Cystitis. Cystitis is widespread in women, especially of childbearing age. In some women, cystitis develops more than once. In the vast majority of cases, cystitis is caused by one or another infection.

Most often this is one of the representatives of opportunistic flora - E. coli, staphylococci, streptococci, etc. There are cystitis directly associated with sexually transmitted infections, for example, ureaplasma, mycoplasma.

The infection enters the woman's bladder from the urethra. Bacteria most often enter the urethra from the vagina. Cystitis is almost always associated with inflammation of the vagina - colpitis, or a disturbance of the vaginal microflora - bacterial vaginosis.

Symptoms of cystitis usually include frequent urination and a burning sensation or pain during urination. Treatment of cystitis consists of eliminating the pathogen, restoring the vaginal microflora and strengthening the immune system.

Bladder

Bladder- This is an organ consisting of a special type of muscle, it is a reservoir for urine. Its size, position and relationship with surrounding organs change depending on the amount of accumulated fluid. In an empty and full bladder, the relationship with the rectum changes.

In women, behind the bladder is the uterus and the upper part of the vagina. It is separated by the vesicouterine fascia, and below it is separated from the cervix and the upper part of the vaginal wall by loose connective tissue.

Causes of cystitis

Cystitis in women

Typically, exacerbations of cystitis are associated with hypothermia. Hypothermia causes a decrease in the body's resistance, as a result of which the infection actively multiplies and enters the bladder, causing an inflammatory reaction. Often cystitis is associated with trauma to the urethra as a result of violent sexual intercourse, or simply with regular sexual activity. Sometimes exacerbations of cystitis are associated with the menstrual cycle.

Cystitis in men

In men, cystitis does not occur often and almost always appears against the background of exacerbation of chronic prostatitis. The main symptoms of acute cystitis in men are:

• frequent urination (including nocturia),
• imperative urges,
• difficult and painful urination (stranguria),
• terminal hematuria,
• cloudy urine.

Associated symptoms may include fever and chills, decreased ability to work. Pain during urination, especially in its initial and final stages, is accompanied by pain and burning in the urethra. Outside of micturition, pain is felt in the suprapubic region, groin, scrotum, and penis. The volume of a single portion of urine is reduced to 10-20 ml; in some cases, urinary incontinence may develop.

More often, these symptoms are not too pronounced, and with treatment of inflammation of the prostate gland they go away on their own, without requiring additional measures. In other cases, a course of properly administered treatment for cystitis is usually effective. Only the problem of interstitial cystitis for men is almost the same as for women. In this case, surgical treatment is also almost always necessary.

Cystitis in children

In children, for a number of reasons, cystitis develops quite often; the incidence of the disease is practically unrelated to either age or gender. In teenage girls, cystitis is more often associated with vaginal dysbiosis; in boys, cystitis often develops with phimosis (narrowing of the foreskin), but most often the disease develops episodically, against the background of an accidental infection in the bladder. Fundamentally, the treatment of cystitis in children does not differ from the treatment of adults. Competent diagnosis necessarily includes urine culture, which makes it possible to identify the pathogen and determine its properties. Inflammation of the bladder in children very easily spreads to the kidneys, so it is better not to delay treatment, and it must be taken very seriously.

Honeymoon cystitis

“Honeymoon cystitis” - this beautiful term implies the development of signs of cystitis after defloration, that is, deprivation of virginity. The following happens. Even before a girl begins sexual activity, her vaginal microflora is disrupted. This happens all the time; thrush in girls is so common that it is considered almost the norm. The first sexual intercourse is not always violent, but it is still accompanied by an abundant flow of vaginal microflora into the urethra and bladder.

Their walls are not prepared for such an attack, and an inflammatory reaction develops, that is, cystitis. It’s rare that someone gives up sex on their honeymoon, even despite illness. Therefore, the disease progresses and progresses. Interstitial cystitis is an inflammation of the bladder that is accompanied by pain. Middle-aged women are usually affected. Symptoms of interstitial cystitis include frequent and painful urination and the presence of pus in the urine and blood that can be seen under a microscope. The diagnosis is made using cystoscopy.

Symptoms of cystitis

Cystitis is usually accompanied by frequent urination, an irresistible urge, and a burning or painful sensation during urination. The pain is usually felt above the pubic bone and in the lower back. Another symptom of cystitis is frequent urination at night. The urine is usually cloudy, and about 30% of people with cystitis have blood in the urine. Symptoms of cystitis may disappear without treatment. Sometimes cystitis is not accompanied by any symptoms and is detected during a urine test ordered for other reasons. Cystitis should not be confused with urethritis - inflammation of the urethra.

Urethritis is manifested by unpleasant sensations, pain, burning or stinging when urinating - and nothing more. Often these diseases accompany one another, but this is not always the case. Most often, at the first symptoms of cystitis, on the advice of more experienced friends, the girl takes several tablets of the first antibiotic she comes across, the symptoms of the disease subside and they forget about it until the next exacerbation. This can go on for years. However, exacerbations of cystitis occur again and again. A woman is forced to wrap herself in warm clothes even in the heat, always think about what she can eat and what she cannot, and fear every intimacy with her loved one. This state of affairs can drive you crazy.

Symptoms of chronic cystitis

Symptoms of chronic cystitis in women are similar to those of the acute form, but less pronounced. The pain is usually moderate when emptying the bladder, the frequency of urination allows you to lead a normal lifestyle and not lose your ability to work. During an exacerbation of the chronic process, a clinic of acute inflammation develops. There are no clinical signs or characteristic laboratory data during remission. The course of chronic cystitis is different: the disease can occur with frequent or rare exacerbations, have a continuous course, or be asymptomatic.

Treatment of cystitis

Treatment of cystitis is not easy. In no case should you limit yourself to prescribing antibiotics or suppositories alone, as is done in most cases. After all, it never occurs to anyone to treat intestinal dysbiosis with antibiotics, but here the situation is very similar. It is not enough to simply kill the pathogen; it is necessary to restore the normal microflora of the vagina, while at the same time not forgetting about restoring the immune system.

Competent treatment of cystitis should be carried out simultaneously in two directions. On the one hand, it is necessary to suppress the colony of bacteria that caused the disease, on the other, to populate the vagina with normal microflora. And it is imperative, as already mentioned, to strengthen the immune system, since controlling the microflora is part of its task.

However, to prevent relapse, anti-inflammatory treatment of cystitis must be continued for at least 3 weeks. In acute cystitis, instillation of medications into the bladder is contraindicated. In case of chronic cystitis, which is mostly secondary, the elimination of the causes that support the inflammatory process in the bladder (bladder stone, diverticulum, prostate adenoma, urethral stricture, etc.) is crucial in treatment.

If chronic cystitis is complicated by vesicoureteral reflux, sclerosis of the bladder neck, stenosis of the distal urethra, interstitial cystitis with bladder shrinkage after conservative therapy, then when choosing a treatment method, the issue should be decided in favor of surgical treatment. For chronic cystitis, sanatorium-resort treatment is also recommended.

Prevention of cystitis

There are several rules that every woman suffering from or predisposed to cystitis must follow. These are the rules:

Do not get too cold - do not sit on the ground or on the embankment curb, do not swim in the ice hole, do not wear miniskirts in autumn and spring, etc.

Watch your diet - consume everything hot, sour, fried, spicy, salty, pickled and alcoholic in limited quantities and drink plenty of water.

Drink as much liquid as possible, at least 2 liters per day, but not tea, coffee, beer or soda; it is best to drink pure water, still mineral water or non-concentrated juices.

Treat chronic inflammatory diseases: frequent sore throats, chronic tonsillitis, carious teeth - all this does not contribute to health.

If stool is irregular, constipation or diarrhea is common, then the diet should be adjusted in such a way as to avoid stool disturbances. They are directly related to bladder problems.

When visiting the toilet, wipe only from front to back and never vice versa! Try to wash yourself after every visit to the toilet.

If you have a sedentary lifestyle, try to get up and stretch for at least 5-10 minutes every hour.

If you use tampons during your period, change them at least every 2 hours. It is much better to use gaskets.

Visit the toilet every 2 hours, even if you don't feel like it.

Check with your doctor regularly, it is best if he is a competent specialist in urogynecology.

Even if there is no reason, you should visit a gynecologist and get checked for STDs every six months.

Cystitis during pregnancy

The development of cystitis during pregnancy is also facilitated by the constantly growing uterus, which compresses the bladder, which leads to disruption of the outflow of urine and the active proliferation of pathogenic microorganisms. Often, expectant mothers put off visiting a urologist after hearing stories about the unsafety of drug treatment during pregnancy. Indeed, many medications are contraindicated for pregnant women. At the same time, the disease cannot be ignored under any circumstances.

A modern physician has all the necessary means in his arsenal to relieve an expectant mother of cystitis. In addition to antibiotics, which are harmless to the expectant mother and the baby growing in her tummy, the urologist can offer the pregnant woman bladder instillation - a procedure during which the medicine is injected directly into the bladder. This will eliminate unpleasant symptoms such as pain and frequent urination, and will also strengthen the walls of the bladder.

Indeed, all those drugs that doctors are accustomed to prescribing for cystitis in clinics and antenatal clinics are contraindicated during pregnancy. In addition, in the first trimester of pregnancy, and even better throughout the entire pregnancy, you should not take any medications at all, with the exception of vitamins and herbal preparations - they can cause serious disturbances in the formation of the fetus’s body.

Questions and answers on the topic "Cystitis"

Question:The urologist prescribed treatment for cystitis with ofloxacin. Please tell me what analogue can be replaced so that there are no side effects (severe headache, anxiety, insomnia) - is this when taking one tablet in the morning 400 mg?

Answer: Hello. Ofloxacin analogues: Tsifran, Tsiprolet, levofloxacin. But they also have contraindications and side effects. Therefore, to adjust your treatment, you need to contact your doctor.

Question:Hello. Frequent urination bothers me. This has been going on for 5 years. I only feel good when it's hot. Then cystitis doesn't bother me. I am very cold, unlike others. My feet are very cold. Because of this, I often run to the toilet. Alcohol also causes me to urinate frequently. I was treated in the hospital. The diagnosis is cystitis. But the doctor didn’t cure me at all. I also took various medications for cystitis without a prescription many times - also to no avail. What can you tell me? Thank you.

Answer: The presence of cystitis within 5 years is highly doubtful. It is more likely that you suffer from bedwetting. Contact your urologist for re-examination and treatment.

Question:A year ago, my boyfriend was diagnosed with chlamydia and ureaplasma. I haven't been checked. We were treated together. They took tests - everything was negative for him. According to my smear analysis, chlamylia was not detected, ureaplasma was not detected, according to a blood test, ureaplasma was not detected, chlamydia trachomatix lg G (+) 1:10 positive. Six months ago, I started having cheesy white discharge. There was discharge before, but it was transparent, the gynecologist said it was normal. Now there is a frequent urge to go to the toilet and a nagging pain after urinating. Are these symptoms related?

Answer: It is quite difficult to connect discharge and discomfort when urinating in your case. You should see your doctor again for a urine test. The pain you describe may be a sign of urethritis or cystitis, which require special treatment.

Question:Good afternoon I am 23 years old. About a year ago (I have been constantly sexually active for 2 years), white discharge began, and half a year ago, periodic pain when urinating in the morning. Frequent urination during the day and at night. 2 weeks ago I was examined by a gynecologist and passed all possible tests. They found ureaplasma. My husband and I were prescribed Safotsid and Dalatsin suppositories + Epigen Intim spray, we drank everything and were treated. But last night I started urinating frequently and painfully again. And it’s like there’s a pain in the lower abdomen (only once in the morning). What does it mean? Has the infection gone away? Or is this some kind of complication? No inflammation was found in me. All other tests are normal including culture. There will be a repeat analysis only after 2 months. What to do now? We have been planning a pregnancy for a year now. Help me please!

Answer: The symptoms you describe may be a sign of cystitis. Be sure to see your doctor again for a re-examination and examination. it is quite possible that this episode of the disease is in no way connected with ureaplasma infection and that the treatment you indicated coped with the problem.

Question:I am 25 years old, I have had cystitis since I was 19. I never actually treated him. A year ago I had an attack and was advised to use Monural. I drank one sachet (3g) and for a whole year I didn’t know what it was. And four days ago I had another attack! I drank Monural again (3 years), but something doesn’t go away completely and in general it seems as if everything is starting all over again! Please tell me if a single dose of the drug is enough for me? And how long will it take for it to finally help? Or maybe I should drink something else and how to generally relieve this inflammation? Thank you.

Answer: The diagnosis of cystitis is established only after the necessary laboratory and instrumental studies. Treatment of cystitis does include the use of antibiotics (which include the drug Monural). If a single dose of Monural does not bring any effect, you may need to change the antibiotic, but the choice of a particular drug depends on the results of a bacteriological examination of urine.

Question:Urine culture revealed Escherichia coli 10^6, and I have had cystitis three times in the last six months. Please tell me, do these Escherichia coli 10^6 affect its constant appearance and how to treat it? Thanks in advance for your answer.

Answer: Yes, cystitis in your case is probably caused by the bacterium Escherichia coli. Treatment of cystitis caused by this bacterium is usually carried out with ciprofloxacin (250 mg morning and evening for 5-7 days).

Question:Please tell me: after a long cold, my daughter (she is 3 years old) has been peeing very often for three days now, and only during the day. In general, she doesn’t lick the potty, but she sleeps at night and never wakes up, she doesn’t have any pain and there’s no discharge. I wonder what this is? Could this be a side effect of the antibiotic (we took Sumamed) or is it cystitis?

Answer: Perhaps your child drinks a lot of fluids during the day? Ask if there is any pain during urination or simply watch the child's reaction during urination. If there is no pain, then you do not need to worry. If you have pain, consult a pediatrician.

Question:I am bothered by a burning sensation after urinating.

Answer: This is probably cystitis.

Cystitis is an inflammation of the bladder, and it affects about a third of all women. The “culprit” of the disease is most often E. coli. The main symptoms of cystitis: frequent and painful urination, sometimes several times an hour, cloudy urine mixed with blood, pain in the lower abdomen, and less commonly, high fever.

What happens with cystitis?

Bacteria enter the bladder through the urethra, attach to its walls, receive nutrition and begin to multiply. The more of them there are, the more difficult it is for the body to fight the “alien army.” They destroy epithelial cells, causing inflammation.

Fortunately, medicine has learned to relieve symptoms and fight the infection that causes cystitis. It would seem that everything is simple: just take a course of antibiotics in combination with immune-strengthening drugs - and cystitis will lose its position.

But in about half of the cases it returns and often becomes chronic. And patients go to the doctor again, get tested, take antibiotics again with all the ensuing consequences for the body.

Why does cystitis come back?

The bacterial infection that most often provokes cystitis lives in the body of every person. It begins to multiply and causes inflammation in the presence of one or more factors:

Hypothermia - once we dress inappropriately for the weather or get our feet wet, we “punch a hole” in the immune system and create favorable conditions for bacteria. When hypothermia occurs, the immune system reacts more slowly to the “invasion” of infection, and therefore the likelihood of getting sick is higher.
Anatomical features - the female urethra is shorter and wider than the male urethra, and it is easier for E. coli to penetrate the bladder. And women have a larger bladder, so they have less need to urinate. By visiting the toilet rarely, a woman “helps” the infection to accumulate instead of washing it out with urine.
Violation of the rules of personal hygiene - untimely replacement of tampons and pads, improper wiping after using the toilet (from front to back, not vice versa), unprotected sexual contact - all this can cause infection to enter the urethra. If a woman has already suffered from cystitis, one single mistake in personal hygiene can result in a relapse.

What to do? It is impossible to maintain sterile cleanliness and abstain from sexual contact all your life. In order not to give the infection a chance and at the same time live a full life, prevention is needed. This is safer and more reliable than treating every attack of cystitis with antibiotics.

How to carry out prevention?

Firstly, “don’t provoke” cystitis - don’t get too cold, maintain personal hygiene, go to the toilet more often so that bacteria are washed out with urine.

Do exercises. This way, blood will not stagnate in the pelvic organs. If you have a sedentary job, it is enough to get up from your desk for 10-15 minutes to walk and stretch.

And, of course, watch your immunity. This is your best protector not only from cystitis, but also from other diseases. To maintain the immune system in a “fighting” state, it is advisable to eat well and take advantage of the opportunities that nature has given us.

One of them is cranberry and drinks made from it. Our grandmothers also knew that cranberry juices and tinctures are good for “women’s illness.” And there is a scientific explanation for this.

Cranberries are rich in proanthocyanidin A substances (they give cranberries their red color). These substances enter the bladder and prevent bacteria from attaching to its walls and multiplying.

Cranberry extract with the right amount of proanthocyanidins is contained in the drug Cystenium. One sachet of Cystenium contains 36 mg of proanthocyanidins. This is exactly how much proanthocyanidins the body needs per day, according to the European Association of Urology, to prevent bladder infections.

Bearberry extract, the second component of Cysthenium, which is also successfully used to treat cystitis in folk medicine, helps to enhance the effect of cranberry extract. Bearberry is rich in arbutin, a substance with antimicrobial and diuretic effects. Once in the body, arbutin destroys the infection and promotes its rapid elimination in the urine.

The third active component of Cystenium is vitamin C. It creates an acidic environment, while bacteria multiply in an alkaline environment. In addition, vitamin C is a natural antioxidant that helps to quickly restore the bladder walls after inflammation.

Triple protection and stable results

The complex action of Cystenium will protect against infectious inflammation better than homemade cranberry juices.

The drug contains only natural high-quality ingredients from France in the correct dosages and proportions.

One package of Cystenium contains 14 sachets. In most cases, cystenium can be taken once a day, before bed. Simply pour the contents of the sachet into a glass of water and stir. You will receive a drink with a pleasant berry taste. Cystenium is more effective than tablets also because it is a liquid, and it helps to quickly eliminate the infection along with urine.

Cystenium can be used both for the treatment of cystitis along with a course of antibiotics, and for prophylaxis for a long time or after situations that provoke an attack, for example, hypothermia.

If you are at risk and the disease has returned to you at least once, have Cystenium ready. It will give you back the opportunity to live life to the fullest and help you forget about cystitis.

When cystitis gets you out of bed at night with sharp pain and makes you run to the toilet several times an hour, it’s worth remembering several publicly available manipulations that will help you live more or less comfortably until the moment when you can get qualified help from a specialist. Despite all the benefits of civilization, from time to time we still find ourselves in a situation where we can only help ourselves. As a rule, these are moments such as distance from populated areas and medical facilities, a long trip, and, finally, deep night.

Main symptoms of cystitis and diagnostic methods

Of all the symptoms of inflammation of the bladder, the most sensitive are sharp pains in the suprapubic region, both during the process of filling the organ with urine and during its emptying. Moreover, the number of urges is absolutely disproportionate to the volume of urine in the bladder.

Girls often experience the phenomenon of wedding night cystitis or defloration cystitis, when the genitourinary system becomes infected during the first sexual intercourse. The symptoms in this case are no different from the signs of inflammation affecting the walls of the bladder. The danger of the situation lies in the fact that the pain syndrome can be mistakenly perceived as a consequence of defloration, which coincides with the onset of the disease. Late seeking help aggravates the disease, prolonging the treatment period and increasing the likelihood of the disease going “underground” - into a chronic form.

Among other things, cystitis is manifested by changes in blood composition. A visual analysis of the urine may show cloudy, bacteria-infested epithelium lining the inner walls of the bladder.

In order to successfully fight infection - the main cause of the disease, it is necessary to determine the type of pathogen, which is done using bacterial culture. Based on the results of the analysis, an effective antibiotic is selected. Urine is examined for the presence of leukocytes, blood, and pus.

If the picture of inflammation is not expressed, an ultrasound examination or MRI procedure, cystoscopy are performed, these studies help determine the final diagnosis.

How to relieve cystitis symptoms that occur at night

As a rule, a healthy person empties his bladder before going to bed and immediately after waking up. But a sudden awakening from the desire to urinate, which suddenly begins to be accompanied by sharp pain, is clearly regarded as an acute stage of bladder inflammation. So, what to do if cystitis began at night, and life-saving relief in the form of a visit to the doctor and prescribing treatment adequate to the condition is postponed at least until the start of the working day?

1. You must continue to stay in bed except when going to the toilet. Throwing around the apartment will only make you feel worse.
2. Provide yourself with plenty of fluids: at intervals of no more than half an hour, you can drink compote, fruit drinks, weak tea, or just clean drinking water. Strong tea, coffee, alcohol, and soda are excluded. The more fluid, the lower the concentration of bacteria in the urine.
3. Every three hours, add baking soda to your drink; it reduces the acidic activity of urine in the bladder, preventing damage to the mucous membrane on the walls of the organ.
4. Warming up between the legs, suprapubic area, and lower back helps relieve pain. To do this, pour hot water into a heating pad and wrap it in a towel. If you don’t have a rubber product on hand, use a bottle or bag of heated salt or cereal. If possible, take a warm bath.
5. The medications included in your home first aid kit will help temporarily relieve pain - Analgin, No-Shpa, Papaverine, etc.

Having completed these procedures, it becomes possible to partially or completely get rid of unpleasant symptoms. But even if cystitis worsens at night, and in the morning the pain and urges stop, this does not mean at all that the disease has receded. It is necessary to be examined and, if necessary, undergo a course of treatment.

What not to do with cystitis even at night

Even if cystitis began at night, there are a number of prohibitions on certain actions. First of all, do not rush to do anything if the urine changes color and begins to emit a pungent odor. This indicates that there may be pus or blood in it. In this case, it is strictly not recommended to heat problem areas.

Some self-confident individuals take strong antibiotics, trying to treat cystitis at night, which is strictly prohibited. These drugs have a selective effect on certain groups of bacteria. Therefore, until there is a clear understanding of which pathogen is the causative agent of the disease, an antibiotic, at best, will be useless, and at worst, self-medication can be harmful to health.

We also suggest visiting our website, reviews can help you a lot, or leave your comments. Remember that by sharing your experience you can provide all possible help to someone.

Please tell me what cystalgia is, what is the nature of this disease and what treatment methods exist.

Cystalgia is a condition accompanied by symptoms characteristic of cystitis, but without the detection of microbes in the urine. Those. the signs are the same: frequent urination, discomfort at the end of urination, a strong urge to urinate, urinary incontinence, but no infection. Therefore, cystalgia is not treated with antibiotics. Cystalgia occurs in women and is caused by hormonal imbalances, a deficiency of female sex hormones - estrogens. It develops especially often during and after menopause, but it also occurs in young nulliparous women with low hormone levels. Treatment accordingly is saturation of the body with estrogen: cyclic vitamin therapy, physiotherapy, and, if indicated, hormone therapy.

Every time, immediately after sexual intercourse, I experience painful urination - a burning sensation in the urethra and a pulling pain. If you don’t go to the toilet immediately after the act, then during the day there will be no unpleasant sensations. In the morning, there is also often a burning sensation in the urethra and pulling upward. At the age of 19, I had acute cystitis with cutting pain and blood in the urine. The doctor said: “It’s okay, it happens to girls”!!! She prescribed furodanin, levomethicin and warm baths. After looking at the tests later, I sent her to a urologist - they prescribed only 5-Nok, to drink half a drink. That's all. But apparently this didn’t help much, cystitis appears periodically. There is always discomfort when urinating, especially in the morning. Even during sexual intercourse, sensations similar to the urge to urinate appear! I can no longer lead a normal sex life, my husband is offended that I avoid him. It hurts in almost any position. Maybe this is already from gynecology? The Pasteur laboratory determined sensitivity to antibiotics. I'm sensitive to most of them. After I was diagnosed with HPV, they prescribed a killer treatment regimen consisting of antivirals, antibiotics and immune-strengthening drugs. This did not affect the urinary system - i.e. nothing changed. What should I do, how should I be examined and where? Where to start, what research and procedures are needed?

You probably need to start by visiting a good urologist. What worries you may be chronic cystitis, requiring treatment, including physical therapy, or the so-called. cystalgia is a special disease of women that has the same symptoms as cystitis, but without infection, caused by hormonal characteristics of the body. You need to take a urine test during an exacerbation, do a bladder examination - cystoscopy - and after consulting a urologist and carrying out treatment (if necessary), contact a gynecologist and deal with pain during sexual intercourse. Those. first a urologist, then a gynecologist. HPV is not related to cystitis and diseases of the urinary system. It can cause the appearance of genital warts and cervical disease (therefore, it is imperative to dilate and cure cervical pathology, if any).

I'm planning a pregnancy. The fact is that about 4 years ago my husband was diagnosed with chlamydia, he was treated, but I was not, because I was also examined and nothing was found. 3 years later, tests were done during pregnancy, the results were negative, but the pregnancy ended in a miscarriage. Now I repeated the tests, the results are also negative, but I am tormented by cystitis. Could it be that chlamydia is present, only in a latent form, or can you try to get pregnant again and not worry?

Answer: Western doctors believe that we should focus only on smears (DNA). If according to the results of these tests there is no infection, then no. Our specialists also consider a blood test. If a blood test reveals an infection, appropriate treatment is given. For your own peace of mind, donate blood. If chlamydia is not detected in the blood, then live in peace and give birth to a child. The cause of a miscarriage may not only be an infection.

The fact is that 1.5 months ago, after sexual intercourse with my husband, I developed a burning sensation in the urethra, pain in the lumbar region, and copious discharge that was clear and white. I got tested. (leukocytes were not detected, epithelial cells were moderate, mucus was 2-3., flora was not detected, ureaplasma, mycoplasma, chlamydia were not detected.
Sowing for flora: lactobacilli - abundant growth, staphylococcus - epidemic 1, streptococcus - meager growth, s.d. No treatment was prescribed by the KVD doctor. She herself took Acelact suppositories and Vision dietary supplements (Antiox, Nutrimax). After 2 weeks, the painful symptoms disappeared. I had an ultrasound of the pelvic organs - no pathology was detected. My husband also has clear discharge and discomfort in the urethra. The husband's control test showed staphylococcus with hemolytic bacteria. He was treated with Ofloxacin for 5 days. Repeated analysis of the husband (dated 12/08/00) showed: Epit cells - single, leukocytes 0-1, mucus - 1, no flora detected, no trichomonas detected. During the treatment period, they abstained from sex.
After the last tests, when the hospital said that we were healthy, we had contact with my husband. A few hours later I had a burning sensation again, and the next day I had lower back pain, aching joints, and white discharge. I don’t want to contact KVD anymore. I ask YOU to recommend treatment (if possible without antibiotics), because... We want to have a child in the near future. Is it possible to have a child in this situation?
I’m taking Acelact again and vitamins to boost immunity Vitoron-T and Berocca. A year ago we underwent treatment for chlamydia. In addition, my husband and I periodically develop ulcers (stomatitis) on the mucous membranes of our mouths.

Judging by the symptoms you described, an inflammatory process in the bladder and kidneys cannot be ruled out. Obviously, the disease is provoked by sexual contact. However, this does not mean that you or your spouse have any sexually transmitted infection. During coitus, the urethra is massaged and the urethra (urethra) is traumatized. In this case, the infection in the urinary tract worsens and triggers the inflammatory process. You should contact a urologist, undergo a general analysis and urine culture. Unfortunately, it is unlikely that antibiotic treatment will be avoided. If you are planning a pregnancy, it is better to get well as soon as possible, because... During pregnancy, the likelihood of inflammatory diseases of the kidneys and bladder increases. Antibiotics are eliminated from the body quickly enough, so they cannot harm the unborn child if you undergo treatment before conception. There are also medications that can be used during pregnancy.

After giving birth, my urination increased. I started doing exercises for the pelvic muscles. It almost didn't help, a year has passed. Recently, I developed cystitis due to thrush, the doctor prescribed Abaktal (it does not act against candida), the pain went away, but urination remained frequent.
1) What to do? Maybe you should go to a gynecologist and not a urologist?
2) Can cystitis be caused by Candida and how to identify it? I was told that urine culture often does not detect them.
3) My husband and I were treated for thrush (the doctors did not find any other sexually transmitted infections) with Clotrimazole, but it did not help. Which medicine is more effective (tablets are better for my husband than cream)?

You can consult a gynecologist. Antibiotic therapy (abactal) only worsened the condition.

Urine culture will identify Candida fungi and determine their sensitivity to antifungal drugs.

It is better to carry out treatment taking into account sensitivity to antifungal drugs.

Today I go all day long with the feeling of constantly wanting (forgive the rather incorrect term) to go to the toilet in a small way. I have to run to the toilet often, but the feeling does not go away. Mild pain in the lower abdomen. This is my first time. Maybe I just got a cold? Two years ago I was cured of chlamydia; I was sick for a year. What could be wrong with me?

The picture you described is characteristic of acute cystitis - an infectious-inflammatory process in the wall of the bladder (mainly in the mucous membrane) - one of the most common urological diseases. To clarify the diagnosis and decide on further treatment tactics, we advise you to undergo a consultation and examination with a urologist.

I have complaints about frequent urination. I noticed that I started noticing this problem after giving birth. In addition, about 6 years ago I had acute cystitis. From time to time, especially in the autumn-winter period, it occurs to me. But even when I'm healthy, I constantly go to the toilet. Several times within one hour and so on throughout the day. There are no painful sensations. Just a feeling of great discomfort due to inconvenience. Could this be some kind of hereditary trait? My mother also suffers from this, although she has a whole bunch of female diseases. In this regard, I am more or less healthy. There are no complaints. Tell me, are there any medications to strengthen the bladder or maybe I can take something as a patient with urinary incontinence.

The cause of this condition may be injury to the bladder and urethra during childbirth, or weakening of the pelvic floor muscles, which often occurs after pregnancy and childbirth, and as a result, disruption of the location of the bladder and urethra, which leads to urinary incontinence. You need to be examined by a urologist. To find out the causes of your suffering, you will undergo manipulations and tests to determine the functioning of your bladder. Explore its structure. Treatment depends on the results of the examination. In some cases, surgical treatment is required, but conservative therapy is also possible.

I would like to know how a genitourinary tract infection\urethritis or cystitis\ we take 31 weeks can affect the health of the fetus

With a pronounced inflammatory process, intoxication of the mother’s body can have an adverse effect on the fetus, causing a disruption in its blood supply. An infection in the blood can spread to the fetus, which can worsen its condition. However, at this stage of pregnancy, these diseases can be treated with drugs approved for use in pregnant women.

I have been suffering from cystitis for almost a year now. The treatment does not produce results for a long time. My anxiety is complicated by my 2.5 month pregnancy. What remedies can be effective at this stage without causing harm?

Unfortunately, at your stage of pregnancy, antibacterial drugs are contraindicated, so it is better to limit yourself to uroseptic phototherapy (rosehip decoction, bearberry, horsetail, kidney tea, etc.).

I am 36 years old. Recently I started having pain when urinating. A urine test showed the presence of E. coli bacteria. The doctor prescribed antibiotics: the first 10 days, two tablets of Cifran-500 and the second 10 days, two tablets of Norflox-400. My question. Reason for appearance? Is such long-term treatment necessary?

When prescribing treatment, your doctor probably took into account the sensitivity of the identified pathogenic flora to antibiotics. In this case, treatment is justified.

I had hemorrhagic cystitis. How can this disease be caused if there are no pathogens in the smear and urine; before this I also had no illness. Ultrasound of the kidneys - everything is normal.

1. Cold
2.Sex life during menstruation
3. Chronic inflammation of the bladder is possible, which could cause deformation of the mucous membrane and cause hemorrhagic inflammation.

I had cystitis, I treated it with Biseptol and Furagin, on the fifth day of cystitis I had sexual intercourse with my husband and the next morning I began to have copious white curdled discharge, causing severe itching, which completely disappears at night and begins profusely in the morning, especially while walking. What could have caused the discharge, because I have never had anything like this after sexual intercourse with my husband. Thank you in advance.

Apparently you have developed a fungal infection. It was most likely provoked by taking Biseptol. If "home" remedies - douching with soda - do not help, then visiting a doctor seems very reasonable.

I have been suffering from chronic cystitis for more than 5 years. Ultrasound diagnosis: Chronic cystitis. (12.2 cm by 6.8 cm, the wall is evenly thickened to 0.6 cm, the lumen is homogeneous)
I consulted doctors more than once about this disease, but the effect was short-lived. The last time I was treated was in October-November 1998 with rocephin - 1mg, only 2 injections, I also brewed horsetail herb and went to the clinic to rinse my bladder with protorgol. But even after this, the disease sometimes returns in a mild form and worries me. I have a question for you; Is there a more effective treatment for chronic cystitis? What is it like? How do you feel about homeopathic medicines for the treatment of cystitis?

To determine whether treatment tactics are effective, it is necessary:
1. submit urine for culture to determine microflora and sensitivity to antibacterial drugs

2. perform a cystoscopy to assess the condition of the bladder mucosa and, possibly, take a biopsy from it

3. consult a gynecologist to rule out anomalies of the female reproductive system.

Based on the examination data, the urologist determines a treatment regimen, which may include antibacterial drugs, immunomodulators, physiotherapy, laser therapy, administration of drugs into the bladder, and surgical treatment is also possible.

How to treat cystitis in a pregnant woman?

Unfortunately, the background of pregnancy is not indicated. At the beginning of pregnancy, due to hormonal changes, a woman often experiences episodes of frequent urination that are not associated with infection (this can be determined by urine analysis). In this case, doctors advise to “endure” for a while. If cystitis is associated with infections - nonspecific or specific (,), then treatment is carried out with antibacterial drugs, taking into account the duration of pregnancy and the sensitivity of microorganisms to infections. Plenty of fluids and herbal preparations must be prescribed - cranberry, lingonberry leaf, urological preparation, Canephron, Phytolysin, etc. at least 2-3 glasses of decoctions per day. It is mandatory to follow hygienic rules - frequently washing with water without soap, wearing only cotton underwear, excluding salty, spicy, and pickled foods from food.

I was treated with Polygynax antibiotics for vaginal inflammation. I completed a course of treatment, but symptoms still appear periodically. These are: burning and
pain in the genital area during urination As the doctors said, my smear is just perfect. And then what’s wrong with me, no one can really say. There is a suspicion of cystitis. Could you give me some advice? What are these symptoms like?

Such symptoms can accompany many diseases, both infectious diseases (mycoplasmosis, chlamydia) and metabolic disorders - the passage of “sand” in the urine (crystaluria). Examinations and consultations with a gynecologist and urologist (nephrologist) are advisable.

Please tell us about the causes of urethritis (cystitis) and how this disease can affect pregnancy?

Inflammation of the urethra. - cystitis. They occur quite often and can be caused by various reasons. Most often, the cause is infection (chlamydia, mycoplasmosis, trichomoniasis, gonorrhea). The occurrence of urethritis can be triggered by the “discharge of sand” - small salt crystals. In children, cystitis can be of an allergic nature. Women often experience non-infectious cystitis during pregnancy. This is due to a mechanical decrease in bladder capacity and hormonal changes. Against the background of cystitis and urethritis, the course of pregnancy can be complicated by pregnancy nephropathy, fetal hypoxia, infectious pathology, and premature birth. Therefore, there must be control over the condition of the urinary system

After cystitis, for a year I have experienced pain and pain when urinating approximately 1-2 times a month and daily slight yellowish discharge. According to the tests taken for ureapl., chlamyd., mycopla., gardel., flora smear, CMV, herpes, no infection was detected. What could be the reason?

Chronic cystitis can be caused not only by infections, but also by salts and allergies. You need to consult a urologist.

Can thrush cause frequent (about 6-9 times a month) pain and burning when urinating?

Yes, but many infections can cause these symptoms.

Anna Mironova

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Many women have at least once experienced an attack of cystitis, which comes suddenly and seizes you at the most unexpected moment. This acute attack can be triggered by various factors. We will tell you in this article how to recognize cystitis, treat it and prevent recurrence.

Cystitis is a disease of the honeymoon, and also of short skirts!

In medical terms, “cystitis” is an inflammation of the bladder. What does this tell us? But, in fact, nothing concrete and understandable, but its symptoms will tell you a lot. However, more on that later. Cystitis occurs more often in women, due to our anatomical nature, our urethra is short compared to men's, and therefore it is easier for infection to reach the bladder.

Cystitis is divided into two types:

• Spicy- which develops rapidly, pain during urination increases, and over time becomes constant. The sooner treatment is started (under the guidance of a doctor), the greater the chance that the attack will not recur;
• Chronic- an advanced form of cystitis, in which, due to a number of factors, regular repetitions of attacks of cystitis occur. Self-medication and the hope that “it will go away on its own” lead to the chronic form.

What are the symptoms of cystitis?

An attack of cystitis is difficult to confuse with anything else; its intensity is so noticeable that the attack will not go unnoticed.

So, symptoms of acute cystitis speakers:

• Pain when urinating;
• Sharp or dull pain in the suprapubic region;
• Frequent urination and the urge to urinate (every 10-20 minutes) with little urine output;
• Discharge of a small amount of blood at the end of urination;
• Cloudy urine color, sometimes pungent odor;
• Rarely: chills, fever, fever, nausea and vomiting.

For chronic cystitis characteristic:

• Less severe pain when urinating;
• The same symptoms as with acute cystitis, but the picture may be blurred (some symptoms are present, others are absent);
• Well, the most “important” symptom is recurrence of attacks 2 or more times a year.

If you notice the following symptoms, immediately consult a doctor to find out the cause that triggered the attack. And, if possible, do not take emergency medications, because they can blur the picture of the disease (for example, Monural).

What can cause an attack of cystitis?