Expert Advice from Spicy Gear's Sex Therapist Lynne Santiago MS LMHC - At 55 (me) and 52, my wife & I still enjoy sex, but she gets a urinary infection every time. What are the causes and how can it be prevented?
Well, that's no fun! Just thinking about getting a UTI would keep the temperature running cold.
UTI's are more common in women than in men and there are many possible causes. Given your wife's age, I'm going to guess that menapause is the culprit. Lower levels of estrogen decreases the acidity in the vagina, which in turn lowers resistance to bacteria. Some studies have found that women on Hormone Replacement Therapy (HRT) had less incidences of UTI's, however, concerns about other risks on HRT may make that option less appealing. Another option is a topical estrogen cream, which would be applied to the vaginal and urethral tissues. Your wife could explore both these alternatives with her doctor. There are other things that can be done to help prevent a urinary tract infection. With menopause also comes an increase in urgency to urinate. It's best to go when the need arises then to try to hold off. Also, she should urinate immediately following sex. Avoid vaginal penetration with your toy or any other sex toy if it was roaming in or around the anal area as this could spread bacteria to the vagina and urethra. Drinking plenty of water and adding a glass a day of cranberry juice can also reduce the risk. And finally, decrease intake of substances that can irritate the bladder, such as caffeine, acidic and spicy foods.
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