan for reducing the risk of these and other STIs.

If a UTI is causingdyspareunia, it is typically due to frequent or recurrent UTIs that require more extensive treatment. In some cases, low-dose antibiotics may be prescribed for six months or longer. In postmenopausal women,estrogen replacement therapymay be advised.

When to Seek Urgent CareSeek immediate medical attention if you have signs and symptoms of pyelonephritis, including:Back or side (flank) painHigh feverChillsVomiting

When to Seek Urgent Care

Seek immediate medical attention if you have signs and symptoms of pyelonephritis, including:Back or side (flank) painHigh feverChillsVomiting

Seek immediate medical attention if you have signs and symptoms of pyelonephritis, including:

The Secret to Instant UTI Relief

Summary

A urinary tract infection (UTI) occurs when bacteria enter your urethra and travel to the bladder. This bacteria is often passed on during sexual intercourse although there are other reasons why you may develop a UTI.

Antibiotics are the standard treatment for a UTI. Be sure to complete the entire prescribed course to help ensure that the infection clears up.

To help lower your risk of a UTI, follow good hygiene practices, urinate after sex, and avoid using condoms with spermicide. If the infection does not get better after taking antibiotics, follow up with your healthcare provider.

How to Cope with a Urinary Tract Infection

16 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Tan CW, Chlebicki MP.Urinary tract infections in adults.Singapore Med J. 2016;57(9):485-90. doi:10.11622/smedj.2016153

Jung C, Brubaker L.The etiology and management of recurrent urinary tract infections in postmenopausal women.Climacteric.2019 Jun;22(3):142-9. doi:10.1080/13697137.2018.1551871

Dason S, Dason JT, Kapoor A.Guidelines for the diagnosis and management of recurrent urinary tract infection in women.Can Urol Assoc J. 2011;5(5):316-322. doi:10.5489/cuaj.11214

Storme O, Saucedo JT, Garcia-Mora A, Dehesa-Davila M, Naber KG.Risk factors and predisposing conditions for urinary tract infection.Ther Adv Urol.2019 Jan-Dec;11:1756287218814382. doi:10.1177/1756287218814382

Lelie-van der Zande R, Koster ES, Teichert M, Bouvy ML.Womens' self-management skills for prevention and treatment of recurring urinary tract infection.Int J Clin Pract. 2021;75(8):e14289. doi:10.1111/ijcp.14289

Fu Z, Liska D, Talan D, Chung M.Cranberry reduces the risk of urinary tract infection recurrence in otherwise healthy women: a systematic review and meta-analysis.J Nutr. 2017 Dec;147(12):2282-2288. doi:10.3945/jn.117.254961

Caretto M, Giannini A, Russo E, Simoncini T.Preventing urinary tract infections after menopause without antibiotics.Maturitas. 2017;99:43-46. doi:10.1016/j.maturitas.2017.02.004

Robino L, Scavone P, Araujo L, et al.Intracellular bacteria in the pathogenesis ofEscherichia coliurinary tract infection in children.Clin Infect Dis. 2014 Dec 1;59(11):e158-64. doi:10.1093/cid/ciu634

Penn Medicine.Urinary Tract Infection (UTI).

Waller TA, Pantin SAL, Yenior AL, Pujalte GGA.Urinary tract infection antibiotic resistance in the United States.Prim Care. 2018 Sep;45(3):455-66. doi:10.1016/j.pop.2018.05.005

Lee YS, Lee KS.Chlamydia and male lower urinary tract diseases.Korean J Urol. 2013;54(2):73-7. doi:10.4111/kju.2013.54.2.73

Herness J, Buttolph A, Hammer NC.Acute pyelonephritis in adults: rapid evidence review.Am Fam Physician.2020;102(3):173-80.

Sparks D.Can drinking more water help women fight urinary tract infections?Mayo Clinic News Network.

National Institute of Diabetes and Digestive and Kidney Diseases.Treatment for bladder infection in adults.

MedlinePlus.Urinary tract infection - adults.

Meet Our Medical Expert Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?OtherHelpfulReport an ErrorSubmit

What is your feedback?