Why does cystitis recur?

The article is professionally consulted by Master, Doctor Vo Thien Ngon - Department of General Surgery - Vinmec Da Nang International General Hospital

Cystitis is more common in pregnant and pre/menopausal women suggesting an influential role of hormonal changes in cystitis. Very rarely and only if recurrent cystitis is caused by STIs and if there is cystitis after unprotected sex or if cystitis is associated with other infections. If you have gynecological inflammation, you also need to do tests to rule out sexually transmitted diseases.

Common bacteria in cystitis usually originate from the gastrointestinal tract, especially from the colon to the pelvis, pelvis and urinary tract such as E. coli, Proteus spp., Enterobacter spp... In which, STDs are again caused by Chlamydia trachomatis, Neisseria gonorrhoeae and sometimes Herpes spp.... These can present with pseudocystitis syndrome.
Sex can also cause cystitis due to 3 factors:
Mechanical factors: The sexual movement causes the urethra to be stretched and exposed to bacteria in the vagina. Sex movements contribute to pushing secretions in the small glands, pulling bacteria into the urethra and vagina. And moreover, intercourse causes inflammation of the mucosa, making the urethra more susceptible to infection; Infectious factor: A germ-producing relationship of the normal bacterial flora found in the vagina. This bacterial ecosystem is not pathogenic for the vagina but can cause disease in the urethral mucosa; Emotional factors: Sexual euphoria can trigger an endorphin release that harms local immunity.

Cystitis is more common in pregnant women and in pre/menopausal women suggesting a role for hormonal changes in cystitis. To be more specific and precise, the deficiency of the female hormone estrogen is one of the many causes of cystitis. The imbalance of hormones makes the urethral and vaginal mucosa unstable, while there is an imbalance of healthy bacteria in the vagina, some bacteria can proliferate, which can cause disease in the urinary mucosa. religion.
However, not cleaning carefully creates favorable conditions for bacteria to multiply strongly, so it is necessary to clean regularly and change tampons often. But also, excessive cleaning or use of inappropriate products can cause mechanical trauma and chemical damage to the genital mucosa.
The bacterial ecosystem of the vagina and vulva is easily destroyed. The loss of healthy bacteria due to excessive cleaning and the use of inappropriate cleaning products will encourage the growth of pathogenic bacteria.
In addition, clothing that is too tight will increase the temperature and humidity in the area, which is favorable for the growth of disease-causing germs.

Should drink enough water 1.5-2 liters per day; It is not allowed to hold urine, when there are conditions to urinate when necessary and in sufficient quantity; Needing to urinate immediately after having sex with your spouse/partner; It is necessary to avoid moisture and heat in the genitourinary area; Must clean genitals from front to back; Avoid circumstances that lead to constipation; Excessive on-site hygiene and excessive use of feminine hygiene washes are not allowed; Must maintain hygiene when seeing menstruation; Do not arbitrarily use drugs, especially antibiotics need to be used according to the results, antibiogram to avoid drug resistance and shorten the treatment time; Both husband and wife should be treated at the same time if they have an STI. At Vinmec International General Hospital, there is a urological screening package with many utilities, including: Early detection of possible urinary diseases, thereby helping customers to take preventive measures. sick.
When registering for the urological screening package, customers will be examined by a urologist, ultrasound, urine culture... to detect the disease accurately and promptly.
Doctor Vo Thien Ngon has over 7 years of experience working as a urologist and surgeon at Hospitals: Hue Central Hospital, Hue University of Medicine and Pharmacy Hospital, Tam Tri Da Nang General Hospital .
Doctor Ngon with the ability to specialize in the field of examination and treatment of diseases of the Urology and Andrology system, Urology surgery, endoscopic urological surgery, Laparo urinary tract surgery, endoscopy Urinary. Currently, Doctor Vo Thien Ngon is a Urology - Orthopedic Surgery Doctor, Department of General Surgery, Vinmec Danang International General Hospital.
To find out more about Vinmec's Service Packages and register for an appointment, you can contact HERE.

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