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Question:
My partner and I are in a monogamous relationship and
have recently become sexually active. I¹ve been getting more
frequent urinary tract infections and my girlfriend told me
it was because my boyfriend and I were having unprotected
sex. Is this true? It seems like using a condom would ruin
intimacy. I¹m a C5 quad and have never had an STD. I
self-cath and haven't had serious UTIs before.
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Answer:
by Elizabeth McNeff: (05/16/2004)
Having unprotected intercourse can contribute to more
frequent bladder infections for some women with spinal cord
injuries. And the exchange of body fluids, especially the
proteins found in sperm, can irritate delicate tissue. Your
best bet is to practice what my urologist and I call the
three Cs: Cath, Condom and Cotrim.
Catheterize before and after intercourse to flush out
bacteria. This can also prevent leakage or "accidents." Use
a condom and a little Slippery Stuff--or your own choice of
lubricant--to minimize the exchange of fluids. Consider
using Cotrim (sulfamethoxazole) or trimethoprim (Bactim or
Septra), both commonly used to prevent UTIs, but consult
your urologist first.
As for condoms diminishing the intimacy of sexual activity,
they can make your experiences more exciting! Go to your
local "toy store" and buy colored or ribbed condoms, French
ticklers, whatever "tickles your fancy." Discuss these
issues with your partner. Good luck!
--Lizzi McNeff
Reviewed by Sexual Health Editorial Team
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