Magazine 15 June 2021

Post-coital Cystitis

  1. Causes of Post-Coital Cystitis
  2. Risk factors
  3. Symptoms of Post-Coital Cystitis
  4. Treatment and prevention
  5. Summary

Dear Reader,
How many times have relations with your partner become a nightmare because of cystitis that was just waiting to appear in the corner?

Post coital cystitis, or Honeymoon Cystitis, is a urinary tract infection that occurs in women 24-72 hours after sexual intercourse. This is a common phenomenon in the female world, involving almost 50% of sexually active women!

If you’re among these women, you must know what to do about it so that a moment of pleasure doesn’t become an unpleasant or unwanted thing!

Causes of Post-Coital Cystitis

In women affected by this type of cystitis, the bacteria present in the fecal flora easily contact the entrance to the vaginal environment and then climb up to the bladder through the urethra. The development of cystitis depends on the virulence of these bacteria. Bacteria such as Escherichia Coli, for example, have fimbriae, filamentous appendages that allow strong adhesion to the bladder walls.

Recent studies have shown that post-coital cystitis is not only a matter of hygiene or sexual activity, but can also be influenced by hormonal factors and the individual microbiome. This means that some women may be more predisposed to this condition due to a unique microbial balance or hormonal changes during the menstrual cycle.

Also contributing to the development of post-coital cystitis are other factors such as:

  • Exposure to chemicals
    Vaginal deodorants, antiseptic lotions, spermicides, and contraceptive devices can change the balance of vaginal flora, making it easier for bacteria to colonize.
  • Sexual intercourse
    Movement during sexual intercourse can introduce bacteria into the urethra and generate micro-lesions on the vaginal walls, making it easier for the bacteria to travel up into the bladder.
  • Poor hygiene habits
    Wiping starting from the anus towards the vagina brings bacteria from the gut to the entrance of the urethra.
  • Poor lubrication
    When you suffer from vaginal dryness or experience pain during penetration, Post-Coital Cystitis is a direct result of mechanical trauma. The arousal due to intercourse should lead to congestion of the dense blood vessels surrounding the urethra to be protected. With poor lubrication, this protection becomes less effective.

Post-Coital Cystitis: Risk Factors

There are factors that can aggravate the development of post-coital cystitis, such as:

  • The frequency of sexual intercourse.
  • Insufficient foreplay, performance anxiety, or low sexual desire contribute to lack of adequate lubrication.
  • Dysfunction of the pelvic floor
  • Presence of Asymptomatic Bacteriuria.
  • Vaginal atrophy in post-menopause.

In addition to already known risk factors, it has been observed that prolonged use of intrauterine devices (IUDs) for birth control can also alter vaginal pH, potentially increasing the risk of post-coital cystitis.


Symptoms of Post-Coital Cystitis

The symptoms generally associated with this type of disorder are:

  • Urgent urination.
  • Burning sensation and pain when peeing.
  • Sometimes, blood in the urine.
  • Weakness, tiredness, and fatigue .
  • Itching in the groin area.
  • Pain and discomfort even outside of urination.
  • Urine that comes out “drop by drop” and in small quantities.
  • Turbid urine.

It is also important to monitor any changes in the odor or color of urine, which may be signs of an ongoing infection.

When you add fever, vomiting, and lower back pain to these more common symptoms, the infection will likely spread to the kidneys.

Post-coital cystitis: treatment and prevention

Post-Coital Cystitis is treated by administration of antibiotics. However, it is critical to consult your physician for targeted therapy, as indiscriminate use of antibiotics can lead to bacterial resistance and long-term complications.

If you suffer from post-coital cystitis on a recurrent basis, it becomes critical to have your pelvic floor evaluated to check its condition. In case of pelvic floor hypertone or hypotoneus, in fact, rehabilitation will be necessary ad hoc.

Dimann has created a special protocol to help you prevent attacks of Post-Coital Cystitis starting from the moment of sexual intercourse itself. Dimann Gel is a water-based lubricating gel. This gel has a long-lasting action and ensures proper lubrication during intercourse, which is essential to avoid mechanical trauma.

Dimann Gel’s formula includes ingredients that support the health of the vaginal microbiome, offering additional protection against pathogenic bacteria.

Following sexual intercourse, the intake of a capsule of Dimann Pure, with an empty bladder, facilitates the expulsion of any bacteria that may have entered the bladder because of intercourse.
Repeating this intake five times in 24 hours after the intercourse (one capsule every 3 hours) provides greater protection against the risk of developing honeymoon cystitis.

Finally, after the first 24 hours after intercourse, it is good to continue with 3-4 capsules of Dimann Puro per day for the next three days (divide the intake to cover morning, afternoon, and evening).

Remember that it is essential to follow the dosage directions for taking Dimann Puro ( contact us if necessary) as the frequency and duration of treatment may vary according to your individual needs.

For a holistic approach, also consider adopting a lifestyle that promotes urinary tract health, such as regular exercise and a diet rich in fruits and vegetables.

If, in addition, pain and burning is experienced, taking (as needed) Dimann Flogo supports its reduction. Dimann Flogo is a supplement rich in natural extracts known for their soothing and anti-inflammatory properties, such as Bromelain and Apolactoferrin, for even more effective and natural relief.

Take a look at the Complete Kit to thwart post-coital cystitis after every intercourse.

If despite all the precautions taken, cystitis should break out after intercourse, it is a good idea to move on to the specific treatment of acute cystitis.

For preventive purposes, the following behaviors reduce the risk of post-coital cystitis:

  • Washing the vaginal area before sexual intercourse.
  • Urinating before and after intercourse.
  • Hydrate properly, every day.
  • Avoid caffeine.
  • Avoid holding your urine for too long.
  • Avoid using scented personal hygiene products and intimate sprays.
  • Use a water-based lubricant during intercourse.
  • During personal hygiene, avoid moving from the anal to the vaginal area.

Now all that’s left is for me to cross my fingers for you and hope that you and your partner can enjoy your intimate moments 100%, without any nasty surprises 😉

Good luck,



Post-coital cystitis is a widespread phenomenon among women and results, following sexual intercourse, from the passage of fecal bacteria into the bladder.

  • Post-Coital Cystitis occurs 24-72 hours after sexual intercourse.
  • Inadequate lubrication and improper hygiene contribute to the development of post-coital cystitis.
  • The most common symptoms are urgency and frequency of urination, itching, and burning.
  • D-Mannose is a natural ingredient that can hinder the onset of the disease when taken after sexual intercourse.
  • The use of a lubricating gel during intercourse is essential to avoid mechanical trauma.
  • Discover the complete kit to thwart post-coital cystitis after every intercourse.

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